| Fort Atkinson Public Schools Fort Atkinson, WI 53538 |
| Field Trip Pemit |
| ____________________________________ has an opportunity to go on a trip to ___________________________________ on (date) ________________________ . The child will leave at (time) ________________ , travel by ______________________ and return at (time) ___________________ . The cost to you will be $ ____________ . |
| My son / daughter has permission to go on this trip. In addition: I HEREBY AUTHORIZE SCHOOL DISTRICT EMPLOYEES TO CALL FOR EMERGENCY ASSISTANCE WHICH COULD REQUIRE A DOCTOR/DENTIST OR EMERGENCY VEHICLE (AMBULANCE AND/OR RESCUE SQUAD). NOTE: EVERY ATTEMPT, NECESSARY AND APPROPRIATE, WILL BE MADE TO CONTACT YOU PRIOR TO A CALL FOR MEDICAL ASSISTANCE. |
| _____________________________________________ PARENT SIGNATURE |
| _____________________________________________ TEACHER SIGNATURE |
| _______________________________________ DATE |
| _______________________________________ DATE |
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| For further questions, ticket information, concert questions, etc., e-mail: |
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