SASD Field Trip/ Transportation Request
A separate form will need to be completed for each Field Trip requested, even if the purpose is the same.
Email address *
By checking "Yes", I am stating that I have read SASD Board Policy #121, and will adhere to all guidelines set forth in this policy. (Policy can be found on under School Board>Board Policy Manual>100 Programs) *
Requested by *
Date of Field Trip *
Purpose of Trip *
Describe Trip *
Building *
Destination and specific address *
Grade level(s)/ Organization *
Number of Students Participating *
Transportation Request *
Number of buses requested *
Students will leave the building at *
Specific Pick-Up Location *
Students will return to the building at *
Specific Drop Off Location *
If applicable, please describe plans for lunch, including time and if transportation will be needed to lunch location.
Teachers/ Chaperones/ Coaches Attending *
Substitutes Needed/For Whom *
Is this field trip being sponsored by a team, company, or organization? *
Who is responsible for remitting payment? Please include name, address, and/or email. *
What, if any, are the anticipated costs to the District? (including substitute costs) *
What, if any, are the anticipated costs to the student and/or parent(s) or guardian(s)?
What practical safety and security provisions have been established? What is the plan for communicating this to all who need to know? *
What arrangements have been made in the event of a cancellation of the field trip? (Cancellation insurance, notification of parents, refunds or other?) *
By checking this box, you are stating that appropriate parties will be notified and permission slips will be secured prior to attending the trip. *
By checking this box, you are stating that you will return to the building by 2:00pm at the latest. *
If requesting the District van, by checking this box, you are stating that you are an approved driver for the District.
Clear selection
Any additional comments or information
To verify your transportation, please contact Joyce Dahlstrom at (724) 872-5490 before 6PM. Evenings and weekends call (724) 331-4991.
A copy of your responses will be emailed to the address you provided.
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