Field Trip Permission Form

Your childs class will be attending a fi eld

trip to:

Tasty Roots (Restaurant)

Tim
e

Leaving the school at 11:45 AM/ Return to

school at 3:00 PM

Date

7/5/16

Location

Tasty Roots

Cost

10.00

Transportatio
n

School buses provided from Mountain Valley Transportation

Notes

Tasty Roots is farm-to-table restaurant that is prepares healthy and local produce.

Please return this permission slip

by:

No later than Friday July 1, 2016

I give permission for my

child
to attend the fi eld trip
to
from

11:45 AM

Enclosed is
$

10.00

in room
Tasty Roots

on

201

July 5, 2016

to 3:00 PM
to cover the cost of the trip. (Exact cash or check made payable to
school.)

In case of an emergency, I give permission for my child to receive medical treatment. In case of
such an emergency, please contact:
Name

Phon
e

Parent/Guardian
Signature

Date