Student Travel Release Form

Before leaving on your trip, please fill out and sign this form.
Have your natural parents sign it as well. Emailed permission is acceptable in place of a signature.
Please submit this completed form to our office before departure.

Destination *

Line 1

Line 2

City

State

Zip Code

Country

Does staff/coordinator know the person you will be visiting? *

Yes No N/A

Do your natural parents know the person you will be visiting? *

Yes No N/A

Does staff/coordinator agree that you may go on this trip? *

Yes No

Do your natural parents agree that you may go on this trip? *

Yes No

Where will you be staying during your trip?

Address *

Line 1

Line 2

City

State

Zip Code

Country

TRAVEL LIABILITY RELEASE

I hereby request permission from my natural parents, dorm staff, and AnB Education for the scheduled trip as described above.
I am responsible for all expenses, risks, and travel arrangements.
I agree to not hold AnB Education liable in the occurrence of any unforeseen event.

Typing your full legal name serves as your electronic signature

AnB Education
607 Wistar Rd, Fairless Hills, PA 19030
Tel: (215) 361-8588
Website: www.AnBeducation.com

Student Travel Release Form

​Student Travel Release Form

Student Travel Release Form