Dear Parent or Guardian,

Your child is going on a field trip. Please read the information at the top of this form, then sign and return
the permission slip at the bottom of this form by Tuesday March 10, 2015. There will be five P.S.A adults
and four chaperones
Field Trip Information:
Date: Friday March 20, 2015______
Location: The Museum of Mathematics 34 Woloff Avenue Atlanta, GA
Purpose: To explore different aspects of Mathematics, while enhancing their sensory skills.
Cost: $12_(child) $15-(adult)_______________
Cash or check payable to: Petite Scholar Academy 25 Coolidge Lane Decatur, GA 30030
Means of Transportation: School bus to and from museum
Leave school: __9:00 a.m._____ Arrive back at school: __2:00 p.m._________
Special Instructions: Please dress your Petite Scholar in sneakers, jeans or pants are preferred . We
will be providing lunch, youre welcome to send your child with their own lunch from home.
Save this part of the form for future reference.

Cut here-------------------------------------------------------------------------------------------------------------------- Cut here

Sign this part of the form and return it to your child's teacher.

_____________________________________(childs name) has permission to attend a field trip to

The Museum of Mathematics Museum 34 Woloff Avenue Atlanta, G.A___on Friday March 20, 2015___
from
9:00 a.m. to 2:00 p.m.
Enclosed, please find cash/check in the amount of _____________________ to cover the cost of the trip.
I give my permission for ________________________________________ to receive emergency medical
treatment. In an emergency, please contact:
Name: _________________________________________ Phone: ______________________________
Parent/Guardian Signature: ___________________________________ Date: _____________________