I give permission for my child,
_______________________________
to
participate in an upcoming field trip off the premises of Skribbles
Learning Center.
I understand that all proper staff/child ratios will
be
followed.
The
field trip will be to:______________________________________
The
date is:_________________________________________________
Time
of Departure:___________
Time of Return:_____________
Transportation:
FIRST STUDENT TRANSPORTATION
Child
cost:__________ Parent/Adult Cost:
______
#
Children: __________
#
Adults:________________
Additional children named below
____________________________
Named Adult:_______________
____________________________
Named Adult:_______________
Check if you would like to be a volunteer
chaperone Yes______
No______
* Chaperone may have a designated group of up to 3 children.
Name of Attending
Chaperone:____________________________________
Parent
Signature:_______________________________________________
Printed
Name:_____________________________________Date:________