Chaperone Details
THIS FORM MUST BE COMPLETED AT LEAST ONE WEEK PRIOR TO YOUR FIELD TRIP
Staff Advisor Name
Your answer
Date of Field Trip
MM
/
DD
/
YYYY
Where are you going?
Your answer
Name of chaperone
Your answer
Reason for chaperoning (i.e., parent of a student)
Your answer
Is chaperone over the age of 21?
Is this an overnight trip?
Will the chaperone be driving? If so, be sure to have them complete the appropriate paperwork.
Comments/Notes
Your answer
Submit
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