Student Permission Slip
Student Permission Slip

My/Our son/daughter_______________________________ has my/our permission to attend all band sponsored trips and school approved functions, for the school year 2022-2023.  Travel will be by School bus/Charter Bus or director/chaperone personal vehicle.  While I/we realize that every precautions will be taken for the safety of the students.  I/we understand all chaperones nor the Ysleta Independent School District will be held responsible in case of an accident.  If an accident or sickness should occur, I/we authorize the school's designated representative(s) consent to physician and/or hospital emergency medical and/or surgical treatment.  It is understood that all cost of such treatment are my/our responsibility.  It is further understood that school authorities will notify parents/guardians as soon as possible if an emergency arises, but in no way is treatment to be delayed until that time.
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Student Name *
My son/daughter has permission to swim *
Name of Issuance Company *
Policy Number *
Name of Son/Daughter medication *
Any medical conditions we may need to know *
Name of Parent/Guardian *
Parent/Guardian Address *
Parent/Guardian Phone Number *
Instrument Played in Ensemble *
Brand of Instrument *
Serial Number *
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