Saint Louis Public Schools
Field Trip Permission Slip

School _______________________ Date ____________________

 

Grade/Class ________________________________________

Please note the following information regarding the field trip.

Where:____________________________________________
Activity: ___________________________________________
Departure From School:     Time: ________________________
Return to School:     Time:______________________________
Person(s) in charge: __________________________________
  1. I have been informed of the details of this educational field experience.

  2. My child has my permission to participate in this supervised field experience.

  3. I agree to instruct my child to obey all rules, regulations and instruction given
    by teachers and/or authorized personnel. I further agree that no teacher or
    authorized personnel shall be held responsible or liable for injuries or other
    mishaps caused by my child's deliberate disobedience of rules, regulations
    or instructions.

  4. This Field experience is considered as schoolwork and will be conducted
    as a regular class.

This trip is planned to extend a unit of study within the school curriculum.

Your signature indicates that you have read and agreed to the above and the
we have your permission to take the child on this field experience.

Parent or Guardian Signature: ____________________
Home Phone: _______________
Work Phone: _______________
Address: ____________________________________
In an Emergency contact: _______________________
Emergency Phone No.: _______________________


Form S-14 C.N. 10514 Rev 4/1/98