FIRST UNIVERSALIST SOCIETY IN FRANKLIN

262 Chestnut Street, Franklin, MA  02038

FIELD TRIP PERMISSION

I, ________________________ (please print), am the parent or legal guardian of __________________________________.

I grant permission for my son/daughter to attend the following field trip:

________________________________            ACTIVITY & LOCATION

________________________________            DATE & TIME

I hereby give my consent and authority for the adults accompanying the group to take any reasonable action to help ensure the safety, health, and welfare of my child.  I also give my consent for any necessary medical treatment, including emergency surgical care, if needed. 

Signature of Parent of Guardian:

X___________________________________________         Date: ______________

In case of emergency call (name & number): ________________________________

FIRST UNIVERSALIST SOCIETY IN FRANKLIN

262 Chestnut Street, Franklin, MA  02038

FIELD TRIP PERMISSION

I, ________________________ (please print), am the parent or legal guardian of __________________________________. 

I grant permission for my son/daughter to attend the following field trip:

________________________________            ACTIVITY & LOCATION

________________________________            DATE & TIME

I hereby give my consent and authority for the adults accompanying the group to take any reasonable action to help ensure the safety, health, and welfare of my child.  I also give my consent for any necessary medical treatment, including emergency surgical care, if needed. 

Signature of Parent of Guardian:

X___________________________________________         Date: ______________

In case of emergency call (name & number): ________________________________