technodogs:forms:permission_slip
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Both sides previous revisionPrevious revisionNext revision | Previous revision | ||
technodogs:forms:permission_slip [2022/10/01 16:16] – worthing | technodogs:forms:permission_slip [2022/10/01 17:00] (current) – external edit 127.0.0.1 | ||
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Student Name | Student Name | ||
to accompany their teammates on a trip to participate in | 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 14, Oct 15** | + | (put name, location, date of competition here) |
and understand that they will be transported by a Private Vehicle. \\ \\ | and understand that they will be transported by a Private Vehicle. \\ \\ | ||
**Authorization and Release for a Passenger in a Vehicle ** \\ | **Authorization and Release for a Passenger in a Vehicle ** \\ | ||
Line 17: | Line 17: | ||
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- | **Emergency Information** | + | **Emergency Information** |
- | | + | |
- | | + | ______________________________ |
- | 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, | Medication that **must accompany the child** and information that you wish to share (ie. allerigies, medications, | ||
- | | + | |
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technodogs/forms/permission_slip.txt · Last modified: 2022/10/01 17:00 by 127.0.0.1