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Permission forms

Page history last edited by Mr Corben 14 years, 3 months ago

SEOUL FOREIGN SCHOOL        

                                          Founded 1912

 

FIELD TRIP

Parental Permission Form

 

I, the parent/guardian of (student’s name) _________________________ in homeroom _________ do hereby grant permission for this student to participate in (trip/activity):

 

 

     Year 5 Retreat at Taechon Beach

 

 

On trip/activity dates:           April 28-30, 2010

 

 

It is understood that the student will abide by SFS rules, any violation of which will result in disciplinary action.  If the student displays misconduct while on this trip, the student may be asked to leave at the parents' inconvenience.

 

 

INJURY WAIVER

 

If an injury should occur to this student while on the activity described above, I will not hold the school or its personnel responsible beyond the limits of the accident insurance policies of the school.  I understand that the policies are available for my inspection at the Business Office of the school.

 

 

MEDICAL TREATMENT AUTHORIZATION

 

This is to authorize the Seoul Foreign School adult supervisor during the activity described above to request and approve needed medical treatment of this student.

 

 

Limitations (if any): 

____________________________________________________________________________________

 

____________________________________________________________________________________

 

Home Phone: ______________________                Work Phone: ______________________

 

Cell Phone:  _______________________

 

PLEASE PROVIDE THE NAME AND PHONE NUMBER OF SOMEONE ELSE WE CAN CONTACT IN AN EMERGENCY IF WE CANNOT REACH ANYONE AT HOME OR WORK.

 

Name  ______________________________                        Phone Number _______________________

 

Both the student and parent/guardian should sign below for trip authorization.

 

Student Signature   _____________________                    Date  _____________________

 

Parent Signature     _____________________                    Date  _____________________

 

Student Email          _________________________________________________________

 

 

 

Medical Form

 

 

 

My child__________________________________requires the medication listed below.  The times for administration and amount of medication is also listed.  Please complete this form and give it to the classteacher.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

Parent’s Signature__________________________   Date___________________________

 

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