Student Name:
Student Number:		School:

Parent Permission For School Trip

In order for my child, a minor, named above to take part ina and receive the advantages of a program planned and sponsored by Salem-Keizer School District 24J, Marion County, Oregon, I am hereby giving permission for him/her to make any or all of the trips included in the planned program of the school.

Transportation my be provided at the discretion of the School District in such form as is approved by the Superintendent.

I authorize 24J and its employees to secure the services of a physician or hospital, and to incur expenses for necessary services in the event of accident or illness, and will provide payment for these. Every reasonable effort will be made to reach the parent(s) as soon as possible. 

Signature:

Name:		Date:
Address:
Address:
Email:

It is important that parent/guardian retain copy for reference throughout the year.