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Summer Trip Consent Form

(please make sure to fill out the entire form, once for each child)

Has my consent to travel to:
KICK OFF GOLF CLINIC
CITY OF SEAT PLEASANT
GOODWIN PARK
641 G STREET
SEAT PLEASANT, MD.
SATURDAY, JULY 24TH, 2021
10 AM – 1 PM
(FREE ADMISSION)
BUSCH GARDENS WILLIAMSBURG AMUSEMENT PARK
1 BUSCH GARDENS BLVD.
WILLIAMSBURG, VA. 23185
SATURDAY, AUGUST 14TH, 2021
7 AM – 12 AM
($60.00 EACH CHILD)
($70.00 EACH ADULT)
Authorized Parent/Guardian agrees to release, indemnify and hold harmless, M.I. Mother’s Keeper, its directors, officers, employees, volunteers, etc. of its activities from any and all claims, causes of actions and liability arising from or in any way connected with their child’s volunteer participation with M.I. Mother Keeper’s Summer Field Trip Events with Rhonda Hamilton from M.I. Mother’s Keeper of 1629 K Street, N.W., Suite 300 Washington, D.C. 20006. www.mimotherskeeper.com e-mail: advocates4mi@gmail.com P.O.C.: Mrs. Hamilton at 240-274-9436.
*Any participants found to be unruly & disruptive will not be included on any future trips.
*PLEASE NOTE THAT DATES ARE SUBJECT TO CHANGE; YOU WILL BE NOTIFIED IF CHANGED.