Educational Field Trip Request

A transportation request must be completed for each trip. Please do not list multiple days/trips on one request. All trip requests must be filled out legibly and signed by the requester as well as the administrator of the school before it is forwarded to the Superintendent’s office for final approval. Requests Must be Submitted to the Transportation Office 10 days prior to the trip if school is in session or not. If you will be requesting a meal stop, please include that on the form. Maximum capacity is 44 passengers on each bus except lift buses. If you have any questions, please call extension 5331.

DATE & DAY OF TRIP	SCHOOL REQUESTING TRIP	GRADE & GROUP REQUESTING TRIP

_

NAME OF LOCATION	ADDRESS, CITY & ZIP OF LOCATION

TEACHER (S)	TEACHER (S) CELL PHONE

ADDITIONAL STOP (1)	ADDITIONAL STOP (2)	ADDITIONAL STOP (3)

NUMBER OF STUDENTS	NUMBER OF ADULTS	NUMBER OF W/CHAIRS	NUMBER OF BUSES

DEPARTURE TIME: __________ AM or PM	RETURN to school TIME: ___________ AM or PM

Educational Purpose of Trip: ____________________________________________________________

_____________________________________________________________________________________

Briefly list Pre Trip Activities: ____________________________________________________________

_____________________________________________________________________________________

Briefly list Objectives of Trip & Course of Study: _____________________________________________

_____________________________________________________________________________________

Briefly list Follow up Activities: ___________________________________________________________

_____________________________________________________________________________________

Teachers Signature: ________________________ Principals Signature:_________________________

Superintendent’s Signature: __________________________