Form – Off Premise Activity Form

Off-premises activities refer to any activity which takes place outside of and/or away from a licensed and approved space at Providence Preparatory School (“PPS”). Licensed and approved space is defined by the North Carolina Division of Child Development and early Education (“DCDEE”) and includes primary space inside PPS’ buildings (such as classrooms, single-use rooms, and other administrative areas) and outdoor space (such as a playground), that have been approved as licensed and approved space. DCDEE requires that Parents sign this form before PPS can include their child in an off-premises activity.

I, the undersigned “Parent(s)” (which may include a legal guardian) of the “Child” named below, authorize and give permission to PPS for my/our Child to participate in an off-premises activity, generally to walk, ride in a stroller, participate in a fire drill, and to participate in any other normal extra-curricular activities, the purpose of which is to specifically provide age-appropriate educational experiences and to practice routine safety measures. This authorization and permission shall last for either one (1) year after the date I as Parent sign below, or, if both Parents sign, then the later date signed by one of the Parents.