Aquatic Center Visit Parental Approval Form
Student Information
Student Name
Grade
School Name
Parent/Guardian Information
Parent/Guardian Name
Phone Number
Email Address
Event Details
Date of Visit
Special Instructions / Notes
Medical Information
Relevant Medical Conditions (including allergies)
Medications Required During Trip
Emergency Contact Name & Number
Parental Consent
I give permission for my child to attend the Aquatic Center visit.
Parent/Guardian Signature
Date