Nighttime Permission Slip Form
Complete this Nighttime Permission Slip Form to provide guardian consent and essential logistics for your child’s nighttime outing.
Child's Full Name
*
First Name
Last Name
Guardian's Full Name
*
First Name
Last Name
Guardian's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Guardian's Email Address
*
example@example.com
Date and Time of Outing
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Destination or Event Name
*
Transportation Arrangements
*
Guardian will drop off and pick up
Child will travel with another family
Other (please specify)
Emergency Contact Name and Phone
*
Medical Conditions or Allergies
I, as the legal guardian, give permission for my child to participate in the specified nighttime outing and confirm the information provided is accurate.
*
Submit Permission Slip
Submit Permission Slip
Should be Empty: