field trip permission slip google form

Educational Excursion Informed Consent and Liability Waiver

Instructions for Use

• Customize the bracketed information to reflect your specific organization's identity, the destination details, and the nature of the activities involved.
• Distribute this document to parents or legal guardians via a secure digital portal or as a print-ready attachment to ensure all signatures are captured prior to the event.
• Maintain a secure, centralized file of all signed documents for the duration of the statute of limitations applicable to minors in your jurisdiction.

Parties and Definitions

This Agreement is entered into by and between [Organization Name] ("Organization") and [Parent/Guardian Full Legal Name] ("Guardian"), the parent or legal guardian of [Student Full Legal Name] ("Student"). The "Excursion" refers to the off-site event scheduled for [Date] at [Destination Name/Address].

Operative Clauses

1. Authorization. Guardian hereby grants permission for the Student to participate in the Excursion, including all planned travel and activities associated therewith.
2. Medical Authorization. In the event of an emergency, Guardian authorizes Organization representatives to consent to any medical treatment, X-ray, examination, or surgical procedure deemed necessary by a licensed physician. Guardian agrees to bear all costs associated with such medical care.
3. Medical Disclosure. Guardian represents that the Student is in good health and has no physical or mental conditions that would preclude safe participation. List any known allergies or medical conditions here: [__________].
4. Assumption of Risk. Guardian acknowledges that the Excursion involves inherent risks, including but not limited to travel-related accidents and physical injury. Guardian voluntarily assumes all such risks.
5. Liability Release. To the fullest extent permitted by law, Guardian hereby releases, indemnifies, and holds harmless the Organization, its employees, volunteers, and agents from any and all claims, liabilities, or demands arising out of the Student’s participation in the Excursion, except in cases of gross negligence or willful misconduct.
6. Code of Conduct. The Student agrees to comply with all instructions provided by Organization staff. Failure to adhere to safety protocols may result in the Student being removed from the activity at the Guardian’s expense.

Signature & Acknowledgment

By signing below, I confirm that I have read this document in its entirety, understand its legal implications, and voluntarily agree to its terms.

[ ] I grant permission for photographs of the Student to be used in Organization promotional materials. [ ] I decline permission for photographs of the Student to be used in Organization promotional materials.

Signature: [] Printed Name: [] Title (Relationship to Student): [] Date: []

Disclaimer: This document is a general framework and does not constitute legal advice. Please consult with qualified legal counsel to ensure compliance with the specific statutes, insurance requirements, and educational regulations of your jurisdiction.