EmailMe Form - Field Trip Request Form

Today's Date

MM / DD / YYYY

Name of Teacher/Sponsor/Coach

Name of Class/Group

Division

Event/Destination

Date of Event (Beginning)

MM / DD / YYYY

Date of Event (Ending - if applicable)

MM / DD / YYYY

Time of Departure

HH : MM AM/PM

Time of Return

HH : MM AM/PM

Number of Participants

Name of Chaperone Attending

Number of Other Adults Attending

Mode of Transportation

Bus

Van

Students will drive themselves (send Transportation Liability Waiver form)

Name of Proposed Bus Driver (will be confirmed by Mrs. Long when bus is reserved)

Estimated Round Trip Mileage

Educational Merit of Trip

Reminders:

This form will be approved by Division Head and forwarded to:

Martha Long to reserve buses
Nancy Crifasi to arrange for missed lunch
Communications@ to put on school calendar.

- Secure signed parental permission form from each participant. Electronic form can be found on the website under the Staff tab.

- Provide teachers and office with roster of participants at least one week prior to event.