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Valencia High School

“Pride of the Vikings” Choir

Heritage Festival Tour to New York

 

I, _______________________________________, hereby give my

(parent or legal guardian printed name)

permission for my son or daughter__________________________ to travel

                                                          (student printed name)

with the “Pride of the Vikings” Choir to New York City, New York from April 13th, 2006 to April 18, 2006. I understand that travel will be via school bus between Valencia High School and the Jet Blue Burbank/ Long Beach Airport.

I understand that, pursuant to the rules of behavior attached hereto, misbehavior by my son or daughter may result in him/her being sent home from this tour and that I would be liable for transporting him or her from any tour location including any additional travel costs. In addition to those guidelines of behavior, I specifically prohibit the behaviors and/or activities listed below: (Chaperones will attempt to enforce those restrictions but hope that parents will determine and communicate consequences for students going against their wishes separately from the Pride of the Viking consequences.)

Activities prohibited by parents or guardians:

________________________________________________________________________________________________________________________________________________________________________________________________________________________

Phone numbers where I may be reached in case of emergency:

Home phone:________________  Work phone:___________________________

Spouse’s name______________            Work phone:___________________________

Alternate emergency contact name__________________ Phone:________________

 Signature______________________________ Date: _________________________