Parental Authorization and Liability Waiver


This permission form is required for all students and must be signed by a parent or guardian.

All school-sanctioned excursions require the cooperation, responsibility and good behavior on the part of each participant, for the good of all involved. While on a school-sanctioned excursion, students are required to abide by all of the school’s rules.

Your signature below constitutes and is evidence of your agreement to the following statements below:

  1. In my absence, the Summer at King's Academy program director is the guardian of my child and has the right to allow or not allow my child to participate in off-campus activities.
  2. Accidents can be the result of the nature of the activity and can occur with or without any fault on either part of the student or the school or its employees or agents, or the facility where the activity is taking place. While I am confident that the school, its faculty and staff will take all the necessary measures to ensure the safety of my child, I also acknowledge the fact that by allowing my child to participate in these activities, I am accepting the potential risk of any incident/accident occurring. The school will of course ensure that all necessary arrangements are made to provide the maximum care for my child and inform me immediately.
  3. All school-sanctioned excursions will be chaperoned by the Summer at King's Academy faculty or staff.
  4. I, the parent/legal guardian of the following child(ren), give permission for King’s Academy to use the photographic likeness of my child(ren) in various formats, such as on the official social media platforms of the school and for any other lawful purpose. I understand that no names are attached to any photo.

This authorization shall remain in effect until August 3, 2023.

Student namerequired
First name
Last name
Parent/guardian namerequired
First name
Last name
I am certain:required