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.

Name

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

Student Name*

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

Signature*