Parents Permission Form

Parents Permission Form
Event Name: Field Trip
Event Date: October 20, 2020
Event Time: 11:00 AM - 3:00 PM
Child's Name
First NameLast Name
Age
Date of Birth
MonthDayYear
Date
Gender
Parent/Legal Guardian Name
First NameLast Name
Relationship to the Minor
Phone Number 1
Format: (000) 000-0000.
Phone Number 2
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Does the child have any allergies?
Does the child have any medical conditions that you would like to declare?
Any special instructions?
I, {parentlegalGuardian}, the parent or legal guardian of {childsName}, give my permission to join or participate in the Event stated in this form.
Parent's Signature
Clear
Date Signed
MonthDayYear
Date
Should be Empty: