Denton Independent School District

Denton Independent School District

Field Trip Permission Form

Ronnie Crownover Middle School

Date: ____/___/_____

ð  This school-sponsored trip is a required activity, part of your student’s course of study.

ü  This school-sponsored trip is not a required activity, but is an enrichment activity for your student’s course of study.

Dear Parent,

Please read the information below regarding an upcoming field trip for your child’s class. You must give written permission on this form in order for your child to participate. The school will take all reasonable precautions in supervising the trip. Please sign the permit in the space provided below, complete the health/emergency information, and return to the school office no later than November 1, 2012.

For Safety and security reasons,

1.  Student will be directly responsible to the teachers sponsoring and monitoring the activity from the time of departure until return, and

2.  Students will be required to travel to and from the field trip using only school approved transportation.

This form must be returned before your child is allowed to participate.

has permission to go with RCMS Student Council _

Student’s Name Group/teacher/sponsor

on a field trip to San Marcos Embassy Suites for TASC ML State Conference . name of place purpose

Date of Trip: Mode of Transportation: _

Departure Time: Approximate Return Time: _

I give permission for the teachers/sponsors to administer the following medications during the field trip:

__Insect repellant (provided by parents)

__sunscreen (provided by parent and manufacturer’s guidelines will be used for application)

__school medications (list below any medicine the school nurse already has at the school to send with the teachers)

Name of medicine______, dose , time to be given ______, for _

reason

Name of medicine______, dose , time to be given ______, for _

reason

List any allergies to medicine, food, or insects: _

If there is an emergency regarding my child, I will be able to be contacted at the following numbers during the time of the field trip: home cell work _

If I am NOT able to be contacted, I give permission for ______to be contacted at name and relationship telephone number

v  In the event of a health emergency, I understand an ambulance may be called at my expense, if I am not able to be contacted. I give my permission to seek emergency care/treatment for my child to the field trip teachers/sponsors, and have indicated on the back of this form if there are any added qualifications or further clarifications to this permission for health care.

Parent Signature______Date ______

Phone number where you can be reached in case of emergency______