Field Trip Request

Class and Teacher(s) *

Date of Proposal *

Date of Trip *

Destination and address *

Time Departing *

Time Returning *

Leaving from

Description and Plan for Trip *

Approximate Cost (send invoice to Lisa for payment ASAP) *

Connection to Student Learning *

Students Will: *

• Return for Lunch
• Have Lunch Out

Is a sub needed?

• Yes
• No

Any sub information:

Submit