As the parent or legal guardian of:  _______________________,

I give my permission for him/her to travel from the campus of the Willard Middle School to: 

                      OTC _(Ozarks Technical Community College)  

                on (date):  Friday, May 1, 2009.

 

Estimated departure time:  8:30 a.m.   Estimated return time:  11:30 a.m.

 

I authorize (sponsor):  _Mrs. Crotts__ and other adult sponsors of the trip to give their consent to arrange for emergency care, and I agree to pay for such expenses.  I further authorize the sponsor and other adult sponsors of the trip to exercise control over my child and to administer reasonable disciplinary measures to him/her to the extent they may deem necessary.

 

Dated this _____ day of _________, 2009.

 

Signature/Relationship: ________________________________________

 

Telephone Number where you could be reached in case of emergency:

 

                                                                                        ______________________

 

 

Contact person if you cannot be reached in an     

emergency:

 

Name______________________________

 

Telephone Number __________________