Saturday, April 5, 2014

Kings Dominion 2014 Permission Form


Secondary School Student Trip Information and Permission Form

Date of trip: May 16, 2014

Destination: Kings Dominion

Educational Objective(s): To compete in the Kings Dominion Music Festival 2014

Departure time from school: 7:30am    

 Return time: 8pm

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 __Kings Dominion in Doswell, VA   on ____May 16, 2013 .

 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 __________________________