Senior Trip to Kings Dominion
Kings Dominion’s HALLOWEEN HAUNT
Please return this form and $40 by October 7th to ensure your ticket for a day of fun!!!
To: Kings Dominion’s Halloween Haunt
When: October 19th. We will depart William Monroe High School at 12p.m., traveling on school buses to the park, and returning around midnight. Buses will reload for the return trip home at 10p.m.
Cost: The total cost is $40.00. This includes your ticket into the park and bus fare. Student’s will be responsible for food and drink purchases inside the park.
Contact Denise Shifflett, Senior Class Sponsor if you have questions regarding this trip.
PLEASE BE ADVISED!!!!!!
Halloween Haunt starts at 7 p.m.
If you participate in Halloween Haunt. You may/will be frightened.
Parts of the park do not participate in Halloween Haunt.
If you do not wish to participate, it will be your responsibility to stay in the designated areas.
Please visit www.kingsdominion.com/play/haunt for more information.
SCHOOL TRIP WAIVER AND RELEASE FORM
The undersigned agrees that William Monroe High School and the Greene County School Board, and its employees, agents, and staff members shall not be liable or responsible for any accident or injury suffered by the undersigned as a result of participating in the above trip and any activities associated with the trip. The undersigned further agrees that William Monroe High School and the Greene County School Board, and its employees, agents and staff members shall not be liable or responsible for any theft or casualty loss for items of personal property suffered or incurred by the undersigned on this trip. The undersigned assumes full responsibility and full risk of any such injury, accident, theft, or casualty loss as described above, and agrees to identify and hold harmless William Monroe High School and the Greene County School Board, and its employee, agents, and staff members.
I give permission for _________________________________________________________to attend the above field trip.
(Student first & last name)
I understand this information will be used if an emergency occurs while my child is attending this field trip. Please use the back of this form for any additional health or contact information.
Parent’s Name __________________________________________________ Phone number______________________
Parent’s Name __________________________________________________Phone number ______________________
Student’s Cell # ____________________________________________________
List student’s medical conditions: ______________________________________________________________________
Will your student need medication during the trip? YES NO Explain__________________________________________
To be called if parents cannot be contacted:
Emergency Contact ___________________________________________Phone number __________________________
OFFICE USE: Cash Check #__________