Legoland Field Trip

Legoland!

Location: One LEGOLAND Way
Winter Haven, FL 33884
Date: February 17, 2023
Time: 8:30 am – 3:30 pm
Grade: 3rd Grade
Teacher: Mrs. Loveless
Cost
Student Admission: $45.35| Adult Admission: $38.95
Student-Parent Admission: $84.30

Lakeside Field Trip Form Template

Student Name(Required)

Student First Name Student Last Name

Grade and Teacher(Required)

Emergency Contact(Required)

Emergency Contact First Name Emergency Contact Last Name

Emergency Contact Phone Number(Required)

Medical Conditions to be aware of:(Required)

If none, please respond with none or N/A

I will be attending/chaperoning this field trip:(Required)

I have completed and passed the required background check:(Required)

* If you are unable to attend and desire someone else to attend in your place, they must have completed and passed the required background check. Please inform your student’s teacher of any changes.

Trip Registration Cost(Required)

Price includes a 5% service fee

Total

Credit Card(Required)

Card Details

Cardholder Name

Cardholder's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cardholder's Email(Required)

Name of Parent signing permission(Required)

First name of parent Last name of parent

Field Trip Consent and Release Form(Required)

I agree to the Field Trip Consent and Release Form as stated below

First Baptist Church of Winter Garden, Inc. and Foundation Academy of Winter Garden, Inc
Consent and Release Form for Field Trip

I, the parent or guardian, hereby grant consent for my child (named in the form) to participate in the field trip, departing from the Lakeside Campus, leaving the school at approximately 8:30 am and returning at approximately 3:30 pm, February 17, 2023.

If my child has medical conditions which may be relevant to a physician in the event of an emergency, I have listed them above. In the event an emergency occurs, I may be reached at the telephone number listed above. If I cannot be reached, I hereby authorize his/her teacher or group leader to make emergency medical decisions for my child. If there are any activities I do not want my child to be involved in, I have listed them above. I understand the students will be transported either by parents in personal vehicles, in school vans/buses, or by a commercial transportation line.

I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold First Baptist Church of Winter Garden, Inc. and Foundation Academy of Winter Garden, Inc. and its agents and employees, harmless from any and all liability, actions, causes of actions, claims, expenses and damages on account of injury to my child or property, even injury resulting in death, which I now have or which may arise in the future in connection with the activity or participation in any other associated activities.

I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, non-withstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.

I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement which I have read and understand.

Please include your digital signature in the field below as further acknowledgement of the consent and release for field trips found above:

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Legoland Field Trip

Legoland!

Lakeside Field Trip Form Template

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