Field Trip Planning Form
v3.2
All field trips must be approved in advance. Please discuss this with your supervisor before you fill out this form.
Requests for funds, nursing and transportation must be made at least 3 weeks in advance
Emergency Information must be carried at all times
You also are responsible for collecting all necessary permission forms from the parents.
Interrpreter request is no longer part of this form. If you need one, you need to make that request seperately (
Interpreter Request Form
)
If you select "yes" to student lunch boxes, Deb (Food Services) will be notified
If you need to cancel or modify any information AFTER you have submiited the form, please e-mail TFurlong@rideaf.net
Name
*
First Name
Last Name
Email
*
example@example.com
Is this field trip for:
*
Please Select
K-12 Class
Athletics / After School
Transition Program
Departure Date & Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Departure Day:
Return Date & Time:
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Return Day:
Where? Name of location
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Staff participating
*
PLEASE LIST EVERYONE's NAME
Student participating
*
PLEASE LIST EVERYONE's NAME
Vehicle Request:
*
Yes
No
Driver Request (YES is required if # of staff/students = 8 or more )
*
Yes
No
Do you or other staff going on the trip have chauffeurs license?
*
Yes
No
I don't know / Not sure
Which vehicle are you requesting:
Red Chevy Van - up to 14 passengers (DRIVER IS REQUIRED)
White bus w/ Lift - up to 14 passengers + wheel chair (DRIVER IS REQUIRED)
Old White Bus - up to 14 passengers (DRIVER IS REQUIRED)
Red Transit van - Up to 7 passengers ( w/driver makes 8) (DRIVER NOT REQUIRED)
Chrysler mini-van - up to 6 passengers (driver makes 7) (DRIVER NOT REQUIRED)
White pick-up - up to 3 passengers (driver makes 4) (DRIVER NOT REQUIRED)
Rent Bus - for 42 or more people (DRIVER REQUIRED)
Students will need box lunches
*
Yes
No
Do you need a nurse to go on the field trip? (note: it could take a week or more for the Nursing agency to find someone)
*
Yes
No
Describe any physical activity that will take place
*
Cost of Trip:
*
$
Funding source:
*
Purpose of field trip & standards directly applied:
*
Do you need coverage? Please put down the dates & periods
*
Did you send home permission slips for the Parents/Guardians to sign?
*
Yes
No
Please verify that you are human
*
Submit
Should be Empty: