NOTE:

For official copies of board policies and procedures please contact the superintendent's office at (253) 583-5190 or email supt@cloverpark.k2.wa.us

PDF version of 2320-F4:
English | Español

Form 2320-F4

Parental Authorization for District-Related Travel for Field Trips, Excursions and Outdoor Education

School

Date

is a member of a class or organization which STUDENT plans to travel as part of activities or instruction in .

The trip is to and is planned from to .

TRANSPORTATION WILL BE BY:




CHAPERONES WILL BE PROVIDED BY:


Chaperones will be provided a copy of this form.

If you give permission for your son/daughter to make the trip, please sign in the space below and return to the school.

Teacher's Signature

Principal's Signature


I hereby give my permission for to make the trip described above.

I also authorize emergency medical care for him/her in the event of illness or injury during this trip.

District chaperones may not be familiar with your child’s medical needs. Please be specific and report any medications your child will need during this event. You may be required to complete additional paperwork when district-approved event sponsored chaperones are required/provided (please see attached event sponsored form.)

Medical Restrictions:

Medicines or medical care needed during the event:

Home Phone

Alternate Phone

Parent Signature

Date of Signature