Priscilla Myers - EC

Field Trip Description

Sample:

We will be going on a field trip to [location] on [date]
from [time to time]. The bus will be leaving at [time] and returning at [time]. The cost for the trip will be [dollars]. [Note about lunch and/or clothing requirements]

I give permission for

First Name

Last Name

Child's First Name / Last Name

Class Name and/or Grade

Teachers Name

Parent/Guardian Name

Phone

- -

(XXX)-XXX-XXXX

Parent/Guardian Signature

In case of emergency,
I give permission for my child to receive medical treatment.

Yes No

Emergency Contact

First Name

Last Name

First Name / Last Name

Emergency Contact Phone Number

- -

(XXX)-XXX-XXXX

Please print, sign and return form to your child's teacher along with field trip fees by

I understand that all students participating in this trip will be responsible in conduct to the driver and to the teachers or adult sponsors at all time. It is further understood that students are required to go and return from this event on the transportation
provided, unless prior arrangements have been made. Authorization to treat a minor: In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the school staff to secure proper treatment for my I understand that Education Code Section 35330 provides that all persons making a field trip or excursion shall be deemed to have waived all claims against the District or the State of California for injury,accident, illness or death occurring during or by reason of the field trip or excursion, and I therefore acknowledge that as a condition of my son/daughter participating in the said activity, I waive any and all claims against the Sequoia Union High School District for injury, accident, illness, or death occurring during or by reason of the participation in said activity.

A paper copy with an original signature is required for your child to attend this field trip.

Electronic submissions are for teachers records only.