Baltimore Chapter National Hampton Alumni Association

Permission Slip for Travel And /Or Activity

To the Parent or Legal Guardian of___________________________________

“I give my permission for the above named to attend the following trip and/or activity”.

Description of Trip/Activity: High School Visitation Day

Date of Trip/Activity: April 6, 2018

Time of Trip/Activity: 4:30 a.m. – 10:30 p.m.

Signature of Parent or Legal Guardian

Parent or Legal Guardian’s Information:

1. Home Phone Number ________________________

2. Work Phone Number ________________________

3. Cellular Phone Number ________________________

Additional Person(s) to contact in case of emergency:

Name Home, Work or Cellular Phone Number

1. ______________________________ _________________________________

2. ______________________________ _________________________________

Student’s Cellular Phone Number _________________________