Pumpkin Patch Field Trip Permission
Loveland Club 66 will be attending a field trip to the Bellevue Berry Farm on Monday, October 21st, 2019. Bellevue Berry Farm is located at 11001 S 48th St, Papillion, NE 68133.

We will be leaving Loveland by bus at 9:15am to pick up Swanson Club 66 and arriving back to Loveland at 1:30pm after dropping Swanson Club 66 off. These times may change and you will be notified if they do.

Cost is $7.50 per child. Please let me know if this cost will be an issue in attending.

Please fill out the information below.
Last Name of Child *
Your answer
First Name of Child *
Your answer
My child has permission to attend the Bellevue Berry Farm field trip. *
Parent Name *
Your answer
I am interested in being a parent chaperone on this field trip.
Questions, comments or concerns?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Westside Community Schools. Report Abuse - Terms of Service