[Form Title]

This permission slip is being issued to authorize the participation of the student in the upcoming school event. 

Date: 06/08/2025 

Time: 10:00 AM

Location: Museum

Cost: $30

Transportation: Bus

Student Full Name: [Student First Name] [Student Last Name]

Grade/Class: [Grade]

Parent/Guardian: [Parent First Name] [Parent Last Name]

Parent/Guardian Phone: [Parent Phone]

Emergency Contact: [Emergency Contact First Name] [Emergency Contact Last Name]

Emergency Contact Number: [Emergency Contact Number]

I, [Parent First Name] [Parent Last Name], give my permission for my child, Kerry Martinez, to participate in the above-mentioned activity. I understand that my child will be under the supervision of school staff during the activity and that all reasonable precautions will be taken to ensure their safety. I also acknowledge that there may be some risks associated with this activity, and I accept these risks on behalf of my child. 

In the event of an emergency, I authorize school staff to seek medical attention for my child and release them from any liability for any injury or illness that may result from the activity.

I understand that my child is expected to follow all school rules and regulations during the activity, and failure to do so may result in disciplinary action.

Ref No.:  [Submission Reference]
Date:  [Submission Date]