Teachers - Sample Permission Slip
Article ID: 2892
Age Group: Adult
Days Up: 7,005
Times Read: 19,092
Posted: July 16th. 2000
Times Viewed: 19,092
Teachers can use this form as a guideline for use when accepting minor students into a class or other teaching event. The teacher may also want to include copies of class materials when sending this form to the parents or guardian.
Do note that if athames will be used by minor students during an event that extreme caution is advised. Double edged blades are still considered illegal in most states and special liabilities may be incurred by their use. Parental permission cannot cover or absolve involvement in any legally restricted activity. Check with your local police department.
Parental Permission Requested:
(Teachers name) requests permission for your minor child (child's name) to participate in the teaching/class/ workshop described below:
Title of Class/Workshop:
Date and Time:
Description of Teaching/class/workshop:
Date of Birth:
Name of Parent or Guardian:
Relationship to Student:
Permission Notice: My son/daughter (Insert name) has permission to participate in (name of teaching/class/workshop) on (Date of Activity):
(Parent's Signature and Date)
NOTE: By signing this form, I declare that I am the legal parent/guardian of the minor child listed above and authorized to grant such permission.
IN CASE OF EMERGENCY:
I/We make every effort to provide a safe and secure environment for your child during teaching/class/workshop events.
In case of an emergency, I/We will contact the parent listed on this notice. I/We request that the parent provide another contact (not living at the same address) who is authorized by the parent to act on his/her behalf should the parent not be available.
Relationship to Parent/Student:
PLEASE INDICATE on the back of this notice:
List any health conditions, allergies or diet/mental/physical restrictions that your child may have and medications that he/she may be using to treat this condition. Indicate if the child has your permission to take such medication while attending the event. You may also include the name of the hospital or doctor of your choice and their phone numbers.
Also if you have made arrangements to have a person other than yourself provide transportation to and from this event, please indicate the name and phone number of such person.
During this teaching/class/ workshop, the following materials may be used:
Location: Tampa, Florida
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