PARENTAL CONSENT FOR

Curricular and Extra-Curricular Field Trips

We are arranging a field trip for students in Grade XX on Mmm/dd/yy.

We will be going to location, and will depart at X:XX and return at X:XX. We will be travelling by school bus, carpool, city bus, foot, etc.

On this field trip we will be:

Describe activities – ei…a trip to a park might include hiking walking, using climbing apparatus, lunch etc.

Students will need to bring:

List items…towel, bag lunch, hat, sun screen, etc.

The class will be supervised by Typical response may include the teachers name(s) and /or 2 or 3 parent volunteers or the Education Assistant(s) name(s). You may also want to indicate under what cicumstances the trip would be cancelled (no teacher, not enough volunteers or weather) With older grades you may want to include the comment “Your child will not necessarily be supervised by an adult at all times.”

If you do not wish your child to accompany his or her class on this trip, please contact name to contact and contact info, who will arrange alternate supervision.

Include this paragraph for trips/students of appropriate age/grade groups otherwise delete Pursuant to Policy No. 330, student drivers are prohibited from transporting other students as passengers on school approved field trips.

Accidents can be the result of the nature of the activity and can occur with or without any fault on either the part of the student, or the school board or its employees or agents, or the facility where the activity is taking place. By allowing your son/daughter to participate in this activity, you are accepting the risk of an accident occurring, and agree that this activity, as described above, is suitable for your child.

I give ______(NAME) permission to participate in the field trip to location on Mmm/dd/yy. I understand that my child may be exposed to certain risks while participating in this activity and that they will be required to adhere to the rules and regulations as determined by the school. Accidents and injuries may occur

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PRINTED Name of Parent or Guardian Date

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Signature of Parent or Guardian