User Tools

Site Tools


technodogs:forms:permission_slip

Differences

This shows you the differences between two versions of the page.

Link to this comparison view

Both sides previous revisionPrevious revision
Next revision
Previous revision
technodogs:forms:permission_slip [2022/10/01 16:15] worthingtechnodogs:forms:permission_slip [2022/10/01 17:00] (current) – external edit 127.0.0.1
Line 9: Line 9:
                                                             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 14Oct 15** +(put namelocation, 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 18: Line 18:
      
 **Emergency Information** \\ **Emergency Information** \\
 +
   ______________________________   ______________________________   ______________________________   ______________________________   ______________________________   ______________________________
-            Home Phone                        Cell Phone                       Work Phone +           Home Phone                        Cell Phone                       Work Phone 
-    +     
   ________________________________________   _____________________________________________________   ________________________________________   _____________________________________________________
         Name of Insurance Carrier                   Family Physician Name and Phone Number         Name of Insurance Carrier                   Family Physician Name and Phone Number
  
 Medication that **must accompany the child** and information that you wish to share (ie. allerigies, medications, medical conditions, etc): Medication that **must accompany the child** and information that you wish to share (ie. allerigies, medications, medical conditions, etc):
-        +
    ______________________________________________________________________________________________________    ______________________________________________________________________________________________________
  
technodogs/forms/permission_slip.1664640914.txt.gz · Last modified: 2022/10/01 17:00 (external edit)

Donate Powered by PHP Valid HTML5 Valid CSS Driven by DokuWiki