WARREN CONSOLIDATED SCHOOLS

FIELD TRIP PERMISSION SLIP

Dear Parent or Guardian:

Plans are being made for your son/daughter to leave the school on a field trip to: _________________________________________________________________________________

___________________________________at _____________ on _________________ , returning at

^{(time) (date)}

approximately ____________ on __________________.

^{(time) (date)}

Curriculum Objective:________________________________________________________________ _________________________________________________________________________________

Transportation will be:

In a Warren Consolidated School Bus In a chartered bus

Food Arrangements:

None Bring Lunch Items may be purchased

Cost:___________________

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WARREN CONSOLIDATED SCHOOLS STUDENT TRIP AUTHORIZATION FORM

Please return by ________________

Name of Group _______________________________________________________________

Destination ____________________________________________ Date __________________

I hereby authorize and request Warren Consolidated Schools to permit my son/daughter/ward ______

_________ __ to participate in the above described student trip and to transport my student. I hereby grant my student permission to participate in this student trip. I acknowledge that the participation of my student is voluntary and that the Warren Consolidated School District, its officers, agents and employees do not have any additional responsibility by participation in this activity. I hereby assume all responsibility for any personal injury to my student named herein or any damage, theft or loss of personal property of which s/he may take with him/her on this trip.

Date: _______________

Signature of Parent/Legal Guardian

Home Phone__________________

Work Phone___________________

Cell Phone _________________