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Field Trip Approval Request and Planning Sheet             #1

School: Ayden-Grifton High School      Group to be taken: _______________________________

Destination: _________________________      City:  __________________________________

Dates of Proposed Trip: __________________ Number of Students: ______________________

Total Days of Trip: __________    Instructional Days Away from School: ___________________

Departure Time: ______________________   Return Time: _____________________________

Purpose of Trip: Cite instructional objectives related to North Carolina Standard Course of Study and planned follow-up activities.  Attach additional sheets if necessary.

____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________

Chaperones: School Personnel:                        Chaperones: Parents (Anticipated Number)

_______________________                           ___________________________

_______________________                            ___________________________

_______________________                            ___________________________

Transportation Method: _________ Cost of trip:__________ Cost per student:_________

Driver __________________________  

Teacher(s) _______________________                Principal ___________________________    _______________________________                                                (Approval)

 Date of Request ___________________                (Date of Approval) ____________________

Overnight and out-of-state trips                                                                                               Superintendent (designee)    ________________________                                                   ****************************************************************************  

Out of Country Field Trip Approved By The  Pitt County Board Education     

Yes _____________           No ______________                      Date:________________