Blank Permission Slip



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How do you write a permission form for school activities? An easy way to start completing your form is to download this Permission Slip template now!

A brief description of the activity follows: Name of event: Destination: Designated supervisor of activity: Date and time of departure: Date and Anticipated time of return: Method of transportation: Student cost: Attire:
Please list any unusual health conditions or medication that we should be concerned about: In case of an emergency I may be contacted at the following phone number: If emergency treatment is required and you cannot be reached immediately, may your child be taken to the nearest medical facility Yes No If “no” what do you want to be done If you would like your child to participate in this event, please complete, sign and return the following statement of consent and release of liability.

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