Permission Forms for Field Trips


Bedford County Public Schools

P.O. Box 748

Bedford, Virginia  24523

STATEMENT OF PERMISSION AND RELEASE FOR A FIELD TRIP

School:    Bedford Middle

Trip Description:              Lynchburg College & CVCC, Lynchburg, VA

Departure:    11/7                   9:00 am                  Return:            11/7              2:00 pm                                                                                          Date                                Time                                                                          Date                            Time

Sponsor/Teacher:   Mrs. Slingerland, Mrs. Cherie Markham, 

Cost: None 

       (Parents/Guardians: Return bottom portion to school  Retain top portion for you information.)

_________________________________________________________________________________________

     I, the parent/guardian of _________________________give him/her permission to attend the field trip to           Lynchburg College & CVCC, Lynchburg, VA .  It is understood that the student will obey the authority of the sponsor and will abide by all school rules and regulations as outlined by the “Student Code of Conduct” while on the field trip.

     Any infraction of the rules and regulations by my child will release Bedford County Public Schools and its employees from all claims that may be a result of the infraction.  My child has an Emergency Information Card on file at school.

 

_________________________________________          _________________________________________

                                   STUDENT NAME                                                                                                       Parent/Guardian Signature

 

 

__________________________________________________          __________________________________________________

                                          Date                                                                                                                          Parent/Guardian printed name

 

___________________________________/_____________________________________/_________________________________

                                   Emergency Phone Numbers

 

 

Please return by Wednesday,  Nov. 1.  Students must have a signed permission form in order to attend field trip.

 

Sharon Slingerland, 21st Century Grant Coordinator, BIES


Bedford County Public Schools

P.O. Box 748

Bedford, Virginia  24523

STATEMENT OF PERMISSION AND RELEASE FOR A FIELD TRIP

School:    Bedford Middle

Trip Description:              Bedford Police Dept, Bedford, VA

Departure:    11/6                   9:00 am                  Return:            11/6              12:00 pm                                                                                          Date                                Time                                                                          Date                            Time

Sponsor/Teacher:   Mrs. Cherie Markham,  Ms. Wendy Jones

Cost: None 

       (Parents/Guardians: Return bottom portion to school  Retain top portion for you information.)

_________________________________________________________________________________________

     I, the parent/guardian of _________________________give him/her permission to attend the field trip to           Bedford Police Dept., Bedford, VA .  It is understood that the student will obey the authority of the sponsor and will abide by all school rules and regulations as outlined by the “Student Code of Conduct” while on the field trip.

     Any infraction of the rules and regulations by my child will release Bedford County Public Schools and its employees from all claims that may be a result of the infraction.  My child has an Emergency Information Card on file at school.

 

_________________________________________          _________________________________________

                                   STUDENT NAME                                                                                                       Parent/Guardian Signature

 

 

__________________________________________________          __________________________________________________

                                          Date                                                                                                                          Parent/Guardian printed name

 

___________________________________/_____________________________________/_________________________________

                                   Emergency Phone Numbers

 

 

Please return by Wednesday,  Nov. 1.  Students must have a signed permission form in order to attend field trip.

 

Sharon Slingerland, 21st Century Grant Coordinator, BIES

 

 

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