Childcare Excursion Permission Form
Parent/Guardian permission for children's excursion trips
Parent/Guardian Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Full Name
*
Child's Date of Birth (DD/MM/YYYY)
*
Child's Grade/Class
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other
Emergency Contact Number
*
Known Allergies or Medical Conditions
Excursion Date(s)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Consent and Acknowledgment of Risks
*
Submit
Should be Empty: