• VOSS Field Trip Permission Form

    Please complete this permission form for the VOSS field trip.
  • Trip Details

  • Trip Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Departure Time
  • Return Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Estimated Return Time*
  • Student Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Emergency Contact

  • Format: (000) 000-0000.
  • Medical & Special Needs

  • Participation & Restrictions

  • Permissions & Acknowledgments

  • I give permission for my student to attend the VOSS field trip*
  • If I cannot be reached in an emergency, I authorize VOSS staff to obtain necessary emergency medical care for my student. I understand that I am responsible for medical expenses not covered by insurance.*
  • Pickup Information

  • Format: (000) 000-0000.
  • Signatures & Internal Use

  • Parent/Guardian Signature Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Student Signature Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • VOSS Staff Receiving Form Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: