Field Trip Permission Slip

I give permission for my child:

To go on a field trip to:

_____________________________________________________

We will be leaving at__________ and returning at _____________

We will be traveling by:

Bus walking

car other

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Sign this part of the form and return it to your child's teacher.

I give my permission for ________________________________________ to

receive emergency medical treatment. In an emergency, please contact:

Name:

_________________________________________Phone_____________

Parent/Guardian Signature: ________________________Date:_________