Outdoor Adventure Trip Permission Form
Student Information
Student Name
Date of Birth
Grade/Class
Trip Details
Trip Name
Destination
Date(s) of Trip
Parent/Guardian Information
Parent/Guardian Name
Contact Number
Email Address
Emergency Contact
Emergency Contact Name
Relationship to Student
Phone Number
Medical Information
Relevant Medical Conditions or Allergies
Medications (if any)
Dietary Restrictions
Permission & Authorization
I give permission for my child to participate in the above-mentioned outdoor adventure trip. I understand and accept all associated risks.
Parent/Guardian Signature
Date