7th Grade Sukkah Sleepover Release Form

Please complete the form below by 8/30/17. For further details about the field trip, please see the 7th Grade Sukkah Sleepover flyer here.

By completing the Electronic Signature on this form, I give permission for my child, listed below, to travel on October 10, 2017 and October 11, 2017 between KSDS and the Pearlstone Retreat Center. Students will be participating outdoor and nature activities, eating and sleeping in the sukkah, and celebrating the intermediate days of the holiday of Sukkot. The field trip is scheduled to depart KSDS at approximately 12:00pm on Tuesday October 10, 2017, and return to KSDS in time for 12:30pm early dismissal on Wednesday October 11, 2017. Students will travel by bus, driven by a driver hired by the bus company, and will be accompanied by teacher chaperones throughout the activities and during the overnight. Students who do not participate in the trip will not come to school while the trip is occurring.

I understand that the student, named below, agrees to follow all of the rules of the trip for his/her safety and protection. I understand that, as an outdoor/nature trip in the woods in the Maryland area, there is a moderate risk to students from woods-based hazards (branches, bugs, etc.) and particularly from tick bites. Students will receive guidelines to minimize this risk (clothing should cover body as much as possible, checking for ticks after being outside, saving any ticks to be brought to physician following the trip), but the risk is still present. I understand that, as of 8/10/17, the CDC (Centers for Disease Control) lists recommendations for precautions for people who could be exposed to ticks and/or Lyme Disease, and that it is my responsibility to consult the traveler’s physician to determine and take action on any recommendations or responses. I understand that it is my responsibility to read further details on the CDC’s website, and to check the website for updates to recommendations prior to, and during, the trip. Krieger Schechter Day School cannot assume responsibility for unforeseen, spontaneous injuries that could not have been prevented through reasonable care.

  • Please be sure to send all prescription medicines in original pharmacy packaging with specific instructions indicated.