Travel Permission for Field Trips

I, ______________________________________________________________________ (Parents or guardians name) Grant permission for ___________________________________________________________________ (Name of child care provider or facility) to transport my child, _______________________________________________________________________ (Childs name) for the following events:

Event type:
Walk to local park Walk to local business Drive to local park Drive to local business Other (please list):

(Please check one) Grant Permission only with Generally Grant Prior Decline Permission Notification Permission

I understand that it is my responsibility to update this form in the event that I no longer wish to authorize one or more of the above events. Signed:

(Parent or guardian signature, and date)