- 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:

Welcome to Bethesda Baptist Church

Meet the Pastor AMEW Events Calander

Field Trip Form