Field Trips Permission Form Template
Field Trips,Permission Form,DOE,school
Field Trip Permission Form Template
Child's Full Name
Date(s) of Trip(s)
Price (please send money in a sealed, labeled envelope ASAP)
Mode of Transportation
I, the parent/guardian of the student named above, hereby give permission for my child to take part in the trip described above. I understand that the following conditions apply:
a. 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.
b. I understand that my child is expected to behave responsibly and to follow the school’s discipline code and policies.
c. 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.
d. I confirm that my child is medically fit and able to participate in all activities described above, except for the following activities: (please write "Yes" to confirm)
e. I have indicated below any permanent or temporary medical or other condition(s) including special dietary and medication needs, or the need for visual or auditory aids, which should be known about my child: (please write "N/A" if this does not apply to your child)
f. 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.
g. 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.
h. 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. 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.
Emergency Contact Name:
Phone Number (1)
Phone Number (2)
Are you available to join us as a chaperone on any of the trips? Please rank trips you wish to attend in order of preference and we will do our best to accomodate as many people as possible.
Children must bring lunch from home on the day of the trip. We will be returning to school and eating lunch in the classroom. If it is a hardship for you or you are unable to provide lunch for your child on the day of the trip, please let us know ASAP so we can arrange to get a bagged lunch from the cafe.
I will provide lunch for my child on the day of all trips.
I will NOT be able to provide lunch for my child (please indicate specific dates in comments box below)
Please note any additional comments below.
Signature of Parent/Guardian
Name of Parent/Guardian
Should be Empty:
Copyright 2017 JotForm Inc.