Field Trip Permission : Cortez Adventist Christian School Cortez CO

to go on the field trip on:

He/she is in good physical condition at present and has had no serious illnesses or surgeries since the last health examination. I shall make sure that he/she does not attend if he/she is not feeling well. Yes No

I understand the cost will be:

If I cannot be reached, please notify (Person to notify and telephone number):

Cortez Adventist Christian School

Quality Christian Education

Field Trip Permission

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