Bristol Bay Borough School District Consent Form Child's Name(Required) Grade(Required) HealthPlease list below any health conditions that the school needs to be aware of.Field Trip PermissionField Trip Permission I hereby give my consent for the above named student to travel under Bristol Bay Borough Schools approved activity of 2022-2023 field-trips. I understand that the Bristol Bay Borough School District does not carry activity insurance and will not assume responsibility for injuries sustained in the travel activities.Student's health and/or accident insurance company Pre-existing medical condition(s) Current medications that student will need while traveling Known allergies - especially to medications The chaperone/teacher has my permission to administer: Tylenol Aspirin Other Other permitted medication Off Campus Consent - Junior and Senior High School Students on track and eligible ONLY:Off Campus Consent I give authorization to Bristol Bay Borough School to allow my child to leave the school grounds during their lunch. I release Bristol Bay Borough School from liablity for personal injury that my child might sustain during the time he/she is off school grounds. I understand the District has no repsonsiblity to supervise my child once he/she is off school grounds.Medical Treatment Consent I give my permission in case of emergency to have him/her treated at the local health authority.Parents will be notified if at all possible prior to treatment. Parental Consent to Publish Child's Name and/or PhotographParental Consent to Publish Child's Name and/or Photograph As a parent or legal guardian of the above-named child, I give Bristol Bay Borough School District permission to publish the name and/or photograph of my child in any school publication.Examples include but are not limited to the following: Yearbook, Honor roll lists, School event programs, On-line school newspaper, School website, Email attachments (as part of class assignments)Parent / Guardian InfoParent/Guardian Signature(Required)Date MM slash DD slash YYYY Parent/Guardian Primary Phone(Required)Parent/Guardian Secondary PhoneEmergency Contact Person(Required) Relationship to Student(Required) Emergency Contact Primary Phone(Required)Emergency Contact Secondary Phone
