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  • Permission Slip

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    'My student, ______________________________, has my permission to travel with 6th grade science to Scobee Education Center at San Antonio college. Students will be chaperoned / supervised en route and while participating during these scheduled times. In the event that a medical emergency arises during a trip, an effort will be made to contact the parents or guardians as soon as possible. I give my approval and authorization for any medical treatment by local physicians and / or hospital.

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    permission slip

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    'My student, ______________________________, has my permission to travel with 6th grade science to Scobee Education Center at San Antonio college. Students will be chaperoned / supervised en route and while participating during these scheduled times. In the event that a medical emergency arises during a trip, an effort will be made to contact the parents or guardians as soon as possible. I give my approval and authorization for any medical treatment by local physicians and / or hospital.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    174 views1 page

    Permission Slip

    Uploaded by

    api-282323097
    'My student, ______________________________, has my permission to travel with 6th grade science to Scobee Education Center at San Antonio college. Students will be chaperoned / supervised en route and while participating during these scheduled times. In the event that a medical emergency arises during a trip, an effort will be made to contact the parents or guardians as soon as possible. I give my approval and authorization for any medical treatment by local physicians and / or hospital.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    H.B.

    ZachryMiddleSchool
    9410Timberpath
    SanAntonio,TX78250
    SusanAllain,Principal

    Mystudent,_____________________________________,hasmypermissiontotravelwith6thgradesciencetoScobeeEducation
    CenteratSanAntonioCollege.IunderstandthattransportationwillbeprovidedbyNorthside,departingat9AMonassigneddate
    (Dec.8,Dec.9,2015ORFeb11,Apr.14,orApr.18,2016)andreturningatapproximately2:15PMthatday.Ialsounderstand
    thatstudentswillbechaperoned/supervisedenrouteandwhileparticipatingduringthesescheduledtimes,andthatnormalprecautions
    willbetakenintheirinterestfortheirsafetyandwellbeing.
    Intheeventthatamedicalemergencyarisesduringatrip,aneffortwillbemadetocontacttheparentsorguardiansassoonas
    possible.Igivemyapprovalandauthorizationforfirstaidtreatment
    Igivemyapprovalandauthorizationforanymedicaltreatmentbylocalphysiciansand/orhospital.Iagreetoacceptresponsibilityfor
    paymentofallchargesincurredduringthismedicaltreatmentformychild.
    _________________________________________________
    SignatureofParentorGuardian

    Date

    EmergencyInformation
    NameofStudent______________________________________DOB_____/______/_________
    ParentName(s)__________________________________________________HomePhone_________________________________
    PrimaryParentCellPhone______________________________SecondaryParentCell____________________________________
    WorkPhone________________________________________WorkPhone___________________________________________
    AnotherAdult(foremergency)
    NamePhone

    ScobeeEducationCenterChallengerLearningCenter
    PHOTO/VIDEORELEASEFORM
    IgivepermissiontoChallengerLearningCenterSanAntoniotousemy/mychilds
    image/photographforpublicityorpromotionalpurposeswithoutcompensation,including
    socialmediaoutlets,suchasFacebookandtwitter.Iunderstandthatmy/mychilds
    photographand/orvideoofmychildmaybedistributedtolocal/regionalmediafor
    promotional/publicrelationpurposes.
    ______________________________________(_____)_________________________
    ChildsName
    EmergencyTelephoneNumber
    _________________________________________________________________
    SignatureofParent/LegalGuardian(ifunder18)
    Date

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