Child Care~rie 34 Cornell Drive Canton, NY 13617 607.867.

5309

Field Trip Permission Form

Dear Parent or Guardian, Your child is going on a field trip! Please read the information at the top of this form, then sign and return the permission slip at the bottom of this form by September 10 th, 2014 Field Trip Information: Date: Thursday September 25, 20 ! o!ation: "#$s Pump%ins & 'orn (ai)e *d+ards, ,e+ Yor% Purpose: -all Theme -ield Trip "ost: .5/00 per Student for the purchase of 2 small pump%ins "ash or !he!# payable to: 'hild 'are0rie $eans of Transportation: 1oo #us 2-ree3 ea%e s!hool: 0450 &rri%e ba!# at s!hool: 450

Spe!ial Instru!tions: Please pac% a paper bag lunch +ith no plastic containers/ 6ater bottles +ill be pro7ided during the trip/ Dress for fall +eather and bring a 8ac%et/ ''In need of 2 !haperones( Save this part of the form for future reference.

Cut here))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))) Cut here Sign this part of the form and return it to your child's teacher. 99999999999999999999999999999999999999999999999999999 has permission to attend a field trip to "#$s Pump%ins & 'orn (ai)e *d+ards, ,e+ Yor% on Thursday September 25, 20 ! from 0450am to 450pm/ *nclosed, please find cash:chec% in the amount of 999999999999999999999 to co7er the cost of the trip/ ; gi7e my permission for 9999999999999999999999999999999999999999 to recei7e emergency medical treatment/ ;n an emergency, please contact4 ,ame4 99999999999999999999999999999999999999999 Phone4 999999999999999999999999999999 Parent:Guardian Signature4 99999999999999999999999999999999999 Date4 999999999999999999999

<<; am interested in 7olunteering to chaperone for this trip

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