Code No. 503.6R1
ACTIVITY TRIPS/FIELD TRIPS
Rules of behavior during field trips and/or school-sponsored trips shall be the same as at any inschool
activity or event. Annually students involved in school activities off of the school campus
shall complete an off-campus participation agreement.
Off-Campus Participation Agreement
Signature of Understanding
The undersigned _____________________________ of ________________________________
(Parents/Guardians) (Student’s Name)
consent to our student participating in off-campus events sponsored by the Anamosa Community
School District during the course of the school year. We understand that as parents/guardians of
a student who participates in co-curricular activities that our student will be involved in school
activities that will take place off the school campus. We understand the off-campus school
activities will be subject to all existing school policies as well as the student Good Conduct
Policy. Additional rules may apply specifically to each off-campus event. We understand a
violation by the student of any rule pertaining to the off-campus activity may result in
By way of illustration and not limitation, the disciplinary action may include: being sent home;
being suspended from further participation in the event; or restrictions upon participation. The
decision regarding disciplinary action will be left to the sole discretion of the licensed staff and
administration responsible for the off-campus school activity.
If it is determined that a student will be sent home, the parent(s)/guardian(s) will be notified of
that fact at the telephone number shown above. If the parent(s)/guardian(s) cannot be reached,
the person listed as the emergency contact will be notified. The parent(s)/guardian(s) or
emergency contact will be given an opportunity to provide input regarding the method of
transportation for the student’s return trip home. In the event school personnel are not able to
contact the parent(s)/guardian(s) or emergency contact, or if the school personnel and the
parent(s)/guardian(s) or emergency contact are not able to agree on the method of transportation,
the decision will be made solely by the school personnel responsible for the off-campus activity.
The parent(s)/guardian(s) will be solely responsible for the costs of the return transportation
including, if necessary, the cost of transportation for a supervising adult to accompany the
student home. Anamosa Community School District is not required to provide a supervising
adult to accompany the student, but if it elects to do so, all expenses for that individual as well as
the expenses for the student, will be paid by the student’s parent(s)/guardian(s).
We, the student and parent(s)/guardian(s) whose signatures appear on this agreement personally
and on behalf of their spouses, son and/or daughter, hereby waive any and all claims or causes of
action, whether at law or equity or sounding in contract, tort or otherwise, which we may have or
claim to have against the Anamosa Community School District, its agents, employees, officers,
administrators, or volunteers for any and all claims arising out of or in any way related to
enforcement of the terms of this agreement.
We hereby acknowledge that we have read and understand the information presented in
this document. We agree to the terms of the off-campus participation agreement including
those terms, which constitute a waiver of rights.
Student Signature: ___________________________________________________________
Parent/Guardian Signature: ____________________________________________________
Code No. 503.6R1