Dear Parent / Guardian,
Your child's class has an upcoming field trip. Please review the details below, complete the required information, and return this signed form to by .
Date
Friday, May 22, 2026
Transportation
Round-trip by chartered school bus, supervised by teachers and parent chaperones
Grade / Class
4th Grade — Room 12, Ms. Alvarez
Student & Parent Information
Student Name
Grade / Class
4th Grade — Room 12, Ms. Alvarez
Teacher
Emergency Contact
Emergency Contact
Relationship
Phone Number
Alt. Phone
Medical / Allergy Information
I, the undersigned parent/guardian, hereby grant permission for to attend the field trip to on Friday, May 22, 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