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Class Trip Request
Please submit this form at least 3 week prior to any trip requiring bussing and/or lunches, 2 weeks prior to any trip that is walking or has students traveling via subway.
Name of teacher(s) organizing the trip: *
Your answer
Class(es) OR grade(s) to participate in trip: *
Your answer
Date of the trip *
MM
/
DD
/
YYYY
Transportation to be used: *
Anticipated DEPARTURE from school: *
Time
:
Anticipated RETURN to school: *
Time
:
Anticipated RETURN to school: *
Your answer
Cost per student: *
Your answer
Cost per adult: *
Your answer
DOE vendor number (to process payment): *
Your answer
Number of students participating: *
Your answer
Number of adults participating: *
Your answer
My goals for the students attending this trip are: *
(Please list a minimum of 3 goals)
Your answer
This activity addresses the following standards and/or performance indicators: *
(Please list a minimum of 2 standards/indicators)
Your answer
After the trip, I will follow-up/reinforce this learning opportunity by having my class... *
(Please list a minimum of 2 standards/indicators)
Your answer
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