Outdoor Adventure Field Trip Consent Form

Student Information

Student Name Grade Teacher

Parent/Guardian Information

Parent/Guardian Name Phone Number Email Address

Emergency Contact

Emergency Contact Name Emergency Contact Phone

Medical Information

Allergies or Medical Conditions Medications

Consent & Authorization

I, the undersigned parent/guardian, give permission for my child to participate in the Outdoor Adventure Field Trip. I understand all activities may involve inherent risks.

Parent/Guardian Signature Date