Family Child Care Sample Forms Packet Page 9
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12Special Excursion
(Field Trip-Off-Site Activity Permission Slip)
This form is to be used for any trip off the family child care premises that is not listed on the
general permission form in the family child care enrollment packet.
_____________________________________ and/or _____________________________________
Educator(s)
Assistant
has permission to transport my child ___________________________________________________
Child's Name
by_______________________________________ to _____________________________________
Type of transportation
Destination
on _____________________________.
Date
Time of Departure _______________ Time of Return _________________________
__________________________________
___________________
Parent’s/Guardian’s Signature
Date
Page 9 of 12
FCCSampleFormPacket20100203
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