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North Shore School District 112 Field Trip Permission Form {bebinsebns HSEESEEESE Dear Parents, Your child will be ttencing the following field trip in conjunction with our current unit of study. ‘We require your signed permission in order for your child to participate. We also request emer- ‘gency contact information inthe event that we need to reach you during the field tip and infor ‘nation regarding medication needs your child might have. Please tear off the bottom portion of this form and return it to your child’s teacher by Scho Field tip destination Eudveational purpose Date of field trip Bus leaves school at: __ Bus returns to schoo! at Cost: § Lunch ngements are: Return to Teacher Field Trip Permission _ Grade Student's Name Teacher Field trip date —_______ Destination Parent/Guardian Signature Date __ PPhone number at which paren canbe reached during the fl trip, Emergency contact (pana isnot eae Emergency phone number — Please list any medications your child may require during the field trip (we ms ave a “Doric 12 edie Authors oro he sol whic has ben cpl and signed by. poe.

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