Kindergarten Fall Permission slip

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Your Full Name (You must be the guardian or parent of the child) *

Enter your own name. This is a required field and indicates that you (the guardian) has filled out this form.

Student's Full Name *

Your students name. Please only fill out this form once for each child for each trip

Your child's grade level *

Trip Season *

Which season is this trip taking place

Current medical issues that are not included on the school's medical form

My child is taking the following medications

I verify that I am the guardian of the above child and that I have filled this form out accurately and completely. *

Verify

Required

I verify that I have read and understand the risks of my child's participation in the trip indicated above. *

Verify

Required

Submit

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