Field Trip Permission Form

Your child will be attending a field trip as follows:

Location:                          ____________________________________________

Mode of Transportation:  ___________________________________________

When:                              Day ________________      Date__________________

Cost:                                 $___________________________________________

Additional Instructions:  ____________________________________________

                                          ____________________________________________

       ************************************************************************************************************

Please return permission form to your child's teacher by ____________________

I give my child, ______________________________________,in Mrs. Keating's room,

permission to attend the field trip to _________________________________________

on ________________________________from _________________to ____________

When necessry, I have enclosed exact cash or a check payable to Perry Elementary to cover the cost of the trip.

I give my permission for my child to receive emergency medical treatment. In case of an emergecy,  pleaes contact:
________________________________________________Phone:_____________________


_____________________________________________              _______________
               Signature of parent/ guardian                                                                                           Date

                                   
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