My child________________has my permission to attend the field trip to the HealthWorks Kids Museum
Parent Signature___________________________________________________
Date of field trip: Monday October 3, 2011
Time of departure: 9:00 AM
Time of Return: 11:30 AM
I can drive Yes No
I am able to transport _____children in my vehicle.
I will be bringing ___siblings.
My cell phone number is __________
My Licence Plate # is____________
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