School Field Trip Permission Slip

Student Information

Student Name

Grade

Teacher Name

Field Trip Details

Destination Date Departure Time Return Time

Parent/Guardian Contact

Parent/Guardian Name

Phone Number

Email Address

Medical Information

Allergies, Medications, or Special Instructions

Permission

I give permission for my child to participate in the school field trip described above. I understand the school will take all necessary precautions for my child’s safety.

Parent/Guardian Signature

Date