Forms | Alpine Academy of Rockford

Field Trip Information
Location
DE Children's Museum 550 Justison St. Wilmington, DE 19801

Event Date
July 7, 2020

Departure Time
1:00pm

Return Time
4:35pm

Details
Please be prepared with walking shoes, RodneyStreet T Shirt
Student Information
Name *

First Name Last Name
Parent Information
Parent/Guardian Name *

First Name Last Name
Phone Number *
Emergency Contact Information
Name
Relationship
Phone Number
Medical Information
Important Medical Information The Supervisor Should Know
Authorization Signature
*

By signing below, I acknowledge that I have read, understand, and agree to the Terms and Conditions listed above. Furthermore, I certify that I am the Parent or Legal Guardian of the student named above and grant permission for said students to participate in the event named by RodneyStreet. In case of an emergency, I give permission for my student to receive medical treatment. I certify that all the information provided is true and correct to the best of my knowledge.
Parent/Guardian Signature *
Questions About Field Trips?

Indiana Hill | indiana@rstta.org| 856-279-9304|Remind App class code: @936dda
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