Field Trip Permission Form

San Miguel Mexican Grill Field Trip

Date: Monday, April 28, 2025

Time: 10:30am-2:00pm

Location: San Miguel Mexican Grill, 1442 W Orange Blossom Trail, Apopka, FL 327121

Grade Level: Spanish 2 and Introduction to Spanish Students

Trip Cost/ Cost per student: $30 *Each student will be responsible for paying for their meal and tip.

Purpose/Content:

Transportation:

Permission Forms Due: April 21, 2025

San Miguel Mexican Grill Permission Form

Complete and submit this form for your child to attend the field trip.

San Miguel Mexican Grill Field Trip

Monday, April 28, 2025

Student Name(Required)

First Last

The undersigned, who is the parent/guardian of named above, a minor (hereinafter referred to as “Student”), on behalf of himself and student, their personal representative, assigns, heirs and next of kin, request Student is permitted to participate in the aforementioned event:

Acknowledgements(Required)

Hereby releases, waives, discharges and covenants not to sue, Pace Brantley School, their officers, employees and agents, all for purposes herein referred to as Releases, from all liability to the undersigned and Student, their personal representatives, assigns heirs and next of kin, for all loss or damage, and/or claims, demands, causes of actions or suit of any kind therefore, particularly on account of injury to the person or property or resulting in the death of Student, whether caused by the negligence of Releases or otherwise, while Student is a participant in the aforementioned event;

Hereby agrees to indemnify and save and hold harmless the Releases and each of them from any loss, liability, damage, or cost they may incur while Student is a participant in the aforementioned event, whether caused by the negligence of the Releases or otherwise;

Hereby assumes full responsibility for and risk of bodily injury, death or property damage due to the negligence of Releases or otherwise while Student is a participant in the aforementioned event;

Hereby agrees that if any portion of the Agreement is held invalid, that the balance shall, notwithstanding, continue in full legal force and effect.

Typing your name in this box serves as your official signature on the Field Trip Permission Form(Required)

First and Last Name

Medical Information: In the event Student becomes ill, I authorize the faculty or chaperones to obtain medical attention at a physician’s office or hospital. Student is covered by the following medical insurance:

Insurance Company Name(Required)

Group Number(Required)

Allergies(Required)

If none, type none

Chronic/Acute Illnesses(Required)

If none, type none

I UNDERSTAND THAT EVERY EFFORT WILL BE MADE TO REACH ME BEFORE MEDICAL PERMISSION IS GIVEN TO TREAT MY CHILD.

Home Phone

Parent/Guardian Work Number(Required)

Parent/Guardian Work Number

Parent/Guardian Cellphone Number(Required)

Parent/Guardian Cellphone Number

Typing your name in this box serves as your official signature confirming medical information.(Required)

First and Last Name

Email(Required)

Pace Brantley

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Pace Brantley is Nationally Recognized by Thinking Maps

Pace Brantley Preparatory School Featured in Orlando Family Magazine

Pace Brantley is Nationally Recognized by Thinking Maps

Pace Brantley Student Named Arts4All Student of the Month

Pace Brantley is Nationally Recognized by Thinking Maps

Pace Brantley Preparatory School Featured in Orlando Family Magazine

Pace Brantley Student Named Arts4All Student of the Month

Pace Brantley is Nationally Recognized by Thinking Maps

Pace Brantley Student Named Arts4All Student of the Month

Pace Brantley Student Named Arts4All Student of the Month

Pace Brantley is Nationally Recognized by Thinking Maps

Pace Brantley Preparatory School Featured in Orlando Family Magazine

Pace Brantley Student Named Arts4All Student of the Month

Pace Brantley Student Named Arts4All Student of the Month

Pace Brantley is Nationally Recognized by Thinking Maps

Field Trip Permission Form

San Miguel Mexican Grill Field Trip

San Miguel Mexican Grill Permission Form

San Miguel Mexican Grill Field Trip

The undersigned, who is the parent/guardian of named above, a minor (hereinafter referred to as “Student”), on behalf of himself and student, their personal representative, assigns, heirs and next of kin, request Student is permitted to participate in the aforementioned event:

Medical Information: In the event Student becomes ill, I authorize the faculty or chaperones to obtain medical attention at a physician’s office or hospital. Student is covered by the following medical insurance:

I UNDERSTAND THAT EVERY EFFORT WILL BE MADE TO REACH ME BEFORE MEDICAL PERMISSION IS GIVEN TO TREAT MY CHILD.

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Field Trip Permission Form

San Miguel Mexican Grill Field Trip

San Miguel Mexican Grill Permission Form

San Miguel Mexican Grill Field Trip

The undersigned, who is the parent/guardian of named above, a minor (hereinafter referred to as “Student”), on behalf of himself and student, their personal representative, assigns, heirs and next of kin, request Student is permitted to participate in the aforementioned event:

Medical Information: In the event Student becomes ill, I authorize the faculty or chaperones to obtain medical attention at a physician’s office or hospital. Student is covered by the following medical insurance:

I UNDERSTAND THAT EVERY EFFORT WILL BE MADE TO REACH ME BEFORE MEDICAL PERMISSION IS GIVEN TO TREAT MY CHILD.

Take a Virtual Tour

Inquire Now

Make a Gift