School Permission Slip

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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