Field Trip Requests

You must also upload your field trip permission slip at the end of the form.

First Name *

Last Name *

Your Email *

First Day of Proposed Trip *

Last Day of Proposed Trip (if trip is multiple days)

Alternative Trip Start Date (If Applicable)

What time will you be leaving and returning to CCA? *

What class will be attending and how many students? *

Destination/Description of Activity *

Objectives (Briefly state the purpose of this trip & what you hope to accomplish) *

What type of follow-up is planned for the classroom? *

Will there be chaperones? *

How many vans will be needed? *

Who will be driving the van/s? *

What provisions have been made for the students unable to go on the trip? *

Is a Substitute Required? *

Yes

Have all impacted teachers been notified? *

Yes

What is the cost for the students? (Add one dollar per student for gas and transportation) *

What is the cost for CCA? *

Dress Requirement *

Lunch Plans *

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