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Field Trip Permission Slip

Get parent and guardian consent for the upcoming school outing, with details on destination, cost, and transportation. It also gathers emergency contacts, medical conditions, and a digital signature.

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Child's Full Name

First Name

Last Name

Destination

Date of Trip

Estimated Departure and Return Time

Departure/Return Site

School

Class

Advisor Name

First Name

Last Name

Price

Mode of Transportation

Purpose of Trip

Specific Activities Planned

I, the parent/guardian of the student named above, agree with the following statements:

I give permission to attend the trip I authorize emergency medical care My child will follow school rules I consent to the listed transportation

Medical or other conditions, special dietary or medication needs for my child (write "N/A" if not applicable)

Emergency Contact Name

First Name

Last Name

Phone Number (1)

Phone Number (2)

Additional Contact

First Name

Last Name

Phone Number (1)

Phone Number (2)

Children must bring a disposable, labeled lunch (no glass bottles). If providing lunch is a hardship, let us know ASAP so we can arrange a bagged lunch.

My child will bring lunch We need a bagged lunch I will confirm later

Are you interested in joining us as a chaperone? (Spots are limited, we will confirm once responses arrive, and chaperones cover their own trip fees.)

Yes, I am interested No Maybe

Name of Parent/Guardian

First Name

Last Name

Date

Signature of Parent/Guardian

Sign here

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