Travel Authorization Form

TRAVEL AND ACTIVITY AUTHORIZATION FORM:

I give permission for child, ______to leave (Name of your daycare here) for trips in a car or on public transportation, to special places, walks to the park, shopping trips, etc. I give permission for child, ______to leave my caregiver's home for trips to the bus stop to pick up children who attend school, and have been placed in her care.

I understand that I will be notified in advance of any field trips or special trips to places requiring use of a car or public transportation. I will also be responsible to provide any car restraints or booster seats necessary for safe traveling.

Comments or concerns noted: ______

Date: ______

Parent's Signature: ______