Better Together Foundation
Parental/Guardian Consent & Liability Waiver Form
Out-of-State Travel Permission
Child's Full Name: ___________________________________________
Date of Birth: ____________________
Trip Destination: Atlanta, Georgia
Trip Date: ____________________
Departure Location: Mobile, Alabama
Return Location: Mobile, Alabama
I, the undersigned, am the parent/legal guardian of the above-named child. I hereby give permission for my child to attend and participate in the out-of-state trip organized by the Better Together Foundation. I understand that the trip will involve travel from Mobile, AL to Atlanta, GA and back, and that my child will be under the supervision of volunteers and staff from the foundation.
Transportation:
My child will be transported via bus or van under the supervision of responsible adults affiliated with the Better Together Foundation.
Medical Treatment:
In the event of an emergency, I authorize any necessary medical treatment to be administered to my child. I understand that I will be contacted as soon as possible if such treatment is required.
Liability Waiver:
I release the Better Together Foundation, its directors, staff, volunteers, and affiliates from any and all liability, claims, demands, or causes of action that may arise during the trip, except in cases of gross negligence or willful misconduct.
Behavior Expectations:
I understand that my child is expected to behave respectfully and follow all rules and instructions provided by trip leaders. Failure to do so may result in removal from the trip.
Media Release (Optional):
☐ I grant permission for my child’s image to be used in photos or videos for promotional purposes related to the Better Together Foundation.
☐ I do not grant permission for media use.
Emergency Contact Name: ____________________________________
Phone Number: _________________________
Allergies or Medical Conditions (if any):
Parent/Guardian Name (Printed): ____________________________
Signature: ___________________________________________
Date: ____________________