GRADE 5 FIELD TRIP PERMISSION SLIP
I, the undersigned parent (or guardian) of __________________________ do hereby give my permission and consent for my child to visit: Luther High School on the following date: Friday, November `14, 2008
Departure time: 9:10 A.M. Arrival time: 9:15 A.M.
Means of transportation: car Cost: NA
If parents have ay special requests to make concerning their child, they should convey their desires in writing to the instructor in charge, and if feasible, their request will permitted; otherwise, the pupil must abide by the decision and judgment of the instructor at all times. This trip permission slip must be signed by the parent or guardian and be on file with the instructor before a pupil will be taken on a field trip.
Return time: 12:20 P.M.
SIGNATURE:__________________________
(Parent or Guardian)
______ I can drive for this trip. I can seatbelt _____ students.
______ I will eat a hot lunch at Luther.
______ I will bring a sack Lunch to Luther.
______ My child will eat lunch furnished by Luther High.
______My child will bring a sack lunch to Luther.