Comfortable shoes, a packed snack, and a water bottle.
Emergency contact & health
Dana Carter
(555) 318-4420
Mild peanut allergy — carries an EpiPen in her backpack.
Parent / guardian consent
I give permission for my child to attend this field trip with Maplewood Elementary. I understand the trip details above, including transportation, and I authorize school staff to seek emergency medical care for my child if I cannot be reached.
I give permission for my child to be photographed for school newsletters and social media. (Leave unchecked to opt out.)
Dana Carter
Parent / guardian signature
May 12, 2026
Date
Dana Carter
Printed name
(555) 318-4420
Daytime phone
Please sign and return this slip to your child's teacher by the date above. Thank you! — Maplewood Elementary