School Trip Permission Form

School Trip Permission Form
Child's Full Name*
First NameLast Name
Departure/Return Site
Date of Event
MonthDayYear
Date
Check-in Time
Pick Up Time
Mode of Transportation
Purpose of Trip
Food, fun and fellowship
Specific Activities Planned
Emergency Contact Name*
First NameLast Name
Phone Number *
Additional Contact
First NameLast Name
Additional Contact Phone Number
Insurance Company
Insurance Group # / ID #
Upload copy of Insurance Card if available
Cancelof
Are you interested in joining us as a chaperone? (Please note that chaperones will be responsible for paying all trip fees).*
YesNo
Consent and Authorization:
I, the undersigned, [Parent/Guardian Full Name], am the parent/guardian of the student named above. I hereby grant permission for my child to participate in the upcoming school trip to [Destination] scheduled to take place from [Date of Departure] to [Date of Return].
Health Information: I understand that the school staff will take necessary precautions to ensure the safety and well-being of the students during the trip. I have provided any relevant health information or special considerations regarding my child's health.
Emergency Medical Treatment: In the event of an emergency, I authorize the school staff to seek medical treatment for my child. I understand that every effort will be made to contact me in case of a medical emergency.
Supervision and Behavior: I acknowledge that my child will be under the supervision of school staff and teachers during the trip. I expect my child to adhere to the school's code of conduct and behavioral expectations.
Communication During the Trip: I will provide reachable contact numbers during the trip, and I understand that the school staff may contact me in case of any important updates or emergencies.
Transportation: I acknowledge that transportation to and from the destination will be arranged by the school. I understand that my child is required to travel with the group and follow the designated schedule.
Cost and Payment: I understand the cost associated with the trip, which includes [list any costs such as transportation, accommodation, meals, etc.]. I agree to make the necessary payment by [deadline].
Photography and Media Release: I grant permission for my child's image or video to be taken and used by the school for promotional or educational purposes.
Signature of Parent/Guardian*
Clear
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Printed Name of Parent/Guardian*
First NameLast Name
Date*
MonthDayYear
Signature of Student*
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Use mouse, stylus or finger to enter signature depending on your device!!
Printed Name of Student*
First NameLast Name
Date*
MonthDayYear
Should be Empty: