Conference Notice and Questionnaire

Field Trip Permission Form

Dear Parent or Guardian,

Your child is going on a field trip. Please read the information at the top of this form, then sign and return the permission slip at the bottom of this form by ____________________.

Field Trip Information:

Date: ______________________________________________________________________________

Location: ___________________________________________________________________________

Purpose: ___________________________________________________________________________

Cost: ______________________________________________________________________________

Cash or check payable to: _____________________________________________________________

Means of Transportation: ______________________________________________________________

Leave school: __________________________ Arrive back at school: ___________________________

Special Instructions: __________________________________________________________________

__________________________________________________________________________________

Save this part of the form for future reference.

Cut here-------------------------------------------------------------------------------------------------------------------- Cut here

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

_____________________________________________________ has permission to attend a field trip to

_________________________________________ on ____________________________________ from

_________________________________________ to ________________________________________.

Enclosed, please find cash/check in the amount of _____________________ to cover the cost of the trip.

I give my permission for ________________________________________ to receive emergency medical

treatment. In an emergency, please contact:

Name: _________________________________________ Phone: ______________________________

Parent/Guardian Signature: ___________________________________ Date: _____________________