Chaperone Interest Form - 6th Grade Space Camp
All parent chaperones must be a legal guardian of a student attending the field trip. Please complete this form by Aug. 26. We will notify all parents who complete this form by Sept. 3 if they are selected to be a chaperone. The chaperone fee is $250. Please do NOT pay this fee until we have confirmed you as a chaperone. Parents are expected to provide their own transportation to and from Huntsville. Selected chaperones will also be required to complete a background check through DCSD (costing approximately $40--more info to follow). There will be a info meeting for all confirmed chaperones on Tues. 9/10 from 2:30-3:00 pm.
Parent Last Name *
Your answer
Parent First Name *
Your answer
Parent Gender *
Parent email address *
Your answer
Parent cell phone number (that we may use to text or call while at Space Camp) *
Your answer
Student Last Name *
Your answer
Student First Name *
Your answer
Student HOMEROOM *
Please check the box below to confirm acknowledgement. *
Required
Please let us know if you are a medical professional and willing to assist in this capacity if needed. *
Does your child have special needs that REQUIRE you to attend the trip in order for he/she to also attend? If so, please briefly describe. *
Your answer
Did you chaperone either of the Kittredge 4th or 5th grade overnight field trips in the previous 2 years? *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service