Student
name:__________________________________________Grade
(in the fall):_________
PARENTS APPROVAL FOR SCHOOL FIELD TRIPS ~
2009-2010
I give permission for
_____________________________________________to take part in various field
trips throughout the 2008-2009 school year. Teachers will notify parents of the dates and
times of any trips, as they are scheduled.
I further agree to assume the responsibility of instructing my son or
daughter to follow the directions and instructions of the school official in
charge and will instruct my son or daughter in proper safety procedures. I release
MEDICAL PERMISSION SLIP
The undersigned parents or guardian authorize
Taylorview Jr. High to obtain medical care in the event that such care is
necessary. If possible, the parents or
guardian of the named individual will be contacted in the event of an
emergency. Permission is herby granted
to the licensed physician or accredited hospital and their associates to
perform any medical and/or surgical procedures that are deemed essential to the
treatment of the above named individual.
BRIEF MEDICAL HISTORY
Allergies:______________Diabetes:_______________Epilepsy______________
Medications:_______________________________________________________
Any other pertinent Information:________________________________________________________
Signature
of Parent or Guardian:______________________________________
Address:__________________________________________________________
Telephone
Number (day)______________(evening)___________(cell)________
Date:_______________________