field trip permission form for daycare

Child Off-Site Activity Authorization and Release

Instructions for Use

• Complete all sections of this form in blue or black ink, ensuring that emergency contact information is current and accurate.
• Return this signed document to the administrative office at least [Number] business days prior to the scheduled activity date.
• Keep a copy of this completed form for your personal records to reference the specific details and logistics of the excursion.

Parties & Definitions

This Authorization is entered into by and between [Daycare Center Name] ("Provider") and the undersigned Parent or Legal Guardian ("Guardian") regarding the minor child identified below ("Child").

Child Information: Full Name: [Child's Full Legal Name] Date of Birth: [MM/DD/YYYY] Allergies/Medical Conditions: [List medical needs or "None"]

Activity Details: Activity Description: [Description of Event/Location] Date of Activity: [MM/DD/YYYY] Departure Time: [Time] AM/PM | Return Time: [Time] AM/PM Transportation Method: [e.g., Center Van, Walking, Public Transit]

Operative Clauses

1. Authorization. The Guardian hereby grants permission for the Child to participate in the off-site activity described above. The Child will be supervised by Provider staff at all times during the excursion.
2. Medical Consent. In the event of an emergency, the Guardian authorizes the Provider to secure necessary medical treatment for the Child. The Guardian agrees to be responsible for all costs incurred as a result of such emergency care.
3. Emergency Contact. In an emergency, the Provider shall first attempt to contact the Guardian at [Primary Phone Number]. If unreachable, the Provider shall contact: Name: [Emergency Contact Name] Relationship: [Relationship to Child] Phone: [Emergency Contact Phone]
4. Assumption of Risk. The Guardian acknowledges that participation in off-site activities involves inherent risks. The Guardian voluntarily assumes all such risks and releases the Provider from liability for any injury or loss occurring during the activity, except in cases of gross negligence.
5. Behavioral Expectations. The Child is expected to follow all instructions provided by staff. The Provider reserves the right to remove the Child from the activity if their behavior poses a safety risk to themselves or others.
6. Transportation. The Guardian consents to the Child being transported via the method specified above and agrees to hold the Provider harmless for incidents occurring during transit, provided the Provider adheres to standard safety protocols.

Signature & Acknowledgment

By signing below, I confirm that I am the legal guardian of the Child and have the authority to grant this permission. I have read, understood, and agreed to the terms of this document.

Signature: __________ Printed Name: [Parent/Guardian Full Name] Title: [Relationship to Child] Date: [MM/DD/YYYY]

Legal Disclaimer: This document is a general framework intended for informational purposes and does not constitute legal advice. Requirements for childcare licensing and liability waivers vary significantly by state and local jurisdiction. Consult with qualified legal counsel to ensure this document complies with all applicable laws in your area.