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USD #400 Trip Request Form
Please use this form to request any vehicle or bus trips!
NOTE: This is not an approved trip until all administration have signed off & you have received a confirmation email from the Board Clerk.
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* Indicates required question
Date of Request - Today's Date
*
MM
/
DD
/
YYYY
School Making Request
*
Choose
Soderstrom Elementary School
Smoky Valley Middle School
Smoky Valley High School
Smoky Valley Virtual Charter School
District Office
Trip Date
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MM
/
DD
/
YYYY
Destination - Be Specific
i.e. -- ESSDACK Office - Hutchinson, KS
i.e. - Sedgwick Co. Zoo
*
Your answer
Objective of the Trip
i.e. -- Science Conference
i.e. - 1st Grade Zoo Field Trip
*
Your answer
Person or Organization Requesting Trip
*
Your answer
Trip Supervisor
*
Your answer
Supervisor's Cell Phone Number
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Your answer
Number of Students
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Your answer
Number of Adults
*
Your answer
Load Time - Departing USD 400
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Time
:
AM
PM
Arrival Time - At Destination
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Time
:
AM
PM
Load Time - At Destination for Return
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Time
:
AM
PM
Arrival Time - Back to USD 400
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Time
:
AM
PM
Special Instructions and/or Driver Instructions
*You must list anyone that will be driving this school vehicle during this trip & their cell phone # in case of emergency.*
*
Your answer
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