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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