Free Child Care Field Trip Permission Form

Please complete this form to provide consent for your child’s participation in an upcoming field trip.
Child's Name
Date of Birth
Field Trip Details
Destination
Date of Trip
Departure Time
Return Time
Activities Planned
Parent/Guardian Contact Information
Name
Phone number
Emergency Contact Name
Emergency Contact Phone Number
Medical Information
Does your child have any allergies or medical conditions we should be aware of?
If yes, please list them below:
Permissions
I give permission for my child to attend the field trip described above.
I understand that the child care staff will take reasonable precautions to ensure the safety of my child during the trip.
In case of emergency, I authorize the child care staff to seek medical treatment for my child if necessary.
Parent/Guardian Name:
Date:
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