technodogs:forms:permission_slip
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+ | < | ||
- | ---- | + | < |
- | + | I hereby give may consent for __________________________________________________________________ | |
- | < | + | Student |
- | < | + | to accompany their teammates on a trip to participate in |
- | \\ | + | (put name, location, date of competition here) |
- | I hereby | + | and understand that they will be transported by a Private Vehicle. \\ \\ |
+ | **Authorization and Release for a Passenger in a Vehicle ** \\ | ||
+ | I give my permission | ||
+ | |||
+ | _____________________________________________________________ | ||
+ | | ||
| | ||
- | + | **Emergency Information** \\ | |
- | _____________________________________________________________ | + | |
- | Student Name | + | |
- | + | ||
- | to accompany their teammates on a trip to participate in \\ | + | |
- | **Bloomfield Girls Robotics Competition** located at **Bloomfield Hills High School** in the city of **Bloomfield Hills** on the dates of **Oct 145, Oct 15** \\ | + | |
- | and understand that they will be transported by a Private Vehicle. | + | |
- | === Authorization and Release for a Passenger in a Vehicle === | + | ______________________________ |
- | I give my permission | + | Home Phone Cell Phone Work Phone |
+ | |||
+ | ________________________________________ | ||
+ | Name of Insurance Carrier | ||
+ | |||
+ | Medication that **must accompany the child** and information that you wish to share (ie. allerigies, medications, | ||
+ | |||
+ | | ||
+ | |||
+ | **Authorization and Release for Medical Care ** \\ | ||
+ | I authorize Brighton Area Schools, its employees, designees, or sponsors in attendance at any Brighton Area Schools or Robotics Team event to secure, select and consent to necessary medical attention | ||
+ | I release the Brighton Area Schools and such person(s) from any liability for the selection in securing of a medical provider. | ||
+ | |||
+ | _____________________________________________________________ | ||
+ | | ||
- | | ||
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- | _____________________________________________________________ | ||
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technodogs/forms/permission_slip.txt · Last modified: 2022/10/01 17:00 by 127.0.0.1