Field Trip
I,______________________________give
permission for my caregiver Kristina
Steiner to take my
child,_______________________________
________on field trip.

Method
Toftransportation:_____________________
___________________________________
______________
___________________________________
___________________________________
_____________________

Date of Field
Trip________________________________
_________

Departure Time from 1-2-3 Family
Daycare________________________(am/p
m)
Anticipated arrival
time_________________________
(am/pm)

Purpose of Field
Trip________________________________
____________________________
___________________________________
___________________________________
________

Names of any volunteer's being used for
extra supervision:
___________________________________
___________________________________
_______________
___________________________________
___________________________________
____________________.

I agree to pay for the set fees for This trip
witch is:     
_____________________________. My
payment is
attached___________________________

I understand that my child will be
continuously supervised at all times.

Parents
signature:___________________________
_______
Date:
___________________________________
__________