Field Trip Permission Slip Template - PDF Templates

Field Trip Permission Slip

Destination:

Silicon Valley, California

Dear Parent or Guardian,

Our school has planned a field trip for 6th Grade students to Destination A on 12/12/2023. This field trip is intended to provide our students with a unique and educational experience that cannot be replicated in the classroom.

Child's Full Name

Kenneth Boyd

Class

6/A

Agreed Statements:

I hereby give permission for my child to take part in the trip described above.
I understand that I am responsible for getting my child to and from the departure and return sites identified above. I understand that my child shall be accompanied by staff member(s) during the trip, including while traveling from the departure site to the destination site, and from the destination site to the return site.
I understand that my child is expected to behave responsibly and to follow the school’s discipline code and policies.
I agree and understand that I am responsible for the actions of my child, and I release the school from all claims and liabilities that arise in connection with the trip, except if due to the negligence of school officials.
I confirm that my child is medically fit and able to participate in all activities described above.
I understand that as a parent, if I believe it is necessary to limit my child’s activity to a great extent, then the school may not be able to accommodate my child on this trip and that I and my child will be informed of this decision as soon as possible upon the receipt by the school of this completed consent form.
I agree that in the event of an emergency injury or illness, the staff member(s) in charge of the trip may act on my behalf and at my expense in obtaining medical treatment for my child.
I understand that alcoholic beverages and/or illegal drugs are prohibited and have discussed this prohibition with my child. I understand that if my child is found in possession of these substances, he/she will be subject to school disciplinary procedures and possible criminal prosecution.
I understand that students who violate the school’s discipline code may be excluded in the future by the school from participating in a school trip.

Medical Needs & Allergies

Peanuts Allergy

Phone Number (1)

(111) 111-1111

Contact Name:

Helena Boyd

Contact Name

Fablan Boyd

Phone Number (1)

(333) 333-3333

I will provide a disposable lunch for my child on the day of the trip.

Interested in joining us as a chaperone?