Exhibit IFCB-4

COBB COUNTY SCHOOL DISTRICT "BLANKET" PERMISSION
to participate in any one athletic team, band, orchestra, chorus, and/or 
any other long term school sponsored field trip.


CONSENT:

I hereby consent for _______________________________________________(student's name) to participate in athletic team, band, orchestra, chorus, and/or any series of field trips related to one particular area of study or activity. I understand that transportation may or may not be provided by the Cobb county School District. In the event transportation is not provided by the Cobb county School District, transportation will be the student's responsibility.

Detailed information should be given in writing to the parents at least two (2) weeks prior to each trip in the series.

If any emergency medical procedures or treatment are required by the student during the trip, I consent to the trip supervisor's) taking, arranging for and consenting to the procedures or treatment in his/her discretion.

WAIVER and RELEASE

I release and waive, and further agree to indemnify, hold harmless or reimburse the Cobb County School District, the Board of Education, its successors and assigns, its members, agents, employees and representatives thereof, as well as trip supervisors, from and against, any claim which I, any other parent or guardian, any sibling, the student, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, from any losses, damages or injuries arising out of, during, or in connection with the student's participation in the activity, any trip associated with the activity, or the rendering of emergency medical procedures of treatment, if any.

Signature of parent (s) or guardians (s)

 __________________________________________

__________________________________________

 

Date: _____________________________________

 

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