standard field trip permission slip form

Educational Excursion Authorization and Liability Release

Instructions for Use

• Complete all sections of this form accurately, ensuring that emergency contact information is current and medical disclosures are exhaustive.
• Obtain the signature of a parent or legal guardian for any participant under the age of 18.
• Retain a copy of the signed document for your records and submit the original to the [Organization Name] administrative office at least [Number] days prior to the event.

Parties and Event Details

This Authorization is entered into by [Participant Full Name] ("Participant") and, if applicable, [Parent/Guardian Full Name] ("Guardian"), and [Organization Name] ("Organization").

Event Information:

• Event Name: [Name of Field Trip]
• Date(s) of Event: [Start Date] to [End Date]
• Destination(s): [Location/Address]
• Mode of Transportation: [e.g., School Bus, Private Vehicle, Public Transit]

Operative Terms

1. Authorization to Participate: The Participant has permission to attend and participate in the aforementioned event. The Participant agrees to comply with all rules, regulations, and instructions issued by the Organization’s staff or chaperones.

2. Assumption of Risk: The Participant and Guardian acknowledge that participation in the event involves inherent risks, including but not limited to travel, physical activity, and exposure to environmental conditions. The Participant voluntarily assumes all such risks.

3. Medical Authorization: In the event of an emergency, the Organization is authorized to secure medical treatment for the Participant. The Participant/Guardian agrees to be responsible for all costs associated with such medical care.

   • I have disclosed all relevant medical conditions, allergies, and required medications below: [__________]

4. Liability Release and Indemnification: To the fullest extent permitted by law, the Participant and Guardian hereby release, waive, and discharge the Organization, its officers, employees, and agents from any and all liability, claims, or demands arising out of any loss, damage, or injury sustained during the event.

5. Media Release:

   • I grant the Organization permission to use photographs or video footage of the Participant for promotional or educational purposes.
   • I do NOT grant permission for the use of the Participant's image.

6. Governing Law: This agreement shall be governed by the laws of the state of [State Name].

Signature and Acknowledgment

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

Signature: [] Printed Name: [] Title/Relationship: [] Date: []

Disclaimer: This document is a general framework and does not constitute legal advice. Laws regarding liability waivers and parental consent vary significantly by jurisdiction. Please consult with qualified legal counsel to ensure this document complies with local statutes and specific organizational requirements.