Field Trip Request Form

This form is to be used by teachers and sponsors to request approval for field trips. The information provided will be used to assess the feasibility and safety of the trip.

Trip Details

Trip Purpose

Grade level(s) of Students

Subject or Curriculum Connection

Teacher/Sponsor Information

Name

Title

School

Contact Information

Destination

Location

Address

If out of state approval is needed by the school board

Date and Time

Date of Trip

Departure Time

Return Time

Student Information

Number of Students

Number of Chaperones

Type of Transportation Needed

Transportation Requirements

Special Requests e.g. wheelchair accessibility

Funding Status

Please indicate the funding status for this trip (required) Yes No Grant for Funding

Grant Funding Fill this out if you selected Yes

Approval

Transportation Director

Transportation (required) Pick one or more than one depending on needs Bus 1 Bus 2 Suburban Van

Principal

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