Secondary School Student Trip Information and
Permission Form
Date of trip: March 21, 2013
Destination: Orange County High School
Educational
Objective(s): To compete in the All District 13 Choral Assessment
Departure time
from school: TBA
Return time: TBA
Other important information including: use of
electronics, student dress, souvenir shops, supplies needed:
See information sheet
Keep the top
half for your information. Return the
bottom half to the appropriate teacher or staff member.
Please list any serious allergies or medical conditions of your child:
_______________________________________________________________________.
My child,
______________________________ has permission to attend the trip to _Orange
County High School on ____March
21, 2013__ (date).
I give prior permission for any emergency medical
treatment of my child where a delay could cause significant harm to his or her
health.
________________________________ __________
Parent/Guardian’s Signature Date
Parent and Emergency Contact Name__________________________
or __________________________
Phone Numbers: ________________ or
___________________ or_______________
