Student Activity Permit and Release Form

I am the parent or legal guardian of a student(s) (hereinafter “my child”) at the REACH program at University School (hereinafter “REACH”), and that in consideration of the agreement by the school to permit my child to participate in any and all school-sponsored field trips and service days, do state that:
  1. I am aware of the nature of field trips/service days and understand there are risks/dangers attendant to my child’s participation in such trips;

  2. I understand that participation by my child in field trips/service days is voluntary and is an entirely optional REACH activity;

  3. I permit my child to participate in any and all such field trips/service days unless I advise REACH in writing beforehand that I revoke my permission for a particular trip or trips;

  4. I warrant that there is accident and health insurance coverage for my child that will cover him while participating in field trips/service days;

  5. I agree to release, indemnify, protect and hold harmless REACH, its teachers, administrators, trustees, supervisors, agents, employees, and all private persons or organizations volunteering services without charge to supervise or chaperone my child while on the field trips/service days, from any claim or liability whatsoever, including but not limited to personal injury or loss of any kind and/or property damage, court costs, attorneys’ fees and interest, as a result of my child’s participation in the field trips/service days. I do not, however, agree to such release in the case of gross negligence or intentional inappropriate actions or actions intended to do harm;

  6. I agree that REACH and University School, its teachers, administrators, agents, and/or employees may terminate my child’s participation in the field trips/service days for my child’s failure to behave and act in accordance with the REACH's rules and/or regulations on conduct, failure to follow the instructions and directions of supervisors and/or chaperones, or conduct deemed to be detrimental to or incompatible with the interest, comfort or welfare of those participating in the field trips/service days.

I understand that clicking on "Submit" replaces my written signature and represents that the information provided is true, complete, and accurate. I also understand this information will be relied upon by University School and that it will only be used in a way that is consistent with the school's Privacy Policy at http://www.us.edu/privacypolicy.

Shaker Heights Campus

20701 Brantley Road
Shaker Heights, Ohio 44122
JUNIOR K – GRADE 8
Phone: 216-321-8260

Hunting Valley Campus

2785 SOM Center Road
Hunting Valley, Ohio 44022
GRADES 9 – 12
Phone: 216-831-2200
University School serves over 850 boys in Junior Kindergarten to Grade 12 on two campuses in suburban Cleveland, Ohio. The School’s mission is to inspire boys of promise to become young men of character who lead and serve. Dedicated faculty, rigorous curriculum, and experiential programs foster intellectual, physical, creative, and moral excellence. University School is a diverse and inclusive community where each boy is known and loved. 
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