6th Grade Field Trip Permission Form
The teachers, staff and administration of Newark City Schools have been assisting A Call to College with
running the third year of a program called PEAK. PEAK stands for Providing Early Awareness and
Knowledge. PEAK has a simple goal: to encourage Newark 2nd, 4th, 6th and 8th graders to focus on their future
and to help them understand how education and training beyond high school greatly increases opportunity. This
year PEAK began programming in all 6th grade classrooms, in addition to continuing to work with every 2nd, 4th
and 8th grader in the district.
This fall your 6th grader has been learning about college and career pathways through six specially designed
“Kids2College” lesson plans. The final activity includes a 3-hour field trip to one of six central Ohio college
campuses (Central Ohio Technical College, Denison University, Mount Vernon Nazarene, Ohio Dominican
University, The Ohio State University at Newark, and Ohio University at Zanesville).
IN ORDER FOR YOUR CHILD TO PARTICIPATE IN THE FIELD
TRIP, THIS PERMISSION FORM MUST BE SIGNED AND
RETURNED BY NOVEMBER 4, 2011.
Destination and date of your student’s field trip (Lunch will be provided):
Central Ohio Technical College Denison University Mount Vernon Nazarene University
Ohio Dominican University The Ohio State University at Newark Ohio University at Zanesville
Friday, December 2 (Heritage) Monday, December 5 (Liberty) Tuesday, December 6 (Wilson)
Waiver and Release of Liability
I have read and understand this permission form. By signing below I assume full responsibility for any and all
risk for my child’s participation in the Kids2College field trip sponsored by A Call to College and the Newark
Print Student’s Full Name ____________________________________________________________________
Print Name of Parent/Guardian ________________________________________________________________
Signature of Parent/Guardian _______________________________________Date ______________________