ECB K-8 Field Trip Form

ECB K-8 Field Trip Waiver Form

Please complete this form to provide consent for participation in the upcoming field trip.
Participant Information
Student Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Student
Medical Details
Does the participant have any allergies, illness, or other diseases?
If so, please list them:
List any prescribed medication, if applicable:
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Participant/Parent/Guardian Signature
ATTENTION:
To reserve your child's spot, please submit the $35 field trip payment using the link below. Registration is not complete until payment is received.

Deadline: September 20th

Field Trip Payment Link
Should be Empty:

ECB K-8 Field Trip Waiver Form