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Field Trip Permission Form

Please complete the form below. Required fields marked with an asterisk *

Name of Student*

Answer Required

Student Grade Level*

Answer Required

Name of Teacher/Sponsor of Event*

Answer Required

List/Describe Field Trip or Event*

Answer Required

Name of Parent/Caregiver*

Answer Required

Parent/Caregiver Contact/Cell/Phone Number*

Answer Required

Emergency Contact Name*

Answer Required

Emergency Contact Number*

Answer Required

I give my child permission to attend their class field trip with LPS.*

Answer Required

Yes

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Email Required