Elementary Permission Slip Form

Elementary Permission Slip Form

Field Trip Information

Student Information

Parent Information

Emergency Contact Information


Medical Information

Payment Information

$

$

Make Check Payable to: Faith Christian School

Terms & Conditions

**All drivers please provide: Completed driver form, valid driver’s license, current insurance and registration.

By my signature I indicate that I am aware that during any field trip or excursion away from the school, certain dangers may occur including, but not limited to, the hazards of accidents or illness in places without medical facilities, hazards created by the forces of nature, and hazards of travel by air, train, bus, automobile, and other means, including walking.

Further, in the event of illness or injury, I do hereby consent to whatever x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care are considered necessary for the individual in the best judgment of the attending physician, surgeon, or dentist and performed by or under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services.

I understand and do hereby assume all of the above-mentioned risks and will hold Faith Christian School and its representatives harmless from any and all liability whatsoever which may arise out of or in connection with a trip or participate in any activities arranged for the participant by Faith Christian School. The terms hereof shall serve as a release and assumption of risk for my heirs, executor and administrators and for all members of my family.

(If this is a pre-paid Field Trip we may not be able to refund if your child does not attend.)

Authorization Signature

Faith Christian School | 3105 Colusa Hwy, Yuba City, CA | 530-674-5474

Faith Christian School
3105 Colusa Hwy, Yuba City, CA
530-674-5474