Please fix the highlighted areas below before submitting.

Field Trip Request

Please complete the form below. Required fields marked *

General

Trip Coordinator:*

Answer Required

Date of Proposed Trip:*

Answer Required

Time Leaving*

Answer Required

Time Returning*

Answer Required

Class Information

Grades Attending:*

Answer Required

Faculty/Staff Attending

Answer Required

# Students Attending*

Answer Required

# Passengers (Including students, staff/faculty, chaperones, etc.)*

Answer Required

Transportation Preference

Answer Required

Van

Bus

Public Transportation

Other:

Destination

Location Name*

Answer Required

Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal

Answer Required

Destination Contact

Contact Name

Answer Required

Phone

Answer Required

Additonal Information

Notes

Answer Required

Confirmation Email

Confirmation Email *

Email Required