Fifth Grade Field Trip to LMS
Please enter a valid email address and you will receive a copy of your permission slip once you have completed it.
On Monday, May 6th, fifth grade students at LES will have an opportunity to travel to the middle school to take a tour and learn about their school next year. In addition to this, we will also be celebrating our fifth graders prior to this trip with a students-only special breakfast before the trip. We are asking $5 to cover the cost of food, decorations, and buses to LMS. You will be provided a link upon submission of this field trip form to pay at
Additionally, we would also like for your to email 3-4 digital pictures of your child to
. These photos will be used in creating an end of the year slideshow. These can be baby pictures, special pictures, or even funny pictures!
Student First Name
Student Last Name
Please Check Below
I understand that once I submit this form, I must proceed to
to pay the fee for this field trip or I will visit the school in person to pay with cash or credit card or I will send cash with my child in a marked envelope. (No checks can be accepted.) My form will not be considered complete until this step is completed. The link will be provided for you upon submission.
My child has my permission to participate in the above school sponsored field trip. I understand that it is my responsibility as a parent or guardian to provide the school with emergency information, including but not limited to home and work phone numbers, emergency phone numbers, and necessary medical information. Please type your FULL name below.
Emergency Contact Name 1
Emergency Contact Number 1 (Please include area code)
Emergency Contact Name 2
Emergency Contact Number 2 (Please include area code)
Medical Information Regarding My Child (If None, please type "None")
Due to extenuating circumstances (gas prices, changes in ticket cost, etc.), I understand that it is hard to calculate the exact amount an individual field trip will cost each student. I authorize any extra funds collected from me be used as a donation to the school to be used at the discretion of the principal.
A copy of your responses will be emailed to the address you provided.
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