Child Development Excursion Policy Survey
Please complete this survey to acknowledge and provide consent regarding the excursion policy for your child.
Child's Full Name
*
First Name
Last Name
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Have you reviewed the Child Development Excursion Policy?
*
Yes, I have read the policy
No, I have not read the policy
Do you give consent for your child to participate in excursions as outlined in the policy?
*
Yes, I give consent
No, I do not give consent
Emergency Contact Name and Number (other than parent/guardian)
*
Additional Comments or Concerns (optional)
Submit Survey
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