Field Trip Request Form
ADVERTISEMENT
1
2FIELD TRIP REQUEST
Tazewell County Public Schools, 209 W. Fincastle, P.O. Box 927, Tazewell, Virginia 24651-0927
NOTE: Field Trip Request not received in this office two weeks (14 days) prior to the date of trip will not be considered for approval.
List teachers and chaperones assuming responsibility on back of form.
Reviewed checklist on back of form: □ Yes
□ No
Today's Date:
School Submitting Request: ______________________________
Contact Person for this trip: ___________________________________________________________________
Is this a new Field Trip Request? □ Yes
□ No
If yes, complete Section 1. If no, continue to next line.
If you answered yes to any one of the questions below , complete Section 2.
Is this request an update from a previous request that has already been approved? □ Yes
□ No
Is this trip a rescheduled sports trip or a time change for a sports trip? □ Yes □ No
Is this a cancellation notice for a trip that has already been approved? □ Yes □ No
Section 1 - Must be Completed:
Destination of Trip: _____________________________
Grade, Class or Organization: ______________________Reason for Trip: _________________________________
Check One: Check One:
Estimation of the number of students to be transported: ________
Cost to each pupil: ________
□ Curricular □ School Bus
Amount paid per pupil by organization: ___________
□ VHSL
□ Activity Bus
Departure Date: _____________________ Time: _____________
□ Other
□ Special Needs Bus
Return Date:
_____________________ Time: _____________
□ Other
Pick up location: ____________________________________________________________________________
Will this bus pick up students from any other school? □ Yes □ No
(If yes, name each school below):
If any information is missing in this section, the request form will be returned and no transportation will be provided.
NOTICE: If a trip is cancelled or rescheduled, please complete a new form and fax to the
Transportation Office at 988-0316.
Section 2 - Sports and Field Trip changes - For Section 2 Only - Fax to 988-0316
Sport or Group: _____________________________________
Rescheduled Information Needed:
Destination of Trip: ________________________________________
Original Date: _______________
Do you want transportation to cancel the trip listed?
□ Yes □ No
Original Time: _______________
Does this trip involve any other school? □ Yes □ No
New Date: __________________
Principal or AD Signature: _________________________________
New Time: __________________
_____________________________________________
SIGNATURE/POSITION OF PERSON SUBMITTING REQUEST:
___________________________________ _____________________________
□ REJECTED □ APPROVED
PRINCIPAL
DATE
___________________________________ _____________________________
□ REJECTED □ APPROVED
IMMEDIATE SUPERVISOR (CENTRAL OFFICE)
DATE
___________________________________ _____________________________
□ REJECTED □ APPROVED
SUPERINTENDENT / DESIGNEE
DATE
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Education