School Permission Slip
School Permission Slip
Title of the Event/Activity
Date and Time
Location
Purpose of the Activity
Student's Name
Grade/Class
Parent/Guardian Name
Emergency Contact's Number
Emergency Contact's Email
Does your child have any medical conditions or allergies we should be aware of? (Please specify if applicable)
Is your child currently taking any medication? (If yes, please list the medication and administration instructions)
Does your child require any special accommodations or assistance during the event? (Please provide details if necessary)
In case of an emergency, do you authorize the school to seek medical treatment for your child?
Consent Statement
I, the parent/guardian of [Student Name], give permission for my child to participate in
Liability Waiver
I acknowledge that the school and its staff are not responsible for any unforeseen injuries or incidents that may occur during this event. I agree to release the school from any liability.
Parent/Guardian Name:
Date Signed:
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