Grade Pre-K -12
Please complete the information below regarding any field trip that is to be taken (bus or walking).
Teacher:
Teacher email (required):
Grade:
School: High School Middle School Millikin Northside Southwest
How is this trip funded?(Grant/District/Other):
Date of activity/field trip:
Time leaving building:
Place going/destination:
Estimated time of return to school:
What type of transportation will be used for this field trip?:
Number of people:
Estimated round trip miles:
Is the field trip related to the instruction taking place in the classroom? Yes No
If yes, please give a brief description of the field trip and the relationship to the instruction.
Additional information: (Optional)
Will your class be missing lunch at school?: Yes No
Upload documents
Please attach a roster of children attending and upload any additional information as either a word or pdf file.
Sign and Submit
I agree that I am the person whose name is listed below. Yes No
Applicant name:
Note: You will recieve an email confirming your request after you
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