In your son/daugter's physical education starting on May 15 we will be into the outdoor pursuits part of the class.  I have chosen to teach the class the outdoor activity of Sea Kayaking.  Since we live in an area that is conducive to kayaking with all the lakes and rivers near by and the San Juans only a 1 hour drive away, I figured this would be a great opportunity for my students.  At the conclusion of the unit we as a class will be taking a field trip up to the San Juan Islands for a weekend Kayaking tour.  We will be working with Crystal Seas This will be a wonderful opportunity for the students to put their kayaking skills to work.  Before we go I am asking you to fill out a few crucial forms starting with a statement of understanding and first aid consent which is attached to this letter.  Thank you for your time and feel free to call or email me if you have any questions.

Thank you
 

Jason Entler
Kenmore Junior High

Participant's Name                                                  Birth Date

Address                                                                     Phone

Program/Class                                                  Dates of Field Experience
 

I, the applicant, declare that:

1.  The applicant has met all the prerequisites required for participation in this activity.

2.  The applicant agrees to abide by the rules and regulations imposed on participants by the agency and its staff.

3.  Realizing that there is risk inherent in any recreational activity and, in consideration of my being allowed to participate in this event, I personally assume all risks in connection with this event.  I further agree to release and hold harmless the State of Washington, the Washington Higher Education Coordinating Board, Kenmore Junior High School, and all staff, from any and all claims and liabilities of any type whatsoever and for damages to, loss or destruction of any property, or injury, sickness, or death which may now or hereafter arise out of, result from, or in any way be connected with my participation in said event.

I hereby authorize the leader of the event to secure such medical advice and services as may be deemed necessary for the health and safety of myself, and I agree to accept financial responsibility.

4.  where the health and well-being of the applicant is involved;

5.  where medical advice has been such that further services are required- - services which require the consent of the parent or guardian;

6.  where all attempts to contact the parent or guardian have failed or where, due to the nature of the emergency, there is insufficient time to contact such parent or guardian;

it shall be at the discretion of the leader of the event as to what steps must be taken for the welfare of the applicant.

I, the applicant, have read, understand, and agree to the terms herein.
 

Student Signature                                                          Date
Parent Signature                                                            Date