Free School Permission Slip Template
School Permission Slip
Please complete this form to grant permission for your child’s participation in the upcoming school activity.
Student Information
Student Name
Grade Level
Class/Section
Teacher's Name
Activity Details
Activity Name
Location Address
Date of Activity
Departure Time
Return Time
Mode of Transportation
Parent/Guardian Consent
-
I give permission for my child to participate in the above activity.
Medical Information
Please provide any relevant medical information or allergies:
Allergies
Medications
Other Health Conditions
Emergency Contact Information
Contact Name
Relationship to Student
Phone Number
Liability and Emergency Authorization
-
I understand that the school will take all necessary precautions to ensure the safety of my child. However, I acknowledge that unforeseen incidents may occur, and I release [Your Company Name] and its staff from liability for any injuries or incidents that may happen during this activity.
-
In case of emergency, I authorize school staff to seek medical treatment for my child if necessary. I understand that every effort will be made to contact me or the designated emergency contact first.
Parent/Guardian Signature
Name:
Date:
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