technodogs:forms:permission_slip
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technodogs:forms:permission_slip [2022/10/01 16:13] – worthing | technodogs:forms:permission_slip [2022/10/01 17:00] (current) – external edit 127.0.0.1 | ||
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I hereby give may consent for __________________________________________________________________ | I hereby give may consent for __________________________________________________________________ | ||
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 ** \\ | ||
I give my permission for my child to be a passenger in a vehicle driven by a Coach or School Approved Mentor. | I give my permission for my child to be a passenger in a vehicle driven by a Coach or School Approved Mentor. | ||
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**Emergency Information** \\ | **Emergency Information** \\ | ||
- | + | ||
______________________________ | ______________________________ | ||
- | | + | Home Phone Cell Phone Work Phone |
- | + | | |
________________________________________ | ________________________________________ | ||
Name of Insurance Carrier | 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.1664640828.txt.gz · Last modified: 2022/10/01 17:00 (external edit)