Field Trip Application
School Year 2018-2019
Important
Please keep in mind that it takes about three (3) weeks to get a check out to vendors. Please submit your request in advance so we may guarantee the check reaches the vendor in time.
Teachers Name
Your answer
Grade *
Room Number *
Your answer
Trip Destination *
Your answer
Date of Trip *
Please list three dates in order of preference
Your answer
Educational purpose of trip *
Your answer
Name of Program chosen *
Your answer
Cost per student *
Your answer
Regular ticket/admission purchase needed? *
Permission Slip Needed by: *
Give date 3 weeks prior to trip
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How many students are going on this field trip? *
Your answer
Name of each student with medical condition and their needs: *
Your answer
Contact information for site reservation, ticket purchase and/or bus parking reservation: *
Please provide name and phone number
Your answer
Do you need transportation? *
Number of buses needed? *
3 per seat for KG = 66 maximum passengers per bus / 2 per seat for 1st through 8th grade = 44 maximum passengers per bus
Your answer
Departure time: *
No earlier than 9:00 am
Time
:
Return pick up time: *
No later then 1:15 pm
Time
:
Number of chaperones needed *
Usual requirement is 1 chaperone per 10 students; some require 1 to every 5 students.
Your answer
Chaperone Fee *
Your answer
Arrival time for Chaperone *
Time
:
Special Chaperone Directions
Your answer
Student Attire *
Required
Lunch *
Is there a lunchroom at the site? *
Cost of site/trip *
Give total cost
Your answer
Is a deposit required *
Amount of deposit required
Your answer
Due date of payment *
Please be exact
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/
DD
/
YYYY
Form of payment accepted *
Reminder that it takes about 3 weeks to get a check
Total cost of field trip *
Your answer
Additional info *
No electronics allowed on trips. No cell phones. Chaperones may not bring siblings/younger children .Chaperones may not purchase lunch, gifts or additional drinks or food for students.
Required
A confirmation will be sent to you once the trip has been scheduled and confirmed *
Comments
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