FIELD TRIP PARENT/GUARDIAN PERMISSION FORM
Korea International School
Teacher:___JimFarley/Kent Reschke____________________________ Date:Sept 23rd 2014
Dear Parent/Guardian:
Your child is invited to participate in the following activity/field trip. Please complete the information
below and return to school by Monday February 2nd..
Destination:__Beijing China BEIMUN _______________________ Date of Trip:_March 10-15 2015
Cost Per Student:__ 1,050,000KRW or 1,180,000KRW
Time Departing: March 10th 2:45pm Time Returning: March 16th 12:35pm
Transportation: ___ Walking
____School Bus __X__Commercial Transportation ____Private Vehicle
I understand that all students participating in this trip will be responsible in conduct to the teachers and/or
chaperones at all times. It is further understood that all field trips will begin and end at school and that
students are required to go and return from this event in the transportation provided.
In the event of an accident or illness, I understand that every reasonable effort will be made to contact the
parent/guardian immediately. However, if I am not available, I authorize Korea International School to
secure emergency medical care as needed. Although I understand that Korea International School will
make every reasonable effort to provide a safe environment, I am fully aware of the special risks inherent
in participating in this activity.
Being fully informed as to these risks, I hereby consent to the student participating in the activity/field trip
mentioned above.
! Student's First and Last Name:________________________________________________________________
! Students Registration Number (
) or Alien Registration Number (
):
_________________________________________________________________________________________________________________________
! Parent/Guardian Name:______________________________ Cell Phone Number:_______________________
! Home Address:____________________________________________________________________________
! Signature of Parent/Guardian:_________________________________________
Date:_____/_____/_____
The following regular/emergency medication for the above student needs to be taken at the following
time:____:___ am/pm
[ ] Not applicable [ ] The school office has it on file [ ] I will provide one week before the field trip.
PLEASE RETURN THIS FORM TO THE CLASSROOM BY __2___/_2____/__15___