Trip & Bus Request Form
Fill out this form for pre-approval of school trips.
Requestor's Name
*
First Name
Last Name
Requestor's School Location
*
Please Select
Panguitch Elementary
Panguitch High School
Bryce Valley Elementary
Bryce Valley High School
Escalante Elementary
Escalante High School
Antimony Elementary
Boulder Elementary
Other
Contact E-mail
*
example@example.com
Contact Cell Phone:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Trip Type
*
Please Select
Field Trip
Activity Trip (Sports, Club, etc.)
Professional Development / Training
Date Leaving
*
-
Month
-
Day
Year
Date
Day of Week - Leaving
*
i.e. Monday, Tuesday, etc.
Date Returning
*
-
Month
-
Day
Year
Date
Day of Week - Returning
*
i.e. Monday, Tuesday, etc.
Total Trip Days:
*
Describe the Purpose of the Trip
*
Number of Students Attending
*
Number of Chaperones (Note: 15:1 student-chaperone ratio)
*
Name of Destination City & State
*
Example: Salt Lake City, Utah; Mesquite, Nevada
Trip Distance
*
Please Select
Out-of-State
In-State: Less than 200 miles
In-State: Over 200 miles
Trips over 200 miles and/or out-of-state require Board approval prior to travelling.
Mode of Transportation
*
Please Select
Bus
Suburban/Van/Other School Vehicle
Other
Fill out required fields below for bus requests.
Bus Request Info
Fill out the info below to request a bus.
Sport or Activity
*
Please Select
Field Trip
Football
Basketball - Boys
Baskteball - Girls
Cheer
Cross Country
Track
Golf
Softball
Baseball
Wrestling
Volleyball
FFA
FBLA
FCCLA
Drama
Other (Specify in the Trip Details Above)
What time is the Bus Leaving:
*
Hour Minutes
AM
PM
AM/PM Option
Once at Destination, What Time is Bus Driver Excused from Duties and Responsibilities:
*
Hour Minutes
AM
PM
AM/PM Option
Time for Bus Driver to Report Back to Bus for Duties:
*
Hour Minutes
AM
PM
AM/PM Option
What is the Estimated Return Time:
*
Hour Minutes
AM
PM
AM/PM Option
Submit
Should be Empty: