Tuesday, June 18, 2013
Items denoted with a red asterisk * are required.
Field Trip Description
 

Your child is going to ride by bus to a Saginaw nursing home to sing periodically throughout the year. They are to wear their black and white outfit as described in the choir handbook.
 
 
 
 * I give permission for
 
First Name
M.
Last Name

Child's First Name / Last Name
 
 
 
 * Class Name and Grade
 
 
 
 
 * Teachers Name
 
 
 
 
 * Parent/Guardian Name
 
 
 
 
Phone
 
 -  - 
(XXX)-XXX-XXXX
 
 
 
 * Parent/Guardian Signature
 
 
 
 
In case of emergency,
I give permission for my child to receive medical treatment.
 
 
 
 
 * Emergency Contact
 
First Name
M.
Last Name

First Name / Last Name
 
 
 
 * Emergency Contact Phone Number
 
 -  - 
(XXX)-XXX-XXXX
 
 
 
Please print, sign and return form to me as soon as possible.
 
Click to View Date Picker
 
 
 
 
 
 
 
 
I understand that all students participating in this trip will be responsible in conduct to the driver and to the teachers or adult sponsors at all time. It is further understood that students are required to go and return from this event on the transportation provided, unless prior arrangements have been made. Authorization to treat a minor: In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the school staff to secure proper treatment for my child.
 
 
 
 
 
 
 
 
A paper copy with an original signature is required for your child to attend this field trip.


Electronic submissions are for teachers records only.