Dear Parent/ Guardian,

Were going on a field trip! Please carefully read the information below, then sign
and return the bottom half of this form with transportation cost no later than
February 13, 2015.
Date: Friday, February 27, 2015
Location: Queen of Hearts Nursing Home 112 Charles St. New York, NY 10014
Purpose: To provide a great intergenerational experience.
Cost: Free Admission
Transportation: $10 Per Child; $18 Per Adult Chaperone. Please make all checks
and money orders payable to Blossoming Flowers Child Care Center.
Time: The bus will be departing from Blossoming Flowers Child Care Center at
11:00AM. We will be returning to the center at 2PM
.
Special Instructions: Please dress your child in comfortable clothing and sneakers.
We will be actively engaging in various activities with our elderly friends. Please
pack lunch and a beverage for your child; snack will be provided. PLEASE NO
CANDY AND PEANUT PRODUCTS. Thank You!
--------------------------------------------------------------I_______________ give my child______________ permission to attend a field
trip with Blossoming Flowers Child Care Center to Queen of Hearts Nursing Home
on Friday February 27th, 2015 departing at 11:00AM and returning back to
Blossoming Flowers Child Care Center at 2:00PM. I__________ give my
child___________ permission to be transported by Bubble Gum Bus Company to
and from Queen of Hearts Nursing Home.
Emergency contact name and relationship to child:_________________
Number:______________________
Parent Signature:______________________________ Date:____________