Field trip permission form (Excel)

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					                      Field Trip Permission Form
                             [School Bus]     PN #:___
Sponsor                                School

Type of Activity                       Destination
Grade level Trip yes/no [circle one]   If so, Grade:_____________

Date of Trip                           *please submit no less than 2 weeks prior to trip


Departure Time                         * must be after 8:30 am

Return Time                            *must be no later than 2 pm

Route Bus will use


Chaperones




Principal Signature/date                         Transportation Supervisor Signature/Date




Assistant Superintendent Signature/date          Bus Number

                                                 Driver Assigned to trip
        Odometer Reading:
Beginning Mileage:                               Drive Time total:

Ending Mileage:                                  Down Time total:

Total Miles:                                     Driver Signature

Cost per mile: $0.30 $0.50    No charge
          [Circle one]                           Cost of Driver:

Mileage Cost:                                    Fixed Charge [0.195] __________________
                                                 Driver cost + Fixed charge______________
                                                 Mileage Cost        ___________________
                                                 Total of all Charges __________________

				
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posted:12/14/2011
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