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.
I have confirmed that no more than two submissions are scheduled for the date I am planning the trip.
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