Field Trip FIELD TRIP REQUEST
Teacher Making Request:
Principal's Signature : Date of Approval:
Central Office Approval: Date of Approval:
County Nurse Signature: Funding SourceL
Date Trip is Group, Class, Number of Number of Number of Departure and
Destination of Trip
Planned Etc. Students Chaperones Buses Return Time
Curriculum Trip Correlation:
A Letter of explanation of the trip may accompany this form.
This form must be completed (with principal and nurse signatures) before approval
will be considered.
(Wayne County Board of Education, pending the state of terror alert or any other factors concerning safeth of the students, reserves the right to cancel this field trip.
Due to this concern, arrangements should be made so that money can be refunded or travel insurance can be offered to students/parents.)