Field Trip/activity Planning Report Template - The School District Of Palm Beach County
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1
2THE SCHOOL DISTRICT OF PALM BEACH COUNTY
Approved
Not Approved
Field Trip/Activity Planning Report and
Signatures required for approvals
Approval Request
Complete this request to receive approval for a field trip or school activity. (See Board Polices
2.40
and 2.404)
SCHOOL
SCHOOL #
TRIP SPONSOR
CLUB OR GROUP
DATE OF REQUEST
TRIP SPONSOR TELEPHONE
/
/
ACTIVITY OR FIELD TRIP
ACTIVITY CITY AND STATE
PURPOSE OF ACTIVITY OR TRIP
DESCRIBE ACTIVITY OR TRIP
TRIP/ACTIVITY BEGINNING DATE
TRIP/ACTIVITY BEGINNING TIME
TRIP/ACTIVITY END OR RETURN DATE
TRIP/ACTIVITY END OR RETURN TIME
AM
PM
AM
PM
/
/
/
/
:
:
FUNDING INFORMATION
No penalty of any type will be imposed against the student based upon a failure to pay. No student shall be denied the right to
participate for failure to pay. The principal may forgo a planned activity or use of a particular item based upon the collection of
insufficient funds to cover the cost of the item or activity.
Indicate the estimated cost of the following items on the lines provided:
1. Admission/registration
3. Meals
5. Enrichment Activity
2. Transportation
4. Lodging
6. Other Fees
Funding Source
Budget
Internal Accounts
$0.00
Total estimated costs
ITINERARY
Provide a complete detailed itinerary including times and location. Use approximate time if unsure of exact time. If applicable
list all probable stops including meals. (Example: 8:00 A.M. Bus leaves school parking lot; two hour travel time on bus , no
stops; 10:00 A.M. arrives Disney world, ...) Approval will be based upon this sequential schedule. There can be no additional
stops added without prior approval unless an emergency occurs. Parents must be aware of this schedule when their
permission is obtained. Attach additional sheets if necessary.
TIME
ACTIVITY
PBSD 1894 (Rev. 04/04/2012)
ORIGINAL - Principal or Area Office (as appropriate)
Copy - Sponsor
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