503-XXX-XXXX Teacher Name: Jerry Basham Field trip date: ______________, __________________, 2007 I, _______________________________ give my child, ________________________ permission to attend a school field trip to ___________________. We will leave the school at ________am and return by _________pm. I understand that my child will be traveling by bus. Date:______________________________ Parent Signature:_____________________ IN CASE OF EMERGENCY: Home phone:____________________ Work phone:_____________________ Cell phone:______________________