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NORTH JAKARTA INTERNATIONAL SCHOOL



                                  WAIVER FORM
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Class Trip 2 Waiver Form

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Class Trip 2 Waiver Form

  1. 1. NORTH JAKARTA INTERNATIONAL SCHOOL WAIVER FORM ______________________________ Name of Student I acknowledge and accept that my son’s/daughter’s (the student named above) participation in the NJIS field trip to Carita is entirely voluntary and all risk is voluntarily assumed by my son/daughter and me. I understand that school rules and regulations will be in effect. I have also ensured that my son/daughter understands that it is important for his/her safety, and for the safety of the group, that all rules and instructions given by field trip supervisors are obeyed. In consideration of your agreeing to take my son/daughter on the above trip, I hereby agree not to hold the school, any individual employed by the school, or the Board of Governors liable for any expense, loss, personal injury, or accident to my son/daughter which is not the result of any negligent act or willful default of any employee or agent of the school. I will not bring any suit or assert any claim against NJIS or the field trip supervisors as a result of any action taken. _________________________ _________________________ ___________ Print Parent’s Name Parent’s Signature Date

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