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First name *

Last name *

Email *

Phone *

Site *

Please Select Center Line High School Clintondale High School Cody High School Detroit Collegiate Prep Denby High School Eastpointe High School Ecorse Community High School Fitzgerald High School Frontier International King High School Lincoln High School Marygrove High School Michigan Collegiate High School Oak Park High School Pershing High School Pontiac Academy for Excellence River Rouge High School South Lake High School Southfield A & T University High School Warren Mott High School Warren Woods Tower High School Waterford Mott High School Waterford Durant

Date of Trip *

Destination *

Venue Contact & Phone Number *

Number of Students *

Number of Adults *

Approximate Cost *

Account Number/Funding Method *

Type of Field Trip *

Regular Day Trip

Extended/Overnight

Bus Request Complete? *

Yes

No

Loading Bus Time *

Arrival at Destination Time *

Lunch Time Plans *

Bag Lunch

Student Responsible

Loading Bus Time to Return *

Return Time *

Student Medical Concerns/Medications *

Yes

No

If so, please explain

Permission Slip Completed *

Yes

No

Check Request Complete? *

Yes

No

Upload Check Request *

Upload Lesson Plan Document *

Transportation Confirmation *

Transportation Quote *

Venue Quote *

Chaperone Guidelines Distributed? *

Yes

No

Upload Chaperone Assignments