Overnight Stay Parent/Guardian Consent Form

Student Information

Student Name Age School/Grade

Parent/Guardian Information

Parent/Guardian Name Contact Number Email Address

Event Details

Event Name Event Location Date(s) of Overnight Stay

Medical & Emergency Information

Medical Conditions/Allergies Medications Currently Taken Emergency Contact Name Emergency Contact Number

Consent & Authorization

I hereby give permission for my child to participate in the overnight stay described above. I authorize the supervising adults to seek necessary medical care in case of emergency.

Parent/Guardian Signature Date