School Permission Slip with Liability Waiver

Field Trip Details


School Name: [SCHOOL NAME]
Teacher/Class: [TEACHER NAME / CLASS]
Date of Field Trip: [DATE]
Departure Time: [DEPARTURE TIME] | Return Time: [RETURN TIME]

Understanding and Acceptance of Risks

As the parent or guardian of the student named below, I acknowledge and understand the following:

  1. Field Trip Risks: All field trips, regardless of nature, come with inherent risks, including but not limited to minor injuries, accidents, or other unforeseen events.
  2. Health and Safety: I have informed the school of any medical conditions, allergies, or medications that might be relevant to my child's participation in this field trip.
  3. Voluntary Participation: I voluntarily allow my child to participate in this field trip, fully aware of the associated risks and responsibilities.

Liability Release

I, the undersigned, release and hold harmless [SCHOOL NAME], its staff, volunteers, and other agents from any claims, damages, liabilities, or demands that might arise due to any harm, injury, or incident my child might experience during the field trip.

Medical and Dietary Information

I have provided detailed and accurate information regarding any medical concerns, medications, allergies, or dietary restrictions related to my child. This information will be used solely for ensuring the student's safety and well-being during the field trip.

Parent/Guardian Signature and Contact Details

Participant is Age 18.

Name: Mobile Phone: Email:


Student's Full Name: ____________________________
Parent/Guardian Full Name: ____________________________
Phone: ____________________________
Email: ____________________________
Signature: ____________________________ Date: __________
Emergency Contact Name: ____________________________
Emergency Contact Phone: ____________________________
Medical Concerns/Dietary Restrictions: ____________________________

*Note: This School Permission Slip with Liability Waiver is intended as a general guideline. Consult with a legal expert in your jurisdiction to ensure its enforceability and compliance with local laws.