Hold Harm Swimming Agreement
FHS Marching Band Retreat
August 27th-August 29th, 2014
The FHS Marching Band will have a retreat at Lutherwood on Aug 27th –August 29th, 2014. Lutherwood is located at Lake Samish.
The Students will have an opportunity to play, swim and canoe in roped off areas of the lake, if there is a life guard. Those wishing to canoe must wear a life jacket at all times.
There is a risk involved when playing, swimming, or canoeing in a lake including serious injuries or death.
We ask that you read the Hold Harmless Agreement below and fill out the bottom portion if you wish to allow your student to play or swim in Lake Samish.
In Choosing to let your student play, swim or canoe in Lake Samish during this trip you hereby hold harmless and indemnify, in case of accident or injury, the Ferndale School District, its employees, agents or volunteers.
I agree to let my student play, swim and canoe in Lake Samish during the FHS Marching Band Retreat
Student Name Date
Parent Name Date
Please return the completed form to Mr. Menefee.