• Offsite Field Trip Permission Slip


  • Please complete this form that will accompany your child on the field trip. This information is necessary should we need to contact you while we are away from the school. No student will be allowed to participate without this form being completed and signed by the parent or guardian. The information on this form is considered confidential and will accompany the school trip leader/nurse on the trip.  


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  • I hereby grant permission for the student listed above to take the following field trip.

  • Description


  • Parent/Guardian Information

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  • *
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  • Please provide the information requested below, as it may be needed in case of an emergency. This information does not modify the information on the emergency card. 
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  • Yes
    No
  • Yes
    No
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  • TO ANY DOCTOR OR HOSPITAL: I hereby authorize the release of my child’s pertinent medical information to the appropriate professional staff. I give permission to the physician or hospital to secure treatment for him/her and to order medications, injections, anesthesia, or surgery for my child, as named above, in case of emergency. The signature below constitutes authorization to perform any necessary treatment for my child during this field trip.

  • Health Insurance Information

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