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Knotts Berry Farm
Kids Full Name
*
Enter your full name.
Address
Phone number
This can be a number
Enter your email
*
Age and Grade
Does your Child have a season pass for knott's berry farm
Will your Child need a ticket for the trip.
Does your child have any medical conditions or require any medication during the trip!
Parent Name Full Name
*
Parent Phone
This can be a number
Please provide emergency contact information for your child.
.
Please provide your child's health insurance policy number and name of their primary care physician
Yes
Permission is granted for my child, to attend the Knott's Berry Farm trip on May 10th 2025. I understand that the activities will include team-building exercise and that all necessary precaution will be taken for their safety. I authorize the staff to seek medical treatment in care of an emergency
NO
Permission is granted for my child, to attend the Knott's Berry Farm trip on May 10th 2025. I understand that the activities will include team-building exercise and that all necessary precaution will be taken for their safety. I authorize the staff to seek medical treatment in care of an emergency
By typing my name below, I acknowledge that I have read and understood the information provided in this permission slip and give my consent for my child to participate in the knott's berry farm trip.
*
Submit
