Student's
Name______________________________ |
Class taking
trip______________________________ |
Date of Trip
_________________________________ |
Trip
Destination_______________________________ |
I give permission for
_________________________________ to attend the field trip with the
______________________class.
The date of the trip is ___________________________. |
Parent's Signature
____________________________________________ |
Medical Information: Please list
any medical information that we need to know for your child's
safety.
|
Emergency Phone Number to be
reached:____________________________ |
Doctor's Name and
Number:______________________________________ |