Sample slip
A draft. Yours uses your school, dates, and hard nos.
PERMISSION SLIP Maple Primary · K–2 Trip: Pumpkin patch Destination: County Farm Pumpkin Patch Type: Day trip Depart: 09:15 Return: 12:00 Transport: School bus Cost: $8 per student, PTA covering chaperones Hard nos for this trip: • No running near the wagon • No picking untagged pumpkins • No nut snacks Notes: Hayride and pick-a-pumpkin. Extra adults. We are back for lunch. One class photo at the gate. 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: ________________________________ _____________________________________________________________ Emergency contact (if different): ______________ Phone: ______