EXTENDED FIELD TRIP REQUEST FORM B (Policy 607.06)

EXTENDED FIELD TRIP REQUEST FORM B (Policy 607.06)

This form must be completed and signed by the Activities Director and the Building principal prior to final approval of the travel (attach additional sheets if necessary). Submit completed form to the Principal.

Student Name | Grade | M or F  | Parents/Guardian | Ph.#’s | Emergency Contact Ph. #’s

1.

 

2.

 

3.

 

4.

 

5.

 

6.

 

7.

 

8.

 

Approval also requires that sponsors meet with parents to discuss the travel and review the Discipline Code (5130). Date of meeting

Any changes of sponsors listed previously on Form A? If so list below:

 

Add or Delete | Name  | Address | Phone Number

 

1.

 

2.

 

Approved by:

 

_______________________________________
Activities Director

_______________________________________
Date

 

_______________________________________
Building Principal

_______________________________________
Date