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Camp Day Permission Slip

Camp Day Permission Slip

Your child has the opportunity to participate in a class field trip. Listed below is the information. Please make sure that you fill in all the blanks and sign the form by August 25th.

Event Details:

Tri-State Bible Camp & Conference, Montague, NJ
August 28, 2026

8:30 a.m-9:00 p.m.

Approximately 90 students will be attending the trip with 9 school staff members and personnel chaperoning the event.

Transportation will be provided by our bus, two school vans, and private staff vehicles (if needed)

Emergency phone numbers: Mr. Boole (724-840-8423) and Mrs. Swingle (570) 470-7675, Camp number 973-293-3522

Student First and Last Name*

Answer required for "Student First and Last Name"

Student First and Last Name

Answer required for "Student First and Last Name"

Student First & Last Name

Answer required for "Student First & Last Name"

EMERGENCY CONTACT INFORMATION:

Parent or Guardian First & Last Name:*

Answer required for "Parent or Guardian First & Last Name:"

Mobile Phone*

Number Required

Home Phone

Number Required

Relative or Friend First & Last Name*

Answer required for "Relative or Friend First & Last Name"

Mobile or Home Phone*

Number Required

Family Physician*

Answer required for "Family Physician"

Phone number*

Number Required

List any special medical conditions and/or food allergies

Answer required for "List any special medical conditions and/or food allergies"

I give my consent for the above named student(s) to participate in this event. In doing so, I agree to the following:

In case of a medical emergency, I grant the chaperones the right to authorize medical care if none of the persons named above can be reached.
I agree to pay the expenses of returning my child home before the end of the event if he/she or they do not adhere to the established standards of conduct.
The school is not responsible for damage or loss of property personally owned by my child(ren).

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"