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Middle
School/High School Field Trip Application to be filled out in
triplicate- submit to building
principal Submit 90 days prior for
overnight~ ~30 days for day field trip Destination________________________________
Class/group__________________________ Itinerary
(attach separate sheet if detailed)
___________________________________________ Departure
date _____________Departure time_____________ Trip less than 100 miles yes
no Return
date________________ Return time ______________ Trip is overnight yes
no Number of
students ______________ Number of
chaperons _________________ List of
chaperones ________________________; _____________________;
__________________; ___________________________; ________________________;
__________________________; ___________________________; ________________________;
___________________________; Per
student cost of trip $ __________ (part paid by each student) Remainder paid
by ________________ Teacher
sponsor (s) ________________________________ Today’s Date _________________ Transportation: _______
privately owned vehicle (administrative approval needed) ___________________ _______
school bus(s) # busses
requested _____________ _______
public transportation (plane, train, bus) _____________ Company (if known)
_____________ _______
charter bus ( attach forms)
company_______________________ _______
other: specify __________ In
addition to Principal/Assistant Principal- In town
contact person (for after school hours)
________________________ phone
_______________ Approval: Building
Principal _____________________________________________ Date _______________ Superintendent
_______________________________________________ Date _______________ Board of
Education ____________________________________________ Date _______________ Transportation
Supervisor _______________________________________ Date _______________ TS
returned signed approved copy to requesting teacher. _____
Quality Food Management _____
Head Teacher/Secretary Ld/07 |