Field Trip Transportation Request Form

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Please complete this form to request approval for field trip transportation funds from the Ely PTO

Email *

Requested by:
*

Request date:
*

YYYY

Value requested:
*

Field trip date:
*

YYYY

Location of the field trip:
*

Grade(s) going on field trip:
*

Additional expenses or requests (please explain):

Bus Mileage: _______ x $2.68 /mile =

Surban: _______ x $1.34 /mile =

Mini-van: _______ x $0.84 /mile =

Driver: _______ x $26.00 / hour =

Additional expenses:

Total requested amount:

A copy of your responses will be emailed to the address you provided.

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