EmailMe Form - 2017-2018 Field Trip Permission Form

Child #1

First Last

Child #1 Division

Child #1 Grade Level

Child #2

First Last

Child #2 Division

Child #2 Grade Level

Child #3

First Last

Child #3 Division

Child #3 Grade Level

Child #4

First Last

Child #4 Grade Level

Child #4 Division

Name of Parent Filling out this Form

First Last

Parent Email

Parent Phone

### - ### - ####

Name of Additional Emergency Contact

First Last

Emergency Contact Phone

### - ### - ####

Electronic Permission

By typing my name below or signing with my finger, I hereby give the child(ren) listed above to attend field trips/retreats with Northlake Christian School, and to allow NCS to administer emergency medical treatment as necessary.

Type your name below.

Signature

Clear

Please sign your name using your finger.