Field Trip Request Form

Field Trip Request Form
School Information
Date of Request

MonthDayYear
Name & Title of Employee Applying for Request
Date of the Trip (Ignore the time as it is only intended to limit scheduling to max 2 Same Day Requests)
School/Campus Requesting Trip
Date(s) of Field Trip
Grade and Sections Attending
Total Number of Student Attending
Names of the Staff Attending
Total Number of Chaperones Attending
Name of Activity/Program
Educational Purpose of Activity/Program

Confirmation
Before submitting this field trip request, please check the field trip calendar to confirm that no more than two field trips have already been scheduled for the selected date. Submissions beyond this limit will not be approved.
Confirmation
Travel Information
Pick-Up Address

Street Address

Street Address Line 2

CityState

Zip Code
Destination Address

Street Address

Street Address Line 2

CityState

Zip Code
Bus Pick-Up Time and Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Departure From Event Time and Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Costs
Cost Per Student
Cost Per Staff Member/Chaperone
Please specify if cost is added to the cost per student and how much, if staff member/chaperone pays for themselves indicate how much, or if the venue provides free ticket(s) and quantity (i.e. $2 is added to cost per student toward staff ticket, or one free ticket for every 10 purchased, etc)
Total Cost of Program for School
Funding Source
Comment/Explanation
Transportation Information
How many buses are you requesting (Yellow bus can accommodate up to 53 persons).
Approximate Cost for Bus(es) - Completed by Central Office
Lunch Requirements
Signature
Signature
Email
example@example.com
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty:

School Information