Permission Form
My child, _________________________________________________, has permission to participate on the safety patrol trip to Great Adventure on Friday, May 9, 2008. I understand that my child needs to be at Kershaw School by 7:30AM. The bus will be departing at 7:45AM and returning to the school approximately 5:15PM.
____________________Enclosed is $9.50 for each meal voucher.
____________________I would like to volunteer to help chaperone the trip. Enclosed is $23.50 for my ticket.
My child, __________________________________________________, will not be participating on the safety patrol trip to Great Adventure on Friday, May 9.
In case of an emergency, please contact:
Name____________________________________________
Phone Number_____________________________________
Please indicate below any health problems concerning your child we should be aware of during the trip.
Parent's Signature__________________________________
Phone Number____________________________________