Field Trip Authorization

Field Trip Authorization
Your child is going on a field trip. Please read the information at the top of this form, then sign and return the permission slip at the bottom of this form at least two days before the date of the trip. First come, first serve. The Activity bus can only accommodate 12 students.
Date of Trip

MonthDayYear
Date
Location
Means of transportation
Leave School
Arrive Back at School
Name of Student
Save the top part of this form for future reference.

Sign the bottom part of this form and return it to your student's teacher.

I give my student permission to receive emergency medical treatment. If or in the event of an emergency, you are unable to reach me please contact:
Name
Phone
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
Teacher and Class
Should be Empty: