School Trip Parent Information Collection
Please complete this form to provide necessary details and consent for your child's participation in the upcoming school trip.
Student Full Name
*
First Name
Last Name
Student Grade/Class
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
Parent/Guardian Full Name
*
First Name
Last Name
Relationship to Student
*
Please Select
Mother
Father
Legal Guardian
Other
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name (other than parent/guardian)
*
First Name
Last Name
Emergency Contact Relationship to Student
*
Please Select
Grandparent
Aunt/Uncle
Family Friend
Sibling (18+)
Other
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any allergies or medical conditions? If yes, please specify.
Please list any medications your child will need during the trip (if none, leave blank).
Authorized Pick-Up Person (if different from parent/guardian)
First Name
Last Name
Parent/Guardian Signature
*
Submit
Submit
Should be Empty: