LDOE Field Trip Request Form

Field Trip Request Form

MUST Submit request form three (3) weeks before scheduled event. Request will be considered based on available resources.
Person Coordinating Field Trip
Person Coordinating - Email Address
Example: j.doe@lagunaed.net
Which School?
What Grade(s)?
Type of Trip?

Sports ActivityField Trip
Date of Trip?

MonthDayYear
Departure Time?

Hour Minutes

AM/PM Option
Return Time?

Hour Minutes

AM/PM Option
Destination (Physical Address)

Street Address

Street Address Line 2

CityState

Zip Code
Contact Number of Destination
Itinerary
Detail the entire trip plan from leaving the school until your return.
Purpose & Justification of Field Trip
Add details about the purpose of the proposed trip.
List the number of participants who are going on the trip:
Number of Students:
Number of Staff:
Number of Other Participants:
Include the Bus Driver in this number.
Total Number of Participants
MEALS
Who is providing the meals for the trip?

CanteenOther vendor
Number of meals needed from Canteen:
Note: Only if needed, leave blank otherwise.
BUSES
Number of buses required for the trip:
Signature of Transportation Coordinator

Clear
FUNDING INFORMATION
Purchase Requisition Required:

YESNO
Purchase Requisition #
Date PR was entered into iVisions:

MonthDayYear
You may Upload an Agenda or other Supporting Documents below:

OPTIONAL
Cancelof
Signature of Principal

Clear
Date

MonthDayYear
Should be Empty:

Field Trip Request Form