Central Cabarrus High School

505 Highway 49 South

Concord, NC 28025
704.786.0125
704.920.7164 fax

First name: _____________________________

Last name: _____________________________

February 1, 2016
Dear Parents,
A selected group of STEM Juniors are planning a field trip to Coltrane Webb to assist in student preparation for the annual
Science Fair. The cost of the trip is free to students. The students will be transported by activity bus. This field trip is to be
very carefully chaperoned and directed by teachers. The trip is planned for November 30th, 2015. We intend to leave at
8:00am and return by 12:30pm. Please see the back of this document for more information.

Principal Approval
Signature of Principal:

____________________________________________

Date: ____________

Teacher Approval Students with a grade of 76 or below may not attend without special approval. * Comments regarding necessary stipulations for
attendance are required from any teacher in whose class the student has a grade of D or F.

1st Period: Class: _____________ Teacher Name: ______________________ Signature: _____________________________

Current Class Average: ________ Comments* (missing work, stipulations for attendance, etc.) :

____________________________________

________________________________________________________________________________________________
2nd Period: Class: _____________ Teacher Name: ______________________ Signature: ____________________________
Current Class Average:________ Comments* (missing work, stipulations for attendance, etc.) :_____________________________________

_________________________________________________________________________________________________
3rd Period: Class: ________________ Teacher Name: ______________________ Signature: __________________________
Current Class Average:________ Comments* (missing work, stipulations for attendance, etc.) :

_____________________________________

_________________________________________________________________________________________________
4th Period: Class: ________________ Teacher Name: ______________________ Signature: __________________________
Current Class Average:________ Comments* (missing work, stipulations for attendance, etc.):_______ ________________________________

_________________________________________________________________________________________________

Parent Approval Parent must sign-off after student has obtained grades and/or comments from all four teachers.
I, __________________________________________, agree to release, _____________________________________
and hold harmless Central Cabarrus High School and its administrators from and against any and all liability , loss,
damages, claims or actions for bodily injury and/or property damage, in accordance with current state and federal law,
arising out of participation in this activity.
Your signature on the space provided below is your permission for your child to go under the conditions stipulated above.
You understand, of course, every precaution will be taken to safeguard your student against accidents, but you should
evaluate carefully the hazards involved before granting your student permission to go. Also, we need your cooperation to
insist that your student follow directions and behave on the trip.
Signature of Parent:

____________________________________________

Date: ____________