School Field Trip Passenger Waiver and Release

Trip Information

School Name Trip Destination Date of Trip Teacher/Trip Organizer

Participant Information

Student Name Grade Parent/Guardian Name Contact Number

Waiver and Release

I, the undersigned, hereby give permission for my child to participate as a passenger for the above-listed field trip. I acknowledge and understand that participation in this activity involves certain risks. By signing below, I release and hold harmless the school, its employees, agents, and volunteers from any and all liability or claims for injuries or damages arising out of participation in this field trip, including transportation to and from the event.

Medical Information (if applicable)

Allergies or Medical Conditions Emergency Contact Name Emergency Contact Number

Parent/Guardian Signature

Date