Gutierrez Middle School

Field Trip Request Form

May 16th, 2020
Date of Trip: ____________ August 11, 2019
Today’s Date: _____________
Team / Organization Name: _________________
Elective/Orchestra Grade Level: ____________
6-8th
SeaWorld - SAN Antonio TX
Destination:_________________________________________________________
___________________________________________________________________
Time bus will arrive to campus for loading: ______________
5AM
10 PM
Approximate return time to campus: ___________________
40
Number of participants: Students: _______ 2
Staff: _______ 8
Parents: ________
TBA
Names of parents, if applicable: ___________________, ____________________,
_____________________, ______________________, ______________________
Number of Sack Lunches Requested: Students: _________
NA Adults: ___________
Brief description of proposed trip: (What will students do, see, experience,
participate in, will there be guided tours, lectures, etc.?)
End of year trip to close off our year
___________________________________________________________________
___________________________________________________________________
Goals and objectives: (What learning experiences will this provide, how does this
field trip relate to your instructional program?)
Trip is an incentive to work hard throughout the year.
___________________________________________________________________
___________________________________________________________________

____Approved ____Denied Principal’s Signature ______________________

(FOR OFFICE USE ONLY – DO NOT WRITE BELOW DOTTED LINE)

______________ Campus Calendar (S. Martinez)
______________ Transportation Request Submitted (S. Martinez)
______________ Request for Sack Lunches (F. Garza)
*Field trip requests must be approved by the principal at least 2 weeks in
advance.
** Sack lunch request form MUST be attached to this form when submitting for
approval.