Parental Consent for School Trip

Student Name Class/Grade School Name

Trip Details

Destination Date of Trip Teacher/Trip Coordinator

Emergency Contact Information

Parent/Guardian Name

Relationship to Student

Contact Number

Alternate Contact Number

Medical Information

Allergies or Medical Conditions Medication Required

Parental Consent

I hereby give permission for my child to participate in the above-mentioned school trip and authorize school staff to provide emergency medical care if necessary.

Parent/Guardian Signature

Date