Family & Childcare
Field Trip Permission and Waiver
Permission slip and liability waiver for school field trips including emergency contacts and medical authorization. Single signer (parent).
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# Field Trip Permission and Waiver **Date:** ___________ **School/Organization:** ___________ ## 1. Trip Information **Trip Destination:** ___________ **Trip Purpose:** ___________ **Trip Date(s):** ___________ **Departure Time:** ___________ **Expected Return Time:** ___________ **Transportation:** ___________ **Supervising Teacher/Leader:** ___________ **Supervisor Contact (cell phone):** ___________ ## 2. Student Information **Student Name:** ___________ **Grade/Class:** ___________ **Date of Birth:** ___________ **Student Allergies:** ___________ **Current Medications:** ___________ **Medical Conditions (asthma, diabetes, seizures, etc.):** ___________ **Dietary Restrictions:** ___________
Fields (39)
form date
date · required
school name
text · required
destination
text · required
trip purpose
textarea · required
trip dates
text · required
departure time
text · required
return time
text · required
transportation
select · required
supervisor name
text · required
supervisor phone
text · required
student name
text · required
grade
text · required
student dob
date · required
allergies
textarea
medications
textarea
medical conditions
textarea
dietary restrictions
select · required
special needs
textarea
parent name
text · required
relationship
select · required
home phone
text
cell phone
text · required
work phone
text
parent email
text · required
emergency name
text · required
emergency relationship
text · required
emergency phone
text · required
physician name
text
physician phone
text
insurance carrier
text · required
insurance policy
text · required
preferred hospital
text
medication admin
select · required
photo permission
select · required
volunteer chaperone
select · required
trip cost
text · required
payment status
select · required
governing state
select · required
parent signer name
text · required
Send this template with cryptographic proof
Every signed document gets PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-proof evidence package sealed in WORM storage.