Outdoor Education Wilderness Trip Permission

Outdoor Education Wilderness Trip Permission — Form Fields

This education template includes 15 fields. Permission and medical form for student participation in wilderness education trips. Free to customize and use on ZenBuild.

• Student Name (text, required)
• Grade and Class (text, required)
• Parent/Guardian Name (text, required)
• Parent Email (email, required)
• Emergency Phone Number (text, required)
• Trip Destination (text, required)
• Trip Dates (text, required)
• Known Allergies (text, optional)
• Current Medications (text, optional)
• Swimming Ability (dropdown selection, required) — options: Strong, Moderate, Weak, Cannot Swim
• Health Insurance Coverage (multiple choice, required) — options: Yes, No
• Insurance Provider and Policy Number (text, optional)
• Doctor Name and Phone (text, optional)
• Medical Conditions Staff Should Know (long text, optional)
• Permission Granted (multiple choice, required) — options: Yes I Grant Permission, No I Do Not Grant Permission