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The document provides instructions for completion, signature requirements for students and for parents or legal guardians, and chaperone acknowledgment. It outlines participant responsibilities, safety rules, recognized inherent risks, opt-out conditions, health information and medication plan options, emergency medical consent, insurance coverage checkboxes, and liability release terms.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/field-trip-permission-form-instructions-and-studentparent-acknowledgments/307513/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/field-trip-permission-form-instructions-and-studentparent-acknowledgments/307513.png","ImageObject",442,249,{"name":88,"@type":89},"Marry","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":20},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Who must sign the field trip permission form?","Question",{"text":108,"@type":109},"Students 18 or older must sign before participating. 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It also provides medication plan checkboxes covering whether medication will be administered by a trained administrator, self-administered by the student, or administered by a chaperone.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},307513,1790158572,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":20,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},5909892079670,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Appendix VI  \nField Trip Permission Form   \nInstructions: Please complete this form and read this entire document carefully before signing. Student’s Name:   School Name:   Trip Destination:   Departure Date:   Return Date:   Please return this form to DCPS Study Abroad before you or your child participates in the field trip. If you do not understand this form, please contact your Travel Ambassador(s) or [study.abroad@dc.gov](study.abroad@dc.gov).  \nI acknowledge and agree as follows:  \n1a. As a student 18 years of age or older, I acknowledge that I must sign this form before I can participate in the District of Columbia Public Schools (DCPS) field trip listed above.  \n1b. As the parent or legal guardian of a student under 18 who is named above and participating in the  \nDCPS field trip listed above, I acknowledge that I must sign this form before my child can participate in this field trip, and I give permission for my child to participate in this field trip.  \n1c. As the parent or legal guardian of a student who is participating in the DCPS field trip listed above, I acknowledge that I must sign this form before I can participate in this field trip as a chaperone.  \n2. I acknowledge that I have reviewed and understood all documents provided by DCPS describing the particulars of this field trip, including the location of all activities, the duration, method of transportation, educational merits, inherent risks associated with the activities involved and the voluntary nature of the field trip.  \n3. All participants in the field trip listed above, including chaperones, will perform only those tasks assigned to him or her, will observe all safety rules, and will use care in the performance of all activities.  \n4. I acknowledge that there are risks associated with the field trip listed above, and I agree to assume any and all risks as may be reasonably foreseeable to result from such field trip on behalf of myself and/or my child, subject to the limitations set forth in this form. I understand that not all inherent risks connected with the field trip can be described in the documentation provided by DCPS regarding this field trip.  \n5. I understand that I and/or my child may choose to opt out of participation in any particular component of the field trip listed above, and that attendance on the field trip is in no way conditioned on full participation in every scheduled event.  \n6. I agree to inform the school nurse and/or principal at the school named above, as appropriate, of any health issues or changes in health status that may affect or limit my and/or my child’s participation in the field trip listed above, including, but not limited to, medications being taking, dates of hospitalization in the last year and the reasons for any such hospitalization, any illnesses and any other special health-related issues.  \n7. Please check the appropriate box below:  \n􀂅 My child does not have a Medication Plan on file at school, and will not require the administration of any medication during the field trip.  \n􀂅 My child has a Medication Plan on file at school, and will need to have this medication available during the field trip. My child is not authorized to self-administer the medication and a trained administrator of medication will need to be on the trip and be prepared to carry and administer the medication.  \n􀂅 My child has a Medication Plan on file at school and will need to have the medication available while on the field trip. My child is authorized to self-administer the medication.  \n􀂅 My child has a Medication Plan on file at school and will need to have the medication available while on the field trip, but a trained administrator of medication is not required because I,   , am chaperoning the field trip and will administer the medication. I acknowledge that my decisions to chaperone the field trip and administer my child’s medication are both voluntary and that, if desired, I could have instead requested to have a trained DC","cbCaivEO93Jwvshz","https://ap.wps.com/l/cbCaivEO93Jwvshz","pdf",222063,"English","# Instructions\n# Acknowledgment and Signature Requirements\n# Participant Responsibilities and Safety\n# Risks and Opt-Out Provisions\n# Health Information and Medication Plans\n# Emergency Medical Treatment Consent\n# Insurance Coverage Selection\n# Liability and Claims Waiver","[{\"question\":\"Who must sign the field trip permission form?\",\"answer\":\"Students 18 or older must sign before participating. Parents or legal guardians must sign for students under 18, and guardians must also sign if they will serve as a chaperone.\"},{\"question\":\"What information does the form collect before the field trip?\",\"answer\":\"It collects the student’s name, school name, trip destination, departure date, and return date, and requires returning the signed form to DCPS Study Abroad before participation.\"},{\"question\":\"How does the form address medication and health conditions?\",\"answer\":\"It requires informing the school nurse and/or principal of health issues and changes. It also provides medication plan checkboxes covering whether medication will be administered by a trained administrator, self-administered by the student, or administered by a chaperone.\"}]","Field Trip Permission Form - Instructions and Student/Parent Acknowledgments | PDF",1789850863]