Trip Planning Form

Page 1 of 3 (placed on file no later than 2

wks. before trip. Page 4 to be submitted 1
wk. after Trip

Trip Date: 03-27-14

Request Date:
Center Name: Maria C Salazar Limited
Room
Number: 101
Site Name: Wagner Farm
Site Location: 1510 Wagner Road, Glenview, Illinois, 60026
Goal (s) of Trip or Rationale: This activity introduce child about
uses of technological instruments throughout the last two centuries,
Introduce or reinforce or recognize animals farm, Learn about chores in
a farm. Learn about milk and corn products, Learn about tools used in a
farm. Develop the concept of a farm
Objectives: What activities will the group carry out to help
meet the intent of the goal for the trip?
a. Children will grounding corn using a manual mill.
b. Children will feed chickens.
c. Children will made buttermilk from milk cow directly.
d. Children will milk a toy cow.
e. Children will play in a big toy grocery store.
Group Leader (s):
Maria C Salazar

Juan C Rodriguez

Other Program Groups in Attendance: Parents group

Total Number of Children in Group: 8
listing of childrens names)

(See page 3 for full

Any Child with Special Needs? Yes______No

(See page 3 for
details)
2 Staff in Attendance (include names and titles below):
Staff/Child Ratio 1:4
(Insert numeral)
Maria Salazar
Juan C Rodriguez

3 Volunteers in Attendance
Adult/ChildRatio: 5:8
(Insert numeral)
Karina Tenorio
Carolina Guillen

Director
Teacher
(include names below):

Maria Castaneda

Total

Type of Transportation: Rented Bus

United Quick
Departure Time: 09:00 a.m. Return Time: 04:00 p.m. Visit Time:
05 Hours
Total Number of Hours of Travel and Destination Activity: 07
Hours
______________________________________
____________________________________________________
Group Leader

Date

Signature of Director

Signature of
Date

Page 1 of 3 (placed on file no later than 2 wks. before trip. Page 4 to be

submitted 1 wk. after
Trip

Provision of Meals or Snacks: Lunch will be provided by the

program, it will include Juice, a sandwich. Bananas and tangerines like
snack.
Eating Facilities: Yes / No
Location of Eating Facilities: Yes,
this site provide and individualized lunchroom.
Toileting Facilities: Yes, this site provide changing station in
bathrooms
Clothing/Accessory Needs: Our program will dress child with a
stamped shirt with the logo of the program and phone number.
Additional Supplies/Equipment: Program will be providing cups,
napkins, and ketchup, plastic knives and garbage bags. Picture camera
and video, First Aid kit, and a medal for each child with the telephone
number of the program to dress behind shirt.
Safety Reminders: We have been working in previous weeks with
children, giving instructions about safety belts and what to do if they
are lost, (medals with phone number).
Emergency Plan if Group Members separate: Parents must arrive
to facility at 8:30 a.m. in this meeting they receive instructions about
process; they will have our phone numbers. A complete list of children
and parents will be carried by teacher to take list before up bus, down
bus, and before and after lunch.
denotes permission

Complete Listing of Children.

slip is on file :
1. Liam Hernandez
2. Jackie Gonzalez
3. Olivia Duque
4.Victoria Guillen
5. Richard Cabral

8. Alanis Trejos
9.
10.
11.
12.

6. Joseph Castaneda
7. Manuel Villegas

13.
14.

Special Needs/Individual Considerations Specify Details)

Special Needs/Individual
Considerations

Specify Details)

__________________________
_________________________________
Signature of Group Leader
Date______
Director

Signature of Approval by

Date___________

Trip Planning Form

Follow-up of Trip Planning Form

Page 1 of 3 (placed on
file no later than 2 wks. before
trip. Page 4 to be submitted 1
wk. after trip

Program/School
Maria C Salazar Limited
Classroom 101
Group Leader (s): Maria Salazar and Juan C Rodriguez
Site Name: Wagner Farm
Site Location: 1510 Wagner Road, Glenview, Illinois, 60026
Goal (s) of Trip or Rationale: Introduce Farm Animals for all age
groups, (toddlers and 3 to 5 years).
As based upon page 2 Objectives, indicate which ones were
met.
a. X

b. X

c.

d.

e.

Briefly discuss the tone and outcome of the trip/activities.

1. This activity turns out to be an inexhaustible source of resources to develop
activities of sciences
(animal and the corn as it plants) and
mathematical concepts for preschoolers.
2. It activity let establish the different chores between house and a farm, and

let us talk about how the people live in past century.

3. Children can observe the process to make buttermilk, and saw the eggs in
hen house.
4. Talked about how worked the first washer machine or telephone or how our
ancestors warm house-using coil.
5. Excellent to share time with our child families in a relax environment.
6. Some children had the opportunity to saw live animals.

As based upon the outcome, what future plans or

considerations are suggested?
Future Plans
Developmental Realm
1. Childrens Museum
Art, CognitiveMath
2. Shedds Aquarium
Science- Sea
animals
3.
__________________________________________________________________________________________
_______________________
4.
__________________________________________________________________________________________
_______________________
5.
__________________________________________________________________________________________
_______________________
6.
__________________________________________________________________________________________
_______________________

________________________________________
________________________________________________
Signature of Group Leader
Date

Date

Signature of Director

Wagner Farm Trip

1510 Wagner Road. Glenview, Illinois, 60026

Thursday March 28/ 2014.

The transport and ticket has a cost of $20, Dollars for each
one.
The program will provide Lunch for all participants.
Parents are welcome.
Forms and information will be provided by teacher.

PERMISSION SLIP FOR FIELD TRIP

Maria C Salazar Limited

02/27/2014
(Facilitys Name)
(Todays Date)
101
(Name of Class)
Has a special field trip planned and would like your permission to
Date of trip
Departure Time
Location of Trip_____________________ Return Time________________________
Phone (_____)______________________
Method of Travel____________________
Drivers(s)____________________________________________________________
To give permission, please sign the lower half of the permission slip and return it to the
class by __________________________
(Date)
(Keep the top half for your information)

take your child

_________________ ____________ ____________
_ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _
(Cut along dotted line and return this half)
PERMISSION SLIP FOR FIELD TRIP
Childs name
_________________________________________________________
(Last)
(First)
I give permission for my child to attend with
________________________________
(Name of Class)
Staff on a field trip to ____________________________ on
________________
(Location of Trip)

(Date)

How many persons participate on activity ___By $20 each one,

Attached are $________,
In cash_____ or Check _____________payable to: Maria Salazar
Limited, (Paid will be submitted before March 21 of 2014.)

______________________________________
________________
Signature of parent/guardian

Date