Transportation And Field Trip Authorization Form

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TRANSPORTATION and FIELD TRIP AUTHORIZATION FORM
Family: ___________________________________________
Children:________________________
Age: __________
________________________
Age: __________
________________________
Age: __________
My daycare provider is ALLOWED to transport my child(ren) in a vehicle.
My daycare provider is NOT ALLOWED to transport my child(ren) in a
vehicle.
I give permission for my child(ren) to walk to and/or participate in activities
under the supervision of my provider away from the daycare residence.
I DO NOT give permission for my child(ren) to walk to and/or participate in
activities under the supervision of my provider away from the daycare
residence.
I give permission for my school-age child ______________________, to
participate in the following activities:
___________________________________________________________
away from the daycare residence. I understand my child will not be under
the supervision of my daycare provider during this time.
(i.e. walk home, walk to friend/ neighbor/ relative’s home, walk to school, etc.)
OTHER INFO:
_________________________________
___________________
Parent Signature
Date
_________________________________
___________________
Provider Signature
Date

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