FORM B FILE: IFCB

(cf: IDCD)

HARRISON COUNTY BOARD OF EDUCATION

PARENTS' CONSENT AND AUTHORIZATION FOR TRAVEL

I, ____________________________________________________________________, the parent/legal guardian of`

___________________________________________________, do hereby provide my consent and authorization for

my child to travel with the following travel group sponsored by the Harrison County Board of Education:

School: Liberty High School  Date: 2007-2008 School Year Teacher/Chaperon: Stoneking/Cale Destinations:

Date	Activity	City	Location
09/13/2008	Fairmont Band Spectacular	Fairmont	East West Stadium
9/19/2008	Liberty @ RCB	Clarksburg	RCB High School
10/10/2008	Liberty @ South Harison	Lost Creek	South Harrison High School
10/17/2008	Liberty @ Oak Glen	Oak Glen	Oak Glen High School
12/12/2008	Dog & Pony Tour	Harrison County	Feeder Schools
TBA	Other Events To Be Announced	TBA	TBA
TBA	All State Band Tryouts	Fairmont	Fairmont State
TBA	WVMEA Conference/All-State Band	Orlando	TBA
03/07/2009	Region 10 Band Festival	Wheeling	Bridgeport High School
TBA	Jazz Band Tour	Bridgeport	TBA
TBA	Other Events To Be Announced	TBA	TBA

__________________ ________________________________

Date Parent/Legal Guardian

STATEMENT OF STUDENT

In requesting permission to travel as a member of the Harrison County Board of Education travel group for the above referenced

outings. I do hereby declare that I will not consume any alcoholic beverages, engage in the use of any drugs of any type, nor will I

be involved in any illegal or immoral act or event during my participation on these trips. I further declare that I will refrain from

creating or engaging in any disruptive behavior or situation and that I will obey the directives of my teachers and/or

chaperons or other individuals in a position of authority.

__________________ ________________________________

Date Student

PARENTS' STATEMENT OF RESPONSIBILITY

By granting permission for my child to attend the travel outings referenced above I do hereby agree that the

teachers/chaperons in charge of these outings shall have the full right to regulate the behavior of my child and to terminate his/her

participation in any above referenced trip by causing him or her to return home prematurely, at my expense, should my child fail

to abide by the reasonable direction of the teachers/chaperons or fails to abide by the requirements referenced above.

__________________ ________________________________

Date Parent/Legal Guardian

Revised: August 3, 1993 Harrison County Board of Education