Our Lady Help of Christians Academy

Field Trip Request Form

Complete this form to provide the school with the details of your proposed field trip.

Teacher(s) Requesting Field Trip *

Class(es) Attending Field Trip *

Number Of Students Participating *

Destination (Name & Address) *

Destination Phone Number *

Destination Email Address

Destination Contact Name *

Date Of Field Trip *

Month

Day

Year

Day Of The Week *

Time Of Departure From School *

Hour

:

Minute

am

pm

Time Of Departure From Destination (To Return To School) *

Hour

:

Minute

am

pm

Explain Desired Educational Outcomes Of This Field Trip *

Destination Parking Considerations (availability, cost, etc.) *

Additional Comments (include link to destination website, if available) *

Field Trip Cost Estimate (per student) *

Field Trip Drivers *

Field Trip Chaperones *

Name Of Teacher/Staff Member Submitting Request *

Date Request Submitted *

Month

Day

Year

Must be at least 14 days prior to the proposed Field Trip date.

Leave this field blank