Student Overnight Excursion Permission Slip
Student Information
Student Name
Grade
Parent/Guardian Name
Parent/Guardian Phone
Excursion Details
Destination
Date(s)
Planned Activities
Emergency Contact Information
Emergency Contact Name
Emergency Contact Phone
Allergies/Medical Conditions
Parent/Guardian Permission
I hereby give permission for my child to participate in the above overnight excursion and authorize the supervising adults to obtain emergency medical care if necessary.
Parent/Guardian Signature
Date