FVES Legoland Field Trip - 2/19/2027

If your child is requiring any medications to be with them during the specified time of the event, a medication authorization form must be completed and submitted to our Health Conditions Contact at least 7 days prior to the event. Our Health Conditions Contact can be reached at studenthealth@flvs.net.

RELEASE AND HOLD HARMLESS AGREEMENT: PLEASE READ THIS FORM CAREFULLY, AS IT CONTAINS A FULL AND COMPLETE RELEASE OF LEGAL LIABILITY.

All students must be accompanied and supervised by a parent/guardian or designee at all times.
Student(s) shall be transported by parent/guardian or designee to and from the event.
This is NOT a drop-off event.

I, the undersigned, am the parent or legal guardian of the above-named Student Participant (“my child”), and I knowingly and voluntarily attest to and certify that the following statements are true and correct to the best of my knowledge and belief:

I, and my child, each has no physical or mental ailment, condition, or infirmity which would impair my ability or my child’s ability to safely participate in the Event.

I acknowledge that the Event involves risk to myself and my child which includes the possibility of being exposed to or contracting COVID-19, and presents other inherent risks to myself and my child including serious personal bodily harm, injury, and death, and I willingly and knowingly accept such risk and take all responsibility for myself and my child’s safety and welfare while traveling to and from and while attending and participating in the Event.

With full understanding of the risks involved, on behalf of myself and my child, I HEREBY RELEASE AND HOLD HARMLESS the Florida Virtual School (“FLVS”), the FLVS Board of Trustees, and all FLVS officials, personnel, and agents associated with the Event from any responsibility or liability for damages, payments, fees, and any other monetary obligations and indebtedness of any form caused by or arising from my and/or my child’s personal injury or death while traveling to and from and while attending/participating in the Event.

If I and/or my child is injured during the Event, I authorize FLVS, at its sole discretion, to solicit and/or administer, any emergency medical treatment which could be needed by me and/or my child, and I agree to be responsible for all costs arising from such treatment.

BY SIGNING THIS FORM, I, ON BEHALF OF MYSELF AND MY CHILD, AGREE TO ACCEPT THE RISK OF ANY PHYSICAL OR MENTAL INJURY I AND/OR MY CHILD SUSTAINS (UP TO AND INCLUDING DEATH) ARISING FROM THE ABOVE-REFERENCED EVENT AND I AGREE TO RELEASE AND WAIVE ANY RIGHT OR ENTITLEMENT THAT I OR MY CHILD OR ANY OF MY AND MY CHILD’S BENEFICIARIES OR DEPENDENTS MAY HAVE TO RECOVER MONEY OR DAMAGES OF ANY KIND FROM FLVS, FLVS BOARD OF TRUSTEES, AND ANY INDIVIDUAL FLVS BOARD MEMBER, OFFICER, EMPLOYEE, OR AUTHORIZED AGENT RESULTING FROM MY INJURY OR DEATH AND/OR MY CHILD’S INJURY OR DEATH. BY SIGNING THIS FORM, I ALSO ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE FORM IN ITS ENTIRETY.

I HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM. IN THE ABSENCE OF A SIGNED FORM, FLVS SHALL HAVE THE SOLE DISCRETION AND RIGHT TO PROHIBIT OR LIMIT MY AND MY CHILD’S ATTENDANCE AND PARTICIPATION AT THE EVENT.

Student Information: Required to have at least one FVES student to participate and then purchase of Adult ticket at discounted price.

In the Event of an EMERGENCY

In the event of an EMERGENCY, I understand that the school will access the 911 emergency medical system immediately. To expedite care, I give my permission for school personnel to provide medical information to the responding emergency team to initiate treatment, and transport to an appropriate facility. I give my permission for the appropriate medical personnel and staff to initiate treatment immediately upon arrival to the appropriate facility. I request to be notified of my child’s condition and admission as soon as possible. If I cannot be reached, I request that the admitting facility notify one of the other persons listed above of my child's condition and admission. I agree to be financially responsible for my child's total treatment and transport.

Have you ever been convicted, found guilty, entered a plea of solo contenders (no contest), entered into a deferred prosecution or pre-trial intervention agreement, or had adjudication withheld in a criminal offense other than a minor traffic violation? (DUI is not a minor traffic violation.) Are there any criminal charges now pending against you? Sealed or expunged records must be reported.

Failure to answer these questions accurately could result in your being ineligible (to volunteer) with Florida Virtual School. A yes or no answer is required. If you check the yes box, please indicate below date(s) of arrest, where arrested, nature of charge(s) and disposition(s) for each charge. It is a misdemeanor of the first degree for any person to willfully knowingly, or intentionally to fail, by false statement, misrepresentation, impersonation, or other fraudulent means, to disclose in any application for voluntary or paid employment a material fact used in making a determination as to such person's qualifications for a position of special trust. Please note: If you are in doubt as to whether or not you need to report a charge, please call the Main Office (407) 513-3587.

By signing, I agree to abide by the policies and/or procedures of Florida Virtual School. I understand that the program reserves the right not to place me or to discontinue the use of my services as a volunteer.