SAN DIEGO UNIFIED SCHOOL DISTRICT
AUTHORIZATION FOR STUDENT PARTICIPATION
ONE-DAY OR SEASONAL ACTIVITY
_________________________________________________________________________________________ wishes to participate in
(Student’s name)
____
_______________________________________________________________________________________________________
(Activity)
a.m. a.m.
on __________________________________ from ___________________________ p.m. to __________________________ p.m. or
(Date)
dur
ing _______________________________________ from ___________________________ to __________________________.
(Semester or Season) (Date) (Date)
Transpor
tation will be by ____________________________________________________________________________________
(Chartered bus, private car driven by school employees, parents, or students)
It is necessary that the parents specifically authorize that their child be included in the activity. Supervision for this event will be furnished by the
school, but parents should understand that supervision will end at the time slated above. The school will take every precaution to assure the welfare
and safety of your son/daughter participating in this activity. However, it is important that you understand that the school cannot assume financial or
legal liability in case of injury or accident. Low cost student accident insurance is available; also, additional low cost insurance is available for
students participating in interscholastic athletics. Please call or write the school office for information.
Cold sack lunches are available from the school cafeteria. Students who qualify may receive meals free or at reduced price.
If you wish your son/daughter to participate in the above described activity, please complete the request for participation form below, and return it to
the school immediately.
_______________________________________________________ _____________________________________________________
Activity Sponsor Principal
(Tear on dotted line and return lower portion.)
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PARENT AU
THORIZATION FOR PARTICIPATION
I, the undersigned, authorize my son/daughter ______________________________________________________________________
(Name of student)
to p
articipate in ______________________________________________________________________________________________
(Name of activity)
a.m. a.m.
scheduled for __________________________________ from _____________________ p.m. to ______________________ p.m., or
(Semester) (Date) (Date)
dur
ing ____________________________________________ from ________________________ to ________________________.
(Semester or Season) (Date) (Date)
California law (Education Code Section 35330) provides that any person making a field trip or excursion
waives all claims against the school
district and the State of California for injury, accident, illness, or death occurring during or by reason of the field trip or excursion.
________________________________________________
______________________________________________________________ ________________________________________________
Date Signed Signatures of Parent(s) or Guardian(s)
Please type your full name
Not Applicable for Virtual Field Trip
