Dear David Chen,
Your child's class has an upcoming field trip. Please review the details below, complete the required information, and return this signed form to Ms. Sarah Martinez by May 8, 2026.
Oregon Museum of Science and Industry (OMSI)
Transportation
School bus
Teacher / Supervisor
Ms. Sarah Martinez
Trip Details
Students will explore the Earth Science and Technology exhibits, attend a planetarium show, and participate in a hands-on lab activity about renewable energy.
Student & Parent Information
Student Name
Emma Chen
Grade / Class
4th Grade
Teacher
Ms. Sarah Martinez
Parent Name
David Chen
Phone
(503) 555-0194
Emergency Contact
Emergency Contact
Lisa Chen
Relationship
Mother
Phone Number
(503) 555-0195
Alt. Phone
(503) 555-0196
Medical / Allergy Information
No known allergies. No medications.
I, the undersigned parent/guardian, hereby grant permission for Emma Chen to attend the field trip to Oregon Museum of Science and Industry (OMSI) on May 8, 2026. I understand that the school will take reasonable precautions to ensure my child's safety. I agree to the terms of transportation and supervision as described above. In case of emergency, I authorize school staff to obtain necessary medical treatment for my child.
Parent / Guardian Signature