PERMISSION SLIP - UNDER 18 ONLY

DISNEY SPRING 2017
STUDENT NAME *
STUDENT NAME
PARENT NAME *
PARENT NAME
EMERGENCY CONTACT #
EMERGENCY CONTACT #
MAY YOUR STUDENT HAVE ANY OF THE FOLLOWING MEDICATIONS?
CHECK ALL THAT APPLY
Food Allergies, Sensitivities, Restrictions? If NO, type none.
HAVE YOU DOWNLOADED AND INSTALLED WHATSAPP? *
This is how we communicate as a group and provide updates. Available on all APP stores FREE.
I GIVE EXPERIENCE ARTS SCHOOL PERMISSION TO TRANSPORT MY STUDENT TO AND FROM ANAHEIM, CALIFORNIA (INCLUDING HOTEL, DISNEY, OTHER EXCURSIONS) *
Participation Agreement Waiver
I, the parent/guardian of the student listed on this form; certify that he/she has my full approval to participate in Experience Arts School (EAS) Ministry program. I understand that all students are expected to abide by the program rules and be directly responsible to EAS leadership. By signing below, the parent/guardian acknowledges, and accepts the risks of physical injury associated with participation in this event. The parent/guardian accepts personal financial responsibility for any bodily or personal injury sustained during the event and hereby waives and releases Experience Arts School, its officers, board members and agents from and against any and all liability claims, costs, expenses, or judgments including attorney fees and court costs arising out of any illness or injury resulting from the participation or travel to and from this event. If a dispute over this agreement or any claim for damages arises, the parent/guardian agrees to resolve the matter through a mutually acceptable arbitration process. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.