Extra-Curricular/Athletic Trip Request Form

1
Name of Group/Class to Take trip:* This field is required.
2
Destination (Name and Address)* This field is required.
3
Today's Date* This field is required.
Date
Month
Day
Year
4
Preferred Date of Trip* This field is required.
Date
Month
Day
Year
5
Alternate Dates for Trip* This field is required.First Date for Alternate
Date
Month
Day
Year
6
Alternate Dates for Trip* This field is required.Second Date for Alternate
7
Number of People to be transported* This field is required.
8
Type of Transportation being requested:* This field is required.
Bus
Van
9
No. of Busses Needed* This field is required.Put Zero (0) if using vans only
10
No. of Vans Needed* This field is required.Put Zero (0) if using busses only
11
Sponsor/Coach/Teacher Name* This field is required.
12
Email address of Sponsor/Coach/Teacher* This field is required.
example@example.com
13
Purpose of the Trip: What are the educational purposes of the trip? How does this trip compliment the learning objectives of the lessons?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
14
Notification of Kitchen staff of student lunches needed? If the event will remove students from school during their lunch period, the district will provide sack lunches for ALL students at the regular lunch rate.* This field is required.
YESNO
15
I have checked with the school calendar to be sure there are enough busses/vans available for the date of the field trip.* This field is required.
YESNO
16
Cost Per Bus (Call Jackie Hovinga) X number of buses needed* This field is required.Total cost
TOTAL FOR ALL BUSSES Being used
17
Cost Per Driver (Call Jackie Hovinga) X number of drivers needed* This field is required.Total cost
TOTAL FOR ALL DRIVERS NEEDED
18
Cost of Fees (admission, parking fee, entry fees, if any)* This field is required.
TOTAL FOR ALL
19
Cost of Substitute Teachers (if any)* This field is required.
20
Total Cost of Trip* This field is required.Bus + Driver + Admission + Parking Fees + Entry Fees + Substitute Pay + Other Expenses
21
Expected Method(s) of Payment for Trip:* This field is required.
Key Grant
Cost paid through Activity Accounts/Resale Accounts
Building budget
District Budget (ONLY through PRE-approval from Central Office)
22
What fundraising will occur to support the cost of the trip?* This field is required.
23
Staff member's Signature* This field is required.
Clear
Should be Empty: