Field Trip Authorization Form "*" indicates required fields FIELD TRIP/ACTIVITY AGREEMENT & CONSENTChild's Full NameChild's AgeChild's WeightIn compliance to Nebraska Child Care Licensing Regulations NAC 3-006.19A: NGCCP informs parents of field trips and activities posted through the Procare app/newsletter. Parents must provide written permission when children are outside the premises of the center and supervised by center staff. Written permission must be available to the Department on request. This authorization will be in effect from the date of authorization until an updated authorization is received. Authorization must be renewed annually.Consent* I agree with the following:1. Transportation & Safety: I understand my child will be transported in a Next Generation Child Care and Preschool facility vehicle and will be secured in a federally approved safety seat as per Nebraska state law. I certify that my child is the years listed above and weighs as listed above. Consent* I agree with the following:2. Uniform, Supply, and Identification Requirements: By Parent: To ensure my child’s hydration I agree to provide my child with a labeled leak proof water bottle filled with water. By NGCCP: My child will be provided with a NGCCP t-shirt and wristband to be worn during the field trip-no child’s name or other identifiers will be displayed for their safety during the field trip.Consent* I agree with the following:3. Arrival Time: I will have my child present at NGCCP at least thirty (30) minutes prior to departure as listed on the calendar. I understand that late arrivals cannot be accommodated.Consent* I agree with the following:4. Emergency Authorization: In the event of an emergency, I authorize Next Generation staff to seek medical treatment.FIELD TRIPS/ACTIVITIES may include but are not limited to the following; all field trips will be posted in the Procare app and sent via email to parents. • Libraries • Zoo • Animal visits (at facility) • Planetarium/Luminariums • Parks • Bowling • Putt Putt Golf • Museums to include Durham and Children’s Museum • Indoor Activity Parks • Water Parks (sprinklers-no pool/or wading) • Farms to include Gifford, Bellevue Berry, and Vala’sSelect one option from drop down:*I authorize my child to attend all listed field trips and activities.I DO NOT authorize my child to participate in any field trip activities off the premises of NGCCP.I ONLY authorize my chlid to participate in the following field trip and activities:If selecting specific activities and/or field trips for approval, please list here: Add RemoveParent Name* First Last Signature*Today’s Date:* Phone Number:*WALKING ACTIVITY/PLAYGROUNDWalks are intended for outdoor enrichment, fresh air, and age-appropriate activity. Walks will take place in the immediate surroundings of the daycare to include Essex Park located at: 6215 S 36TH Street. Infants will be safely secured in age-appropriate strollers and supervised by staff throughout the walk. While all precautions will be taken by staff to ensure the safety and well-being of all children, these walks involve normal risks associated with outdoor activities.Select one option from drop down:*I authorize my child to participate in walks off the premises of NGCCP.I DO NOT authorize my child to participate in walks off the premises of NGCCP.Signature*Today’s Date:*
