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FIELD TRIP PERMISSION SLIP
SCHOOL: ____________________________________ TRIP DATE: ___________
GRADE/CLASS: _____________________________________
PLEASE NOTE THE FOLLOWING REGARDING THE FIELD TRIP:
Where:______________________________________________________________
Activity:______________________________________________________________
Departure From School (Time): __________ Return To School (Time): __________
Person(s) in Charge:____________________________________________________
1. I have been informed of the details of this educational field experience.
2. My child has my permission to participate in this supervised field experience.
3. I agree to instruct my child to obey all rules, regulations and instructions given by teachers
and/or authorized school personnel. I further agree that no teacher or authorized personnel
shall be held responsible or liable for injuries or other mishaps caused by my child’s deliberate
disobedience of rules, regulations or instructions.
4. This field experience is considered as school work and will be conducted as a regular class.
I GIVE PERMISSION FOR _________________________ TO TAKE THE FIELD TRIP TO:
(Student’s Name)
THIS TRIP IS PLANNED TO EXTEND A UNIT OF STUDY WITHIN THE SCHOOL CURRICULUM.
YOUR SIGNATURE INDICATES THAT YOU HAVE READ AND AGREED TO THE ABOVE AND
THAT WE HAVE YOUR PERMISSION TO TAKE YOUR CHILD ON THIS FIELD EXPERIENCE.
___________________________________
(Parent or Guardian Signature)
Home Phone:________________________ Work Phone:________________________
Address:_________________________________________________________________
Person to contact in an Emergency:_____________________________________
Emergency Phone # ________________________