Parent Permission Form
give permission for our child to participate in:
Field Trip: ___________________________________________ Date of Trip: _____________
This permission includes all related programs or events associated with the field trip. In consideration for our (my) child's participation, we (I) and my (our) child agree and understand that we assume the risks inherent in the field trip, and with full knowledge of the risks, we agree to release and hold harmless The P.I.P.S group responsible, from claims arising or related to our (my) child's participation.
Our (my) child understands and agrees to abide by all rules and regulations established by the school pertaining to such field trip.
We consent to and give permission for emergency medical care for our (my) child that may be needed as a result of my (our) child's participation:
Insurance: ____________________________________________________________
Group #: ____________________________________________________________
ID. #: ____________________________________________________________
Phone#: __________________ Emergency#: _________________
Student's Signature: Date:
_________________________ ____________
Parent(s)/Guardian(s) Signature: Date:
__________________________ ____________
Parent(s)/Guardian(s) Signature: Date:
__________________________ ____________
N.B. Each student must return the signed permission form before being permitted to participate on the field trip.
