JERSEY CITY PUBLIC SCHOOLS

Field Trip Authorization

School: Teacher/Advisor: Name of other Adult Chaperones: Location: Jersey City, NJ Grade/Group: Number of Students:

Destination: Reservoir #3, Pershing Field Date of Departure: Date of Return: Time: Time:

Objective: Students will follow the Christa McAuliffe Schools field trip packet to explore flora and fauna at Reservoir #3. Students will participate in a scavenger hunt to properly identify 16 species of plants. Water samples will be collected and analyzed upon return to school Students will utilize an online microorganism identification guide to classify species within the water sample. Data and student observations will be sent to the Christa McAuliffe School for their Project Reservoir portfolio. Related Subject Area(s) and Proficiencies: Science, 5.1 Science Practices: 5.1 B, 5.1 C, 5.1 D, 5.3 Life Science: 5.3 A, 5.3 C, 5.3 E Is this destination on list of Approved Field Trips? ___ X Yes No Page#:_____ Rationale:_________________________________ Paid from what source: N/A

Cost per Pupil: $ 0

Signature of staff member making request:___________________________________ ( ( ( ) ) ) Approved _______________________________________________ ( ) Denied Signature Building/Program Administrator Approved________________________________________________( ) Denied Signature of Associate Superintendent Required Action Form

JERSEY CITY PUBLIC SCHOOLS

Elementary School Field Trip Permission Form
Please sign and return to your childs school no later than __________________
I give permission for my child, ____________________________________________ to participate in an off-site field trip experience as follows: Destination: Reservoir #3 Date: 11/16/11 Purpose: Students will follow the Christa McAuliffe Schools field trip packet to explore flora and fauna at Reservoir #3. Students will participate in a scavenger hunt to properly identify 16 species of plants. Water samples will be collected and analyzed upon return to the school. Students will utilize an online microorganism identification guide to classify species within the water sample. Data and student observations will be sent to the Christa McAuliffe School for their Project Reservoir portfolio. Cost: No cost Time of Departure: Time of Return: Mode of Transportation: Walking Special Instructions: Students must wear their school uniform. Students should dress in warm clothing as they will be outside for the duration of the field trip. Parent/Guardian Name: ________________________________________________ Address: _____________________________________________________________ Phone number in case of emergency: ______________________________________ Parent/Guardian Signature: _____________________________________________ Date: __________________ Location: Pershing Field, Jersey City, NJ