STEM Workshop Field Trip Consent Form
Student Information
Student Name
Grade
School
Field Trip Details
Date of Trip
Destination
Departure Time
Return Time
Parent/Guardian Contact
Parent/Guardian Name
Phone Number
Email Address
Medical Information
List any relevant medical information or allergies
Medications (if any)
Emergency Contact
Emergency Contact Name
Emergency Contact Phone Number
Consent
I give permission for my child to attend the STEM Workshop Field Trip.
Yes
No
Additional Notes or Instructions
Parent/Guardian Signature
Date