Field Trip/Activity Permission Form Waiver
I, the legal parent/guardian of , a child at
Champion Kidz, understand that the instructional activities of the childcare will
occasionally require my student to travel beyond the childcare location for innovative
learning opportunities. Considering this, I, hereby, grant my full permission for my
student to travel within Indianapolis, Marion County, Indiana for learning activities during
the childcare day. I understand my child will be traveling by school bus or private
vehicle. I understand, further, trips beyond the childcare day or outside of Marion
County will require a separate authorization by me and advanced notice. I also
understand there may be a fee associated with certain activities and it will require notice
to have payment at the childcare by the time of the activity. I understand that I must
provide proper child restraint system which is developmentally appropriate for their age.
I accept in my capacity and on behalf of my child the policies, procedures, rules,
regulations, and standards issued or practiced by the childcare and stated in the Parent
Handbook and Appendix. I hereby assume full responsibility for any injury to my child or
property damage and do hereby release and forever discharge the Champion Kidz and any
of its affiliates from any loss, liability, damage or cost the childcare and/or its
representatives and/or agents may incur in connection with this school trip, field trip or
school activity. I shall defend and indemnify the Childcare, officers, employees (including
administration, faculty and staff), representatives and agents, against any expense,
including attorney’s fees, court costs and other expenses of litigation, incurred by any of
them as a result any claim, demand, or cause of action brought by a third party against the
Champion Kidz of any act committed by me or my child.
This authorization expires upon transitioning to school or upon the withdrawal of my child from
Champion Kidz.
SIGNATURE REQUIRED