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Additional Adult Waiver Form

For emergency & insurance purposes, please have each additional adult fill this out. If the same adult will come with us on more than one field trip, only one form is needed. If this adult has already signed the waivers on the registration form, then this form is not needed.

Sponsoring Family's Name*
Additional Adult's Name*
First Last
Add. Adult's Cell Phone*
Relationship To Sponsoring Child*
Emergency Contact's Name*
Emergency Contact's Relationship*
Emergency Contact's Phone*
Waiver*
- I agree.
I, as the parent, Agency Representative or Legal Guardian of the child/children stated above, will be solely responsible for this child/children at all times during Field Trip Friends, Inc. (FTF) programs & hereby hold FTF & its locations harmless & not responsible for any & all damages, injuries, or loses that may be sustained while in the care of FTF and its locations. I have read FTFs Policies & Procedures, Registration, & Tuition information at www.fieldtripfriends.com & accept the terms stated within. Due to the unique design & independent creation of Field Trip Friends, Inc. (FTF), I, the undersigned, understand that submission of this registration creates a confidential relationship between me, the undersigned, & FTF. I further understand & agree that I am obligated to remain loyal to FTF by not disclosing its trade secrets, original ideas, & private locations to a potential competitor or use them to establish or create my own similar program. I understand that this type of intellectual piracy by implication or otherwise will be a breach of the confidential relationship between me & FTF. I give permission to Field Trip Friends, Inc. (FTF) to photograph &/or videotape the adults & children named above & allow use of the resulting photos/videos for FTF's education, evaluation, marketing, documentation, &/or sharing amongst members, including posting on the FTF Facebook site and/or website.
Additional Adult's Signature*
Date*