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REGION USE ONLY FIELD TRIP REQUEST PACKET

Clear Form _____. REGION USE ONLY. Stamp Date Received FIELD trip REQUEST PACKET . (All forms in this PACKET must be completed). PRE-APPROVED BY: BOARD POLICY 2340 FHSAA . PERMISSION IS REQUESTED TO PARTICIPATE IN A FIELD trip . DATE _____. In- county Out-of- county Out-of-State Out-of-Country . DESTINATION _____ ADDRESS _____. DATES OF trip :(Include departure/return time) FROM _____ TO _____. NAME OF school GROUP (Band, Debate, etc.)_____. NAME OF school GROUP SPONSOR _____ SPONSOR'S SIGNATURE _____. Number of Students in Group _____ Number of Students Participating in trip _____. Cost to Each Student _____ Provision for Those Unable to Pay _____. Means of Funding Trip_____. Check box if Title 1 Funds are being used (Refer to Title 1 Funds Handbook - ). # of Teachers _____ # of Parents _____ = Total # Chaperones _____ Additional Personnel* _____.

Division of Athletics, Activities and Accreditation MIAMI-DADE COUNTY PUBLIC SCHOOLS . PARENT PERMISSION FORM -- FIELD TRIP . SECTION I. IDENTIFYING INFORMATION

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  County, School, Public, Field, Request, Trip, County public schools, Field trip request

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