Sample slip
A draft. Yours uses your school, dates, and hard nos.
PERMISSION SLIP Cedar Intermediate · 5th grade Trip: Outdoor school Destination: Camp Pine Ridge Type: Overnight Depart: 08:00 Return: 15:00 Transport: School bus Cost: $95, includes meals and cabin Hard nos for this trip: • No food in cabins • No phones for students • No aerosol spray • No sharing prescription medicine Notes: One night. Cabins by gender per district policy. Nurse travels with us. Label every item. Please return this with your district form if your school requires both. Student name: ______________________________ Grade: ________ Parent / guardian: ___________________________________________ Signature: ___________________________ Date: ______________ Phone during the trip: ______________________________________ Health notes we should know: ________________________________ _____________________________________________________________