FIELD TRIP REQUEST FORM

I request that St. Athanasius School allow my daughter/son to participate in the following field trip. I give my permission for _____________________________ to attend and participate in:

Field Trip To:

Approximate Departure Time and Date:

Approximate Return Time and Date:

Cost per student for this field trip:__________________________________

(Check only – made out to St. Athanasius School)

Other Information_______________________________________________________________________

In consideration of the making of arrangements for the trip by the school, I hereby release and save harmless the School and any and all liability for any injuries, loss, or other claims arising or resulting from this trip.

Parent(s) Signature(s)

Date___________________