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Teacher's Edition
Field Trip Form
Date
Field Trip Form
Specific (One Time Trip)
Yes
No
N/A
Water Related
Yes
No
N/A
Repeating Trip
Monthly
Weekly
N/A
Destination:
Purpose
Supervision
Students will be directly supervised by adults on this trip. List Exceptions if Any
Transportation: (Check all that apply)
Walking
Church Van
Commercial Carrier
Private Vehicle
None (provide own)
Leased Vehicle
N/A
Drivers of Private or Leased Vehicles (Check all that apply.)
Parent
Teacher or Staff Member
Church Transportation Driver
N/A
Parent Permission
I give permission for ___________________________ to participate in the field trip(s) described above. I understand that neither the A More Excellent Way Learner Center nor Bethesda Baptist Church accept responsibility for any unforeseen injuries or accidents that my child receives while on the field trip. In the case of injury, I give permission for A More Excellent Way Learning Center staff to seek appropriate medical treatment, if I cannot be reached. I understand that this is an AMEW sponsored trip and the student code of conduct applies at all times. By signing this form, you acknowledge that you have reviewed the attachment and have carefully considered the particular risks or hazards, including any related to water activities, if any, and associated with your child’s participation in the activity.
My student may participate in the field trip, but NOT the water related activities.
Yes
No
N/A
Telephone No:
Emergency No:
Medical Concerns/ Allergies:
Physician’s Name:
General Comments:
Parents/Guardians Name:
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