BAS Permission Slip

Please enter the appropriate information to for the BAS Field Trip you are giving your student permission to attend. This will serve as your consent.

X/Twitter

This field is for validation purposes and should be left unchanged.

Student 1*

First Last

Student 2

First Last

Student 3

First Last

Emergency Contact*

First Last

Emergency Phone*

Date of Field Trip*

Name of Field Trip (examples: Perot Museum, 7th grade trip, KidZania, etc)*

Type the location or title of the field trip you are giving permission to.

Cost of Field Trip: (cost will vary)*

I give you permission to bill my student account for any cost of the field trip.

Pay Cash PRIOR to field trip

Bill my account

Transportation*

My Child WILL need transportation.

I will be driving my child

I will be driving my child and can take more students.

I will be driving my child and would like to bring siblings.

How many additional students can you take in your vehicle. (IF you said you can take additional students)

IF you answered you can drive additional students, you must have qualifying insurance. (See policy with our office)

Parent/Guardian Full Name*

Please type your full legal name. Your typed name and submission of this form serve as your electronic signature.