Agricultural Farm Field Trip Permission Slip

Student Name:

Grade/Class:

Teacher/Advisor:

Date of Field Trip:

Destination (Farm Name and Location):

Emergency Contact Name:

Emergency Contact Phone:

Allergies/Medical Information:

Special Instructions:

Parent/Guardian Consent

I give permission for my child named above to attend the Agricultural Farm Field Trip.
I understand that school rules and policies apply during this event.

Parent/Guardian Name:

Parent/Guardian Signature:

Date: