CARPINTERIA UNIFIED SCHOOL DISTRICT FIELD TRIP/ACTIVITY REQUEST
(Per Board Policy Nos. 3541.1 and 6153)
Destination
*
Purpose of Trip
*
Start Date of Trip and Start Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
End Date and End Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
School
*
Please Select
High School
Middle School
Aliso
Canalino/CFS
Summerland
CCP/SEALS
Type of Field Trip
*
Local, NO transportation needed
Local, District transportation needed
Out of the Tri-county area (Superintendent approval needed) and/or involves overnight stay and/or involves water , NO transportation needed
Out of the Tri-county area (Superintendent approval needed) and/or involves overnight stay and/or involves water , District transportation needed
Is this a Special Education class?
*
Yes
No
Food
* Pick up options: 1. Prior to leaving on the field trip, participating students will pass through the cafeteria, pick up their sack lunch and the cashier will enter their lunch card or student ID into the TITAN POS. 2. Teacher can pick up a bulk order without students present if they provide student information(student name and ID#) before picking up.
School provided food quantities if needed
Breakfast
Lunch
Afternoon Snack
Quantity
Students needing food
If any food allergies, please include here.
Requested by
*
First Name
Last Name
CUSD Email address
*
example@example.com
Date Submitted
*
-
Month
-
Day
Year
Date
If Dates/Times could not all be entered above, please explain here.
Contact Phone Number
*
Substitute Needed
*
Yes (*Include Cost Below)
No
Class time missed
Number of Students
*
Number of Adults
*
Time of Departure from school
*
Hour Minutes
AM
PM
AM/PM Option
Estimated arrival time back to School site
*
Hour Minutes
AM
PM
AM/PM Option
If this is a local field trip with no funding or transportation needed then you do not need to fill in any of the fields below. Just scroll to the bottom and click Submit.
If District Transportation is needed, then complete this section
Pick up at which School?
Please Select
Aliso
Canalino
Summerland
High School
Middle School
SEALS/Pupil Services
CCP
Total number of passengers
Number of Vans needed
Number of Buses needed
Destination
Date and time of Pickup at school site
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Pickup Time at Destination
Hour Minutes
AM
PM
AM/PM Option
If costs are involved then complete this section. Estimated Costs and Funding Source if applicable
This form will automatically calculate the total cost. Leave any fields blank that are not applicable. Transportation costs will calculated on the Transportation form.
Student Registration - Rate per student
Adult Registration - Rate per Adult
Total Registration Cost
Hotel number of nights
Hotel Rate per night per room
Number of hotel rooms
Total Hotel Costs
Estimate total cost for all meals here
How many FULL days will you need a substitute for? ($140/day)
How many HALF days will need a substitute for? ($70/day)
Total Substitute Costs
Other Costs
Total Estimated Trip Costs without Transportation
Funding Source/s
District
Parent Group
Grant
Other
Any Additional comments or information about your trip if necessary
No URL links please, attach documents below
Additional documents required will need to be uploaded below
The following documents MUST accompany this form: 1. Information about the trip (website printout, brochure, flyer) 2. List of students attending and chaperones 3. Mapquest/Google Map printout of route 4. Itinerary
Browse Files
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Additional documents required for Overnight trips: 1. Detail Overnight Plan including sleeping arrangements 2. Hotel information including costs
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Submit
Should be Empty: