Club or Activity Field Trip Request
Teacher or Staff Member
*
Email
*
example@example.com
Sponsor (club)
Proposed Activity
Number of Students
Roster
Upload Roster
Names of Chaperones (1/20 students)
Chaperones Safe Environment Trained?
Driver Information Forms complete?
Total number for event
Date of Activity
Departure time
Return Time
Sites to be visited
Objective of Field Trip
Follow Up Lesson
Requirements
Transportation
Expenses: Cost of Field Trip and who pays?
Food/Beverage
Substitute Needed? What Periods?
Other Special Requirements
Submit
Should be Empty: