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Who We Are
Core Values
Mission Statement
Our Promise
Admissions
Calendar
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Heads Up!
Not only do we need you to fill out our form, we also need you to fill out the Waiver form for the Trilith Live Tour. Please download and/or print the Trilith Live Tour Waiver and bring it with you on the Tour Date.
Download Trilith Live Tour Waiver
Parent or Guardian Name
*
First
Last
this for any
Parent or Guardian Email
*
Child's Name
*
First
Last
Medical Information
Does your child have any medical conditions?
*
- Please select -
Yes
No
Please provide details of all medical conditions
Please provide details of medication that your child should carry during school trips
Does your child have any known allergies?
*
- Please select -
Yes
No
Please provide details of all known allergies
Does your child carry an Epi-Pen or similar device?
Yes
No
Does your child have any specific dietary requirements not covered above?
*
- Please select -
Yes
No
Please provide details of dietary requirements
Vegan
Dairy free
Vegetarian
Gluten free
Other
If other, please specify
I agree that my child may:
*
Take part in school trips and other activities that take place off school premises
Be given first aid or urgent medical treatment during any school trip or activity
I understand that I am fully responsible for the transportation to and from the school to the intended location while attending this trip with Three Cords Academy.
*
Agreed
Three Cords Academy Waiver
*
I agree to the below information
I hereby release and discharge the Three Cords Academy, its officers, agents, employees, representatives, and volunteers (collectively, the "School") from any and all claims, demands, actions, or causes of action of any kind whatsoever, arising out of or in connection with my child's participation in any field trip or activity organized or sponsored by the School, including but not limited to: Injuries or death resulting from any cause whatsoever, including negligence on the part of the School or its agents. Loss or damage to personal property. Transportation-related accidents or incidents.
Signature of named parent or guardian
*
Clear Signature
Submit