Explore College Parent Permission

							                           Anne Arundel County Public Schools – Field Trip Permission Form




                                                                                                                         January 2012

Dear Parents/Guardians:

        The AVID program at Broadneck High School is sponsoring a fieldtrip with Explore Colleges April
2-4, 2012 to visit seven different colleges in the VA-NC region. The trip will be taken on a properly
insured carrier. The cost of the trip is $390 per person (please make checks payable to BHS-AVID). The
$390 covers transportation, food, and lodging. If a student does not have the money readily available, a
payment plan can be established (please contact the AVID coordinator).

         Please be advised that ALL field trips are subject to cancellation AT ANY TIME by the Board of
education, the Superintendent of Schools or the Superintendent’s designee when, in their sole
discretion, cancellation is in the best interests of students and staff. In such cases, parents and students
bear the risk of loss for financial or other commitments responsible for any losses arising out of
cancellations.

         The group will be accompanied by Mrs. Diane Casey (BHS AVID site coordinator), Ms. Arthurmae
Gray (BHS AVID Administrator). The students will leave BROADNECK HIGH SCHOOL at 7:30am Monday
April 2nd and will return to Broadneck by 8:00pm on Wednesday April 4th. There are only 40 spaces
available; therefore, participants are chosen on a first come, first served basis. Please sign and return
the lower portion of this form to Mrs. Casey (AVID Site Coordinator at Broadneck High School) if your
child has permission to attend this college visit.

Sincerely,

Diane G. Casey                                                                       Arthurmae Gray
Mrs. Diane Casey – AVID Site Coordinator                                             Mrs. Arthurmae Gray – AVID Administrator
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Please return to MRS. CASEY by Jan. 20 with a $25 non-refundable check made payable to BHS-AVID.

_________________________________ has my permission to take the college visit to VA-NC on
Monday April 2nd through Wednesday April 4th. I (we) believe that the necessary precautions and plans
for the care and supervision of my child during this trip will be taken. I (we) understand that I (we) may
be responsible for payment in the event of cancellation or postponement of this trip.

______________________________                                  _________________________                            _____________
PRINT Parent/Guardian Name                                      Parent/Guardian Signature                            Phone Number

Please include e-mail for future correspondence: _____________________________________________

PERTINENT PHYSICAL or MEDICAL CONCERNS THAT THE STAFF SHOULD KNOW (i.e. allergies,
asthma…) USE THE BACK IF NECESSARY: