Victory
Life Academy
Parent/Guardian Permission Form for Field Tr
ipAs parent/guardian of:
(Name of student)
I give permission for his/her participation in the:
Victory Life Academy
(School)
Sponsored field trip on:
(Date/s)
The itinerary includes the following information:
Destination:
Departure:
Return:
(Date)
(Time)
(Date)
(Time)
Total Cost To Student:
Place of Lodging (if overnight):
Rules and regulations governing the trip are attached. Please not that for the protection of all field trip participants, student luggage may be subject to random search. Parent of student violating school rules may be required to com get their child prior to the completion of the trip.
In case of emergency please contact:
Parent/Guardian Name:
Address:
Phone Number:
Work Phone:
If parents cannot be reached please contact:
Name:
Relationship:
Phone Number:
Work Phone:
Teacher(s)/Chaperone(s) Involved:
Comments:
(Parent/Guardian)