Field Trip Permission Slip This form gives permission for your child to be allowed on field trips. Step 1 of 2 50% Child's InformationName (Child #1) First Last Grade Name (Child #2) First Last Grade Name (Child #3) First Last Grade Insurance InformationInsurance Company Insurance Phone # Policy # Name of Policy Holder Allergy InformationList any Allergies Field Trip PermissionI give permission for my child/children to participate in all school field trips. In the event of a medical emergency, I hereby give permission to the medical personnel selected Calvary Chapel Christian School (CCCS) personnel to order X-rays, routine tests, treatment, and necessary transportation for my child/children. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by CCCS personnel to secure and administer treatment, including hospitalization, for my child/children. Name First Last Signature
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