ASHVILLE ELEMENTARY SCHOOL

FIELD TRIP PERMISSION FORM

Destination:Tigers for Tomorrow at Untamed Mountain 708 County Road 345, Attaa, A! 35"54
Date of Tri#: $riday, %&to'er (7
t)
, *0(4++++++++++++++++++++++++++++++++++++++++++++++++++
De#arture Time:8:30 am + +++++++++++++ +++++++++++++++++++
Return Time:(:00#m ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Cost of t)e Tri#: +++++++++++++++++++++++++++++++++++++
,e do not gi-e refunds if a student is una'e to attend t)e fied tri#. T)an/ you.
Tea&)ers in C)arge: 0essi&a ,edon, 1)aron ,)ite, 0essi&a Ti&e, 0uie Mur#)ree+++++++++++++++
2rin&i#a3s A##ro-a: ++++++++++++++++++++++++++++++++++++++++++++++++++++
)as my #ermission to attend t)is fied tri# wit) As)-ie
4ementary tea&)ers and ot)er &)a#erones on %&to'er (7
t)
, *0(4++++++ .
5 &onsent for t)e tea&)ers and &)a#erones to see/ emergen&y medi&a treatment and &are for my &)id if
needed. 5 understand t)at t)e tea&)ers, &)a#erones, #rin&i#as, or 1t. Cair Co. 6oard of 4du&ation wi
not 'e )ed res#onsi'e for any a&&ident w)i&) mig)t o&&ur on t)is tri#.

2arent 1ignature Date
7ome 2)one 8 4mergen&y 8
2arent 9ames and ,or/ 9um'ers:


9eeded Medi&ations:
Any aergies or medi&a &onditions w)i&) medi&a #ersonne s)oud 'e aware of:


My &)id wi 'ring a un&) from )ome for t)e tri#.
My &)id wi get a un&) from t)e un&) room for t)e tri#.
5 &an send a sna&/ : drin/ for t)e &ass. 5 &an send +++++.