NYMIR - Risk Management - Recreation Liability

Many NYMIR subscribers offer recreation program or activities for their residents. Some throughout the year, and others during the summer months only. The offerings vary, from small summer youth programs to year-round comprehensive programs with extensive facilities use by local teams, after school and weekend programs, senior citizen clubs and daily use of playgrounds, pools and ballfields. Not surprisingly, an increase in facility use and sponsored activities increases the likelihood of accidents and claims.

This section of the website provides information to control accidents arising from recreation programs and activities.

SAMPLE FIELD TRIP PERMISSION SLIP FOR MINORS

Periodically, municipalities sponsor field trips for children or teenagers involved in an afterschool or summer recreation program. Some of them can be quite challenging and perhaps exotic! Such as hiking, skiing or rafting adventures, with others going overnight.

Regardless of the type of activities involved, it is prudent practice to obtain a signed permission slip from the participant’s parent or guardian.

(This is a sample permission slip and should be revised for individual municipalities. Information regarding costs, expenses, clothing requirements, etc. should be included or attached. In many cases, the language in this document is incorporated into larger forms containing additional information.)

I (Name of Parent/Legal Guardian) give permission for (Name of Student) to attend the following trip: (Identity of Field/Education Trip). Transportation is provided by (State Mode of Transportation)

Here List the Trip Itinerary or refer to an Attached Document, along with a Description of Hazards, Skills or Conditioning that may be Required of Participants. Also Include a List of Required Equipment and Supplies.

I understand that the leaders will make every event to reach me, but in the event emergency treatment is necessary, I give the trip leaders the right to transport and authorize medical treatment on behalf of my child.

My child’s physician is: (Name, Address and Telephone Number of Child’s Physician). Two emergency contacts are: (List the Names, Address and Telephone Numbers of the Emergency Contacts). My child has the following medical conditions that would Interfere with his/her Participation on this trip: ________________________________. My child takes the following medication: ____________________________________ ___________________________ and I have made arrangements for him/her to receive their medication as required.

My child and I have read and understand the municipality’s code of contact for trips. We agree to abide by these rules.

[For foreign travel include passport, immunization and any other requirements.]

Parent or Legal Guardian does hereby covenant and agree to release and hold harmless the District from and against any and all liability, loss, damages, claims, or actions (including costs and attorneys fees) for bodily injury and/or property damage, to the extent permissible by law, arising out participation in the Name of Trip.