Omaha Symphony Concert for Youth Sack Lunch Reservation Form

Omaha Symphony Concert for Youth Sack Lunch Reservation Form
Dear Instrumental Music Parent,
A wonderful opportunity has presented itself for our band and string students to attend the Concert for Youth
performance by the Omaha Symphony Orchestra at no cost, due to the generosity of Mr. Dick Holland, Omaha area
philanthropist and namesake of the Holland Performing Arts Center.
This field trip is schedule for Thursday January 28th, 2016. We will depart Masters around 10:30 and return to the
building around 12:45. Please fill out the attached Parental Permission and Release of Liability Form attached
to this page and return it as soon as possible- students may not participate in this field trip unless this form is
returned.
Because of the time frame for this field trip, we will not be in the building at your student’s normal lunch time. There
will be no “hot lunch” option for your student on the day of this field trip. However, the school will provide sack
lunches consisting of a ham sandwich, assorted vegetables, a cookie and juice if you would like them to. Please fill
out the sack lunch reservation form below and return it no later than Thursday, January 21st. This form will
help the cafeteria staff plan for how many sack lunches they need to prepare. If you want your child to bring a sack
lunch from home, please indicate that on the form below.
If you have any questions about this field trip or the lunch options for your child, please feel free to contact us at any
time.
Sincerely,
Mr. Cosby
Band Teacher
Mrs. Fuller
String Teacher
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(cut along this line and return bottom portion only)
Concert For Youth Sack Lunch Reservation Form
(Please return to Mr. Cosby or Mrs. Fuller no later than January 21st!)
Please fill out your student’s name and check one of the boxes below to indicate your child’s lunch option
for Thursday January 28th, 2016:
Student Name: _________________________________________
YES, I would like for Masters to provide a sack lunch for my child on Thursday, January 28th.
NO, I do not want Masters to provide a sack lunch for my child on Thursday, January 28th. I
understand that I will need to provide a sack lunch for my child on this date.
Omaha Symphony Concert for Youth (Masters)
Dear Instrumental Music ParentA wonderful opportunity has presented itself for our band and string students to attend the Concert for Youth
performance by the Omaha Symphony Orchestra at no cost, due to the generosity of Mr. Dick Holland, Omaha area
philanthropist and namesake of the Holland Performing Arts Center.
On Thursday, Jan. 28th, 2016, our students will be provided free transportation and concert tickets to the Holland Performing
Arts Center, where they will enjoy the concert, titled “Music & Math: The Orchestral Game Show.” We will attend the 11:15 am
performance. Mr. Holland will pay the instrumental music students’ admission fees, as well as all transportation costs.
In order for your child to participate in this field trip, please sign the attached permission slip
and return it to Mrs. Fuller or Mr. Cosby no later than Monday, January 25th, 2016.
Thank you for your continued support of your child’s music education.
Ms. Fuller & Mr. Cosby, Instrumental Music Teachers
PARENTAL PERMISSION AND RELEASE OF LIABILITY
Omaha Public Schools
This form must be completed and signed as a necessary prerequisite for participation in the below
named activity.
We the undersigned, as the parent(s) and guardian(s) of_______________________________________________
(Student’s name)
do hereby give permission for ____________________________________to engage in the following activity.
(Student’s first name)
th
Omaha Symphony Concert for Youth at the Holland Performing Arts Center, 13 & Dodge on Thursday
th
January 28 , 2016 from 10:30 AM to 12:45 PM.
Mode of transportation: Bus____
In case parents or guardian cannot be reached in time of emergency
Emergency contact_______________________________________________________________
(phone no.)
(Name of Third Party)
We fully understand the nature of the activity described above and the risk of injury or loss of property associated with that activity. The
signing of this permission slip releases the school district and its employees from any claims made by the child or on behalf of the child should
injury or loss of property occur as a result of his/her participation, except when either the school district or its employees are found negligent in
the performance of responsibilities associated with the activity.
We acknowledge that we have read this Permission and Release form and fully understand its contents and the consequences of signing
this form.
_____________________________________________________
(Father)
_____________________________
(Month)
(Day)
(Year)
(Guardian)
Home phone No./Business phone No.
___________________________________________________________
(Mother)
(Guardian)
Home phone No./Business phone No.
Concierto Sinfónico de Omaha para Jóvenes (Masters)
Estimados Padres de. Músicos Instrumentales,
Se ha presentado una maravillosa oportunidad para nuestros estudiantes que integran la banda y para los que tocan
instrumentos de cuerda, de asistir al Concierto Sinfónico de Omaha para Jóvenes, debido a la generosidad del Sr. Dick Holland,
filántropo y de mucho renombre en el nuevo Centro Holland de Exposición de Arte.
El Jueves, el 28 de Enero, nuestros estudiantes tendrán transporte gratis y tickes para el concierto en el Centro Holland
de Exposición de Arte, donde disfrutarán del concierto titulado “Música y Matemáticas: El Game Show Orquesta”. Iremos a la
actuación de las 11:15 a.m. El Sr. Holland pagarán el costo de admisión de los estudiantes de instrumentos musicales así también
como el costo de transporte.
Para que su niño pueda participar en este paseo, por favor firme el permiso adjunto y
devuélvanlo a la Sra. Fuller, Sr. Cosby antes del lunes el 25 de Enero.
Gracias por el contínuo apoyo en la edución musical de sus niños.
Sra. Fuller & Sr. Cosby, Maestro de Instrumentos Musicales
PERMISO DE LOS PADRES Y LIBERACIÓN DE RESPONSABILIDAD
Escuelas Públicas de Omaha
Este formato deberá ser firmado como un requisito necesario de participación en la actividad
nombrada.
Los que firmamos, como padre(s) y tutores de________________________________________________________
(nombre del estudiante)
doy permiso para que________________________________________________participe en la siguiente actividad.
(Nombre del estudiante)
th
Concierto Sinfónico de Omaha para Jóvenes, en el Holland Performing Arts Center, 13 & Dodge el Jueves, el 28 de
Enero de 2016, de 10:30 A.M. hasta las 12:45 P.M.
Modo de Transporte: AUTOBUS
En caso que no se pueda contactar a los padres ó tutores a tiempo,
Contacto de Emergencia:________________________________________________________
(Número de Telf.)
(Nombre)
Al firmar este permiso, liberamos al distrito escolar y a sus empleados de cualquier reclamo hecho por el niño(a) ó en nombre de él (ella) que
resulte en daño, perjuicio ó pérdida de propiedad como resultado de su participación, con excepción de que se encuentre negligencia ya sea
por parte del distrito escolar ó sus empleados al realizar sus responsabilidades asociadas con esta actividad.
Nuestra(s) firma(s) en este Permiso de los Padres y Liberación de responsabilidad dan testimonio que hemos leído y entendido el
contenido y la consecuencia del haber firmado.
_____________________________________________________
(Padre)
_____________________________
(Mes (Día)
(Año)
(Tutor)
Número telefónico de Casa/Número del Trabajo
___________________________________________________________
(Madre)
(Tutora) Número telefónico de Casa/Número del Trabajo