Rock Climbing Waiver Question Title * 1. My name is OK Question Title * 2. I am the parent or legal guardian of [name the child]. OK Question Title * 3. My relationship to this child is Mother Father Legal guardian OK Question Title * 4. My child plans to be a part of the Rock Climbing Class during Winterim at CHS. Yes No OK Question Title * 5. I grant permission to CHS for my child to participate in the Rock Climbing Winterim on January 2-4, 7, 2019,at Rock Climb Fairfield (RCF), 85 Mill Plain Rd, Fairfield, CT 06824. I grant approved CHS chaperones permission to transport my child to/from the venue and to take responsibility for my child throughout the Winterim program. Please write your name in the space provided to indicate that you approve. OK Question Title * 6. My child will do which of the following on each day? Leave from CHS @ 7:45 am and return to CHS @ 2:00pm via CHS bus Be dropped off or drive to Rock Climb Fairfield @ 8:15 and to picked up at Rock Climb Fairfiield @ 1:30. OK Question Title * 7. I grant permission for my child to Leave from CHS @ 7:45 am and return to CHS @ 2:00pm via CHS bus; Drive directly to and from Rock Climb Fairfield; Drive other students to Rock Climb Fairfield; Leave from CHS and ride with other CHS-designated and approved adults to Rock Climb Fairfield. Be driven to Rock Climb Fairfield by other students OK Question Title * 8. As is required by Rock Climb Fairfield, I have also completed the online waiver that is essential for all minors to climb at the gym Rock Climb Fairfield Waiver Link. Yes No OK NEXT