Field Trip Waiver

Gather participant information and liability acknowledgment before any outing away from your campus or venue. It covers emergency contacts, medical notes, and a signature from the participant or their guardian.

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Full Name

Nombre

Apellido

Email Address

Phone Number

Date of Birth

Emergency Contact Name

Nombre

Apellido

Emergency Contact Phone Number

Relationship to Participant

Does the participant have any allergies, illness, or other diseases?

Yes No Not sure

If so, please list them

List any prescribed medication, if applicable

Acknowledgment and signature

Date

Participant/Parent/Guardian Signature

Sign here

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