Oshkosh Area School District

 

Parental/Legal Guardian Consent Form

For Field Trips and Extracurricular Trips

 

We, as parents or guardians of  ______________________________ do hereby grant our                                                                          (name of child)

permission and consent for such child to participate in the field trip or  extracurricular trip described

 

as ______________________________________________ to be held on ___________________ .

                                (description of activity)                                                                      (date)

 

                In granting such permission and consent, we specifically recognize that such consent and participation in the field trip is voluntary and that failure to grant consent will in no way result in any impact on the grade of such child for failure to participate in the field trip or extracurricular trip.

 

                In grant such permission and consent, we

 

1.        Acknowledge and assume full responsibility for any and all damage to person or property caused by our child or ward during such activity.

2.        Expressly authorize emergency medical or dental treatment deemed necessary by the school district, its agents, and employees during such activity.

3.        Expressly agree that in the event that any disciplinary action or the health of my child requires that my child be returned home during such activity that such return shall be accomplished at our expense.

 

 

Finally, we expressly acknowledge that we have carefully read this statement and understand its impact and effect.  We acknowledge and understand that if we have any questions in regard to this statement that we have exercised our right to have it reviewed and further explained to us prior to our signing.

 

Dated this ______ day of __________, 200___ .  ___________________________________________

                                                                                                                (Signature of Parent or Guardian)

 

________________   _________________________________________________________________

   (Phone)                               (Address)                                             (City)                      (State)         (Zip)

 

 

 

If you decline to grant your permission, please state your reason(s) and sign below:

 

 

 

 

Dated this ______ day of __________, 200___ .  ____________________________________________

                                                                                                                (Signature of Parent or Guardian)

 

________________   __________________________________________________________________

   (Phone)                               (Address)                                             (City)                      (State)         (Zip)