Art Gallery Field Trip Permission Document

Student Information

Student Name

Grade/Class

Teacher

Trip Details

Date of Trip

Destination

Departure Time

Return Time

Additional Notes

Emergency Contact

Name

Relationship

Phone Number

Medical Information

Allergies/Medical Conditions

Medication (if any)

Parent/Guardian Permission

I give permission for my child to attend the above Art Gallery Field Trip. I understand that reasonable precautions will be taken for the safety of my child.

Parent/Guardian Name

Signature

Date