PARADISE INDEPENDENT SCHOOL DISTRICT
FIELD TRIP -- PARENT CONSENT FORM


Student_________________________________________             Grade__________
Teacher ________________________________________             Date ___________
A group field trip has been scheduled as follows:
Group or Class ________________________________________________________
Destination ___________________________________________________________
Telephone ___________________    Transportation           ______ School Bus    _____ Other
We will leave school at ____________ a.m./p.m. and return at ___________ a.m./p.m.
The cost per child is $ _____________ for__________________________________________
in order for your child to participate in’ the field trip, you must complete the permission slip below and return it to the school by
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My child ___________________________ has my permission to go on-the field trip. In the event of a medical emergency ____________________________ has my permission to seek and authorize medical treatment for __________________________. Our family physician is _______________________________ who can be reached at ______________________ and has access to our medical history.
My child has the following allergies:   __________________________________________________________________
has received the following inoculations:  ________________________________________________________________
and is taking the medication as listed below: _____________________________________________________________

________________________________                ____________________________
(Parent Signature)                                                         (Home Telephone Number)

________________________________                ____________________________
(Relationship)                                                                (Work Telephone Number)
In case of an emergency and parent(s) cannot be contacted, please list alternate contacts,

Name _________________________Relationship __________________________________________                                       Phone __________________________________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      

Name _________________________Relationship __________________________________________                                       Phone _________________________________