7:320-E1 Field Trip Permission Form

Batavia High School

Field Trip Permission Form

Name:  _________________________________________

Destination:  _____________________________________

Date of Trip:  _____________________________   Cost of Trip:  _______________

Leave School at:  _______________   Return to School at:  _______________

Means of Transportation:  _________________________________________

Additional Information Regarding the Trip:

 

 

______________________________________________________________________

(DETACH AND RETURN LOWER PORTION)

————————————————————————————————————-

I give my permission for my child _________________________________________ who is in:  _______________________________________________ to participate on the Field Trip to:  _________________________________________

_____ Yes          _____ No

I UNDERSTAND THAT IF I DO NOT RETURN THIS COMPLETED PERMISSION SLIP, MY CHILD WILL BE UNABLE TO PARTICIPATE IN THE TRIP AND WILL REMAIN AT SCHOOL

Emergency Contact Number:  _______________________________

Please list any special considerations, medication, etc. that would pertain to this child on this Field Trip:

_________________________________________________________________________

Parent Signature:  _______________________________________________

Date Approved:  03/09/2010