Field Trip Approval Request Form

Field Trip Approval Request Form
General Field Trip Details
Trip Destination*
example@example.com
Location Information
In-StateOut-of-StateInternational TripWater ActivitiesExtreme SportsOther
Departure Date
MonthDayYear
Date
Hour MinutesAM/PM Option
Return Date
MonthDayYear
Date
Hour MinutesAM/PM Option
Trip Sponsor
First NameLast Name
Trip Sponsor's Cell Phone
Trip Sponsor's E-mail
example@example.com
Attendee Details
Name of School Group/Department
# of Students Participating in trip
# of Teachers
# of Parents
Total # of Chaperones
Additional Personnel
Cost Details
Actual Trip Budget from School's Fiscal Year Budget
Total Trip Cost
Unbudgeted Expenses
Cost to Each Student
Means of Funding Trip
Provision for Students Unable to Pay
Purpose of Field Trip
Trip Objective
Academic Standards (if applicable)
Trip Itinerary
Upload a file copy of the detailed trip itinerary
Cancelof
Additional Trip Information
Cancelof
Transportation
Method of Transport
Private VehicleBus CompanyAirline CarrierOther
Name of Bus Company
Name of Carrier
Name of Driver
First NameLast Name
Driver's License Verified?
YesNo
Explain
Will you be using local ground transportation?
YesNo
Explain
Agreements
Is the field trip and all activities covered by insurance?
YesNo
I have read and agree to the conditions outlined and agree to comply with them.
I agree
Additional Comments
Trip Sponsor's Signature

For Administrative Use Only
Does the field trip comply with all requirements of the regional Field Trip policy?
YesNo
Do you (school principal) authorize this field trip?
YesNo
Principal's Signature
Comments
KIPP Metro Atlanta Executive Team approval is required for this trip. Forward a copy of the confirmation email you will receive shortly to the Executive Director for final approval.
Executive Team Approval
Comments
Should be Empty:

Transportation