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Trip information for Mrs. P
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* Indicates required question
Student's name
*
Your answer
Student's cell phone number --- using ###-###-#### format
*
Your answer
Any sleep habits that we should know about (walking, talking, dark...)
Your answer
Allergies to foods we should be aware of...
Your answer
Will the student be taking medicine on the trip?
*
Yes
No
Maybe
If so - what medicines will you be taking, dosage and when is it necessary? (put all meds on this - ad make sure you fill out the Official form that was included in the packet - signed by physician. (NA if not taking meds)
Your answer
Will a chaperone with attending with this student?
Yes
No
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