Student Athlete Overnight Travel Consent
Student Information
Student Name
Date of Birth
School Name
Sport/Activity
Parent/Guardian Information
Parent/Guardian Name
Phone Number
Email Address
Trip Details
Destination
Departure Date
Return Date
Purpose of Trip
Medical Information
Allergies or Medical Conditions
Medications
Emergency Contact (if different)
Emergency Contact Phone
Consent and Authorization
I, the undersigned parent/guardian, give permission for my child to participate in the above mentioned overnight school trip. I understand and accept the terms and responsibilities involved.
Parent/Guardian Signature
Date