School Permission Slip Template
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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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