College Intramural Team Travel Permission Form

Participant Information

Student Name

Student ID

Date of Birth

Team Name

Travel Details

Destination

Event Date(s)

Departure Date Return Date

Parent/Guardian Contact Information

Parent/Guardian Name

Phone Number

Medical Information

Allergies or Medical Conditions Emergency Contact Name Emergency Contact Phone

Permission Statement

I hereby give permission for the above-named student to travel with the College Intramural Team to the specified event under the supervision of college staff and to seek necessary medical attention in case of emergency.

Parent/Guardian Signature

Date