User Tools

Site Tools


technodogs:forms:permission_slip

This is an old revision of the document!


Parent/Guardian
Field Trip/Activity
Permission Form


Name of School: Brighton High School
Name of Organization: Robotics Team - FRC 3707 - The TechnoDogs

I hereby give may consent for

  
_____________________________________________________________
                      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 14, 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 for my child to be a passenger in a vehicle driven by a Coach or School Approved Mentor.

  
_____________________________________________________________             _________________
             Parent/Guardian Signature                                           Date

Emergency Information

 
 
________________________________________         ________________________________________
             Home Phone                                         Cell Phone

________________________________________         ________________________________________
             Work Phone                                         Other Phone

________________________________________         ________________________________________
      Name of Insurance Carrier                              Family Physician

                                                 ________________________________________
                                                          Physician's Phone Number
technodogs/forms/permission_slip.1664639045.txt.gz · Last modified: 2022/10/01 17:00 (external edit)

Donate Powered by PHP Valid HTML5 Valid CSS Driven by DokuWiki