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Houston Field Trip Permission Form
Please complete this form by January 15th.
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* Indicates required question
Student Name
*
Your answer
Parent Name
*
Your answer
Parent Phone Number
*
Your answer
Parent Email Address
*
Your answer
Please select those that apply.
*
Yes, my child may attend the field trip to Houston, TX on January 24, 2019
No, my child will not attend the field trip to Houston, TX on January 24, 2019
Yes, I would like to chaperone on January 24, 2019
Yes, I would like to donate to the scholarship fund
Required
If chaperoning, do you plan to ride the bus or drive your own vehicle? (**Only the first 15 respondents will be granted a seat on the bus, as there is limited availability)
Bus
Personal Vehicle
Clear selection
If chaperoning, will your child be riding the bus back or with you in your personal vehicle?
Bus
Personal vehicle
Clear selection
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