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Overnight Field Trip Request Form

Please complete the form below. Required fields marked with an asterisk *

School*

Answer required for "School"

Class, Club, or Department*

Answer required for "Class, Club, or Department"

Number of Students*

Answer required for "Number of Students"

Cost per student*

Answer required for "Cost per student"

List of Chaperones and Volunteers attending*

Answer required for "List of Chaperones and Volunteers attending"

Departure Date*

Answer required for "Departure Date"

Return Date*

Answer required for "Return Date"

1st Destination and Date, i.e., Chattanooga Aquarium, TN mm/dd/yyyy*

Answer required for "1st Destination and Date, i.e., Chattanooga Aquarium, TN mm/dd/yyyy"

2nd Destination and Date, i.e., American Museum of Science and Energy, TN mm/dd/yyyy

Answer required for "2nd Destination and Date, i.e., American Museum of Science and Energy, TN mm/dd/yyyy"

3rd Destination and Date, i.e., The Lost Sea, TN mm/dd/yyyy

Answer required for "3rd Destination and Date, i.e., The Lost Sea, TN mm/dd/yyyy"

4th Destination and Date, i.e., Museum of Appalachia, TN mm/dd/yyyy

Answer required for "4th Destination and Date, i.e., Museum of Appalachia, TN mm/dd/yyyy"

Specific fundraising opportunities to cover the total cost of the field trip*

Answer required for "Specific fundraising opportunities to cover the total cost of the field trip"

Scholarship opportunities

Answer required for "Scholarship opportunities"

Educational objective(s)

Answer required for "Educational objective(s)"

Means of evaluation

Answer required for "Means of evaluation"

Means of transportation*

Answer required for "Means of transportation"

Please attach the itinerary here.*

Answer required for "Please attach the itinerary here."

Choose a file or drag it here.

Before departure all students and parent/guardian and chaperones will read and sign the Rules and Regulations Statement and chaperones must receive Volunteer training.

The Student Health Information Form will be completed by each student’s parent/guardian before departure.

Teacher/Supervisor Attestation

Teacher/Supervisor must check the following box.*

Answer required for "Teacher/Supervisor must check the following box."

I deem this field trip to be consistent with school board policy governing field trips.

Principal Attest

Principal must check the following box.*

Answer required for "Principal must check the following box."

I deem this field trip to be consistent with school board policy governing field trips.

Superintendent's Approval

Based on a review of this form, I:

Answer required for "Based on a review of this form, I:"

Approve this over night field trip request

Disapprove this over night field trip request

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"