CONSENT TO CONTACT PHYSICIAN IN EMERGENCY
In the event that I cannot be reached to make arrangements, I hereby give my consent to
Meadowlane Nursery School to contact
Dr. _________________________________ at ____________________(phone number).
In addition, if necessary, take my child to the following doctor(s), clinics or hospitals:
FIELD TRIP PERMISSION
I give permission for my child to ride in a private vehicle with proper safety restraining devices
during the 2018-2019 school year.
Please list any exceptions: