School Excursion Consent & Liability Waiver Form
Student Information
Student Name
Grade/Class
Date of Birth
Parent/Guardian Information
Parent/Guardian Name
Contact Number
Email Address
Excursion Details
Destination
Date of Excursion
Teacher in Charge
Medical Information
Medical Conditions/Allergies (if any)
Medication Required
Emergency Contact
Emergency Contact Name
Relationship
Phone Number
Consent & Waiver
I hereby give consent for my child to participate in the above school excursion.
I authorize school staff to seek medical attention if necessary.
I acknowledge and accept the risks and hereby waive any claims against the school and staff.
Parent/Guardian Signature
Date