Permission Slip Form

I. General Information

Child's Full Name:

Child's Age:

Child's Grade:

Parent/Guardian's Full Name:

Parent/Guardian's Phone Number:

Parent/Guardian's Email:

Emergency Contact Name (if different from parent/guardian):

Emergency Contact Phone Number:

Emergency Contact Relationship to Child:

II. Event-Specific Information

Event Name:

Date of Event:

Pick-up time:

Drop-off time:

Location of Event:

Purpose of Event:

Transportation Details:

Cost of Event:

What is included in the cost (if applicable)?

III. Permissions and Agreements

I grant my child permission to participate in the event.

Medical Release (A statement authorizing medical treatment in case of emergency. Include details about allergies, medical conditions, and insurance information.):

I grant permission for photos/videos of my child to be taken and used for promotional or other purposes.

Liability Waiver:

Behavior Expectations:

IV. Other Important Information

Allergies/Medical Conditions:

Special Instructions (Any other relevant information, such as dietary restrictions, learning disabilities, or specific instructions from the parent/guardian.):

Parent/Guardian, please sign here.

Form Template Instructions

Please remove Form Template Instructions before publishing this form

Important Considerations:

Return Deadline for Permission Slip: (Clearly state when the form needs to be returned)
Clarity: Use clear and concise language. Avoid jargon or legal terms that parents may not understand.
Legal Review: It's highly recommended to have a lawyer review your permission slip, especially the medical release and liability waiver sections, to ensure it complies with local laws and regulations.
Data Privacy: Be mindful of data privacy regulations when collecting personal information. Clearly state how the information will be used and protected.

Strengths:

Comprehensive Information Gathering: It collects crucial data, including child's details, parent/guardian contact information, emergency contacts, event specifics, medical information, and permissions. This thoroughness is vital for safety and preparedness.
Clear Sections: The form is organized into logical sections, making it easy for parents to read and complete. Headings like "General Information," "Event-Specific Information," "Permissions and Agreements," and "Other Important Information" improve clarity.
Required Fields: Specifying which fields are required ensures that essential information is collected. This reduces the risk of missing details.
Medical Release: Including a medical release is critical. It authorizes medical treatment in emergencies, especially important if parents can't be reached immediately. Asking about allergies and medical conditions is also essential.
Photo/Video Release: Addressing photo/video permission is important in today's digital age. It protects the child's privacy and gives parents control over how their child's image is used.
Liability Waiver: The inclusion of a liability waiver is a good practice, though its enforceability can vary depending on jurisdiction and specific circumstances. It is absolutely essential to have legal counsel review this section.
Behavior Expectations: Outlining behavior expectations sets clear guidelines for children and helps maintain a safe and respectful environment.
Special Instructions: This section allows parents to provide any specific information or instructions relevant to their child, such as dietary restrictions, learning disabilities, or medication needs.
Signature and Date: Requiring a signature and date validates the permission and confirms that the parent/guardian has read and agreed to the terms.

Areas for Potential Improvement and Considerations:

Medical Insurance Information: While you ask about medical conditions, explicitly requesting medical insurance information (provider, policy number) in the Medical Release section is highly recommended. This will expedite the process of obtaining medical care if needed.
Medication Information: If the child needs to take medication during the event, consider adding a section for medication details (name of medication, dosage, administration instructions, time to be administered). This may be better handled on a separate medication administration form, especially for events lasting longer than a few hours.
Allergy Specificity: Instead of just "List any allergies," consider separate fields for "Food Allergies," "Medication Allergies," "Environmental Allergies," and "Other Allergies." This provides more structured information.
Emergency Contact Authorization: While you collect emergency contact information, it's a good idea to add a statement confirming that the emergency contact is authorized to make decisions regarding the child's care in the parent/guardian's absence.
Transportation Details - Carpool Specifics: If carpooling is an option, it's beneficial to collect more details, such as the driver's name, phone number, and vehicle information. Requiring proof of insurance from carpool drivers might also be considered.
Event-Specific Details: Depending on the event, you might need to add specific questions. For example, for a swimming event, you might ask about the child's swimming ability. For an overnight trip, you might need information about sleeping arrangements.
Review by Legal Counsel: As mentioned previously, it is absolutely crucial to have a lawyer review the entire form, particularly the medical release and liability waiver sections. Laws vary by state/region, and you want to ensure the form is legally sound and protects your organization as much as possible.

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