Overnight Field Trip Request Form (Page 2 of 2) in pdf

Revised 5/2/00

ACTIVITY BUS REQUEST

TO:

Director of Transportation

Central Office

FROM:

____________________________________

____________________________

(Print) Group/Class Leader

School

I will require the use of an activity bus(es) on ________________________ for the purpose of

Date

Transporting __________ students/adults to _______________________________________________. I want to leave the

Total number

Destination

School at ______________________, and we sill return about ____________________.

Time

______________________

I will furnish the driver(s) (You will be responsible for paying driver)

______________________

I request you furnish ___________ driver(s).

Number

NOTE: If using a full-time bus driver, plan to leave after 8:00 AM and to arrive back at your school by 1:30 PM.

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The following checked items will be responsibilities required of the bus driver(s) on this field trip:

Moving food and drinks

Getting food and drinks to picnic areas

Supervising students

Cleaning picnic areas

Cleaning the bus

Delivering students home when returning to school late

Check if you

If yes, is this a:

are requesting

Professional trip ______________________________.

the staff van.

Student field trip

Date

________________________________________

Signature – Group/Class Leader

Signature – Principal

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The transportation you requested for ____________________ has been assigned. If you are furnishing the driver, the key(s)

may be picked up at the Transportation Office on ____________________ after __________________.

Your request for transportation cannot be scheduled on the date requested.

Comments:

____________________________________

Signature – Transportation Director

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Superintendent’s statement regarding the use, care and maintenance of activity buses owned by Lexington City Schools.

As you are aware, these buses are high cost items that require constant maintenance to keep them in a safe, sanitary and comfortable state of

readiness. The Transportation Department will mechanically care for the buses, fuel them, change and add oil, and have them ready for your trips.

Users are required to take special care of the buses while on trips. When the trip is completed, the driver must complete the trip sheet, assure that the

bus is parked in the proper place and secured by closing all windows and locking all doors (when so equipped). The group or class leader will be

responsible for seeing that the bus is returned clean and ready for the next trip. The Transportation Department will inspect each bus after

completion of a trip. If any one of the aforementioned items is not completed, there will be a flat charge of $25.00 to the group or class using the bus.

Overnight Field Trip Request Form Page 2

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