Permission Form
WCSD PARENT PERMISSION FORM
Event ___________________________________________Date________________________________________________________________
STUDENT NAME -
Your signature below indicates your consent for your child to participate. It also, indicates that you understand that if any injury occurs, the school will make reasonable efforts to contact you. In the meantime, you give permission, in the event of injury that your student may receive emergency medical aid, anesthesia, and/or operation if, in the opinion of the attending physician, such treatment is medically necessary.
________________________ ________________________
Signature (Parent/Guardian Date
Home phone__________________________
Work phone__________________________
Emergency phone__________________________
Sign below if applicable:
I will be:
___________dropping off
_________picking up
my student for this event. I understand that I am responsible for getting him/her there on time with their equipment.
Parent Signature