Field Trip Form Rev. 6.2026

FIELD TRIP REQUEST

Please complete the following form to request approval for a field trip.
Requester's Name
Person listed has ultimate responsibility for the trip
Date of Request

MonthDayYear
Date
Which building are you associated with?
Email
example@example.com
What is your school email address?
example@example.com
Group Taking the Trip
Date(s) of Trip:
Name of business or facility you are planning to visit (eg The Indianapolis Zoo)
Street Address of Destination: (Be Specific)
City of Destination
Destination State
Fee Charged per Student
Specific Amount Paid
Number of Students
Number of Chaperones
Total Number Being Transported
Grade Level of Students being Transported
Indicate all grades
Number of Students Absent From School Lunch
During School
Do you want school lunches for your group?
Total School Lunches Requested
(Include Drivers)
Out-of-State Field Trip:
Is this an overnight field trip?
Will substitute teachers be needed?
Please indicate None, Whole Day, or Half Day

Curricular & Competitive Activities - School Bus

Fee Category	Amount	Notes
Driver Wages & wage-related benefits	Actual Cost	Charged from pre-trip through post-trip inspection
First school Bus	No base usage fee	Driver costs still apply
Each additional school bus	$80 per bus	Driver costs apply, and an additional bus fee applies
Mileage over 200 miles	$2.00 per mile	Charged for each mile over 200 total round-trip miles (verified by GPS)
Superintendent's Authority	Fees	The superintendent has the authority to waive fees for subject or curricular-related activities

Curricular & Competitive Activities - Activity Buses

Fee Category	Amount	Notes
First Activity Bus	No base usage fee	Driver costs apply when applicable
Each additional activity bus	$60.00 per bus	In addition to driver costs, the additional bus fee applies per bus
Mileage over 200 miles	$2.00 per mile	Charged for each mile over 200 total round-trip miles (verified by GPS)

Non-Curricular or Non-Contest Activities

Fee Category	Amount	Notes
First bus usage fee	$30.00	Driver costs apply when applicable
Each additional bus	$80.00 per bus	In addition to driver costs, the additional bus fee applies per bus
Mileage over 200 miles	$2.00 per mile	Charged for each mile over 200 total round-trip miles (verified by GPS)
Total trip fee	Superintendent/designee	Set and approved prior to the trip

Multiple Trips to the Same Location

Scenario	Fee Application
The same bus makes multiple trips to the same destination	Each additional trip is charged as an additional bus
Multiple buses are used simultaneously	Additional bus fees apply per bus

Please Request the Number and Type of School Buses (The number indicates capacity with 3 students to a seat)

An administrator will have the ultimate responsibility for assigning the number and size of buses
Large Bus w/ Luggage
84 passengers with 3 students per seat
Regular School Bus
72 passengers with 3 students per seat
Wheelchair Bus
54 passengers w/ wheelchair
Activity Bus
Limited to 14 passengers
Departure Location
Use Door Number or East/West Side of Building
Departure Time

Hour Minutes

AM/PM Option
Return to Location
Use Door Number or East/West Side of Building
Return Time

Hour Minutes

AM/PM Option
School Rep's Name that will have a cell phone
School Rep's Phone Number

Area CodePhone Number
Site Contact Name
Site Contact Telephone Number

Area CodePhone Number
Activity Description

0/250
Signature
Date

MonthDayYear
Date
NOTE: All field trips outside the state or overnight must be approved by the Board of Education.

FIELD TRIP REQUEST