Kindergarten & 1st & 2nd Grade - John's Incredible Pizza

Kindergarten & 1st & 2nd Grade - John's Incredible Pizza

FIELD TRIP PERMISSION SLIP
Date of Trip

MonthDayYear
Date: 05/09/2025
Location: John's Incredible Pizza
Event Date: Friday, May 8, 2026
Start Time: 11:00am
End Time: 2:00pm
Details: All students must wear their maroon BCS polo and bring their BCS string backpack. The office has some to purchase for $10.

ATTENTION: All permission slips and payment must be turned in by 5/01/26. LATE SLIPS WILL NOT BE ACCEPTED.

All you can eat lunch buffet! Includes game credits. Students can bring extra money for additional game credits/tokens. Extra money to be brought the day of field trip in an envelope with their name on it.

Cost Per Child: $25
Cost Per Chaperone: $20
Due Date: Friday, May 1, 2026
Student Information
Student Name*

First NameLast Name
Teacher*
Parent Information
Parent Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Format: (000) 000-0000.
No. I cannot attend.Yes (I am an approved chaperone through Bethel).Yes (But I need to complete the Bethel volunteer/chaperone application process).
Emergency Contact Information
Name
Relationship
Phone Number
Format: (000) 000-0000.
Medical Information
Important Medical Information The Supervisor Should Know
Payment Information

Order Information (select all that apply)

Student$25.00

Cost of Chaperone$20.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Terms & Conditions
**All drivers please provide: Completed driver form, valid driver’s license, current insurance and registration.
By my signature I indicate that I am aware that during any field trip or excursion away from the school, certain dangers may occur including, but not limited to, the hazards of accidents or illness in places without medical facilities, hazards created by the forces of nature, and hazards of travel by air, train, bus, automobile, and other means, including walking.

Further, in the event of illness or injury, I do hereby consent to whatever x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care are considered necessary for the individual in the best judgment of the attending physician, surgeon, or dentist and performed by or under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services.

I understand and do hereby assume all of the above-mentioned risks and will hold Bethel Christian Schools and its representatives harmless from any and all liability whatsoever which may arise out of or in connection with a trip or participate in any activities arranged for the participant by Bethel Christian Schools. The terms hereof shall serve as a release and assumption of risk for my heirs, executor and administrators and for all members of my family.

(If this is a pre-paid Field Trip we may not be able to refund if your child does not attend.)
Authorization Signature
By signing below, I acknowledge that I have read, understand, and agree to the Terms and Conditions listed above.Furthermore, I certify that I am the Parent or Legal Guardian of the student named above and that all the information provided is true and correct to the best of my knowledge.
Parent/Guardian Signature*

Clear
Bethel Christian Schools | 2425 Van Buren Boulevard, Riverside, CA 92503 | (951) 359-1123
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Kindergarten & 1st & 2nd Grade - John's Incredible Pizza

Student Information

Parent Information

Emergency Contact Information

Medical Information

Payment Information

Terms & Conditions

Authorization Signature