(student name)
I
can be reached at:
Home
Phone ________________________________
Work
Phone ________________________________
Cell
Phone ________________________________
If
the above named student has a headache please give them _______________________
Please
list any medication the student will be bringing.
_______________________________________________ _______________
parent
signature date
I
______________________________________ have read the rules and procedures for
(student name)
the
I
will have a cell phone on the trip. My
phone number is (__________)
_____________
_____________________________________________ _________________
student
signature date