6th-Grade Field Trip to Indianapolis

6th-Grade Field Trip to Indianapolis

Wednesday, May 24, 2023
Student Name

First NameLast Name
Student's Homeroom Teacher
Parent Contact

First NameLast Name
Parent Contact's Phone Number
Please enter a valid phone number.
Emergency Contact (Other than Parent)

First NameLast Name
Emergency Contact's (Other than Parent) Phone Number
Please enter a valid phone number.
I understand that my child will need to bring a water bottle, wear comfortable shoes (no flip-flops or sandals), and wear clothing appropriate for the weather.
I understand that my student will need only enough money to purchase lunch at Circle Center Mall. There will be no additional cost. We estimate $15.

YesNo
I understand the cell phones are allowed, but they are the responsibility of the student.

YesNo
As the parent/guardian of the above named student, I give my permission for him/her to participate in the field trip to Indianapolis. I understand that every reasonable precaution will be taken to safeguard my child during, and in transporting my child to and from each activity. I agree to release and hold harmless the Southeast Dubois County School Corporation, bus drivers, and school employees from liability and any injury cased by the child's own actions or from actions not foreseeable or beyond the school's control while attending/participating in the field trip. Signature

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Date

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Date
Interested in signing up to chaperone on the 6th-grade field trip to Lucas Oil Stadium and the Indiana State House? Click HERE to sign-up.
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