Field Trip Permission Slip

Today's Date

Your child's class will be attending a field trip to:*

Departure Time*

Return Time*

Location*

Destination with city and state.

Cost*

Transportation Method*

Notes

Please return this permission slip by:*

Teacher Name*

First Name

Last Name

Student Name*

First Name

Last Name

My child has my permission to attend.*

Yes No

In the event of an emergency, I give permission for my child to receive medical treatment.*

I consent

Emergency Contact*

First Name

Last Name

Emergency Phone*

Parent/Guardian Signature*

Use your mouse or finger to draw your signature above

Today's Date*