FRANKFORD TOWNSHIP SCHOOL

2 Pines Road

BRANCHVILLE, NEW JERSEY 07826

TELEPHONE 973-948-3727

CLASS TRIP PERMISSION SLIP

DEAR PARENT/GUARDIAN:

On Friday, October 24, 2014, the 6th and 7th Grades will go on a field trip toKittatinny Regional High School to see “The Diary of Anne Frank” play.

Bus Leaves: 9:00 A.M. Bus Returns: 12:00 P.M.

The cost of the trip is $7 per student.Please forward the permission slip and cash or a check made payable to “Frankford Township School” by Thursday, October 15th.

These trips are part of a school program and are to be counted as a practical experience in their school life. Please sign and return the attached permission slip and cash or check to Mrs. Thompson, Mrs. Meyer, or Mrs. Curreri if your child has permission to attend this activity.

Thank you!

Sincerely Yours,

Tom Valle

Principal

PLEASE DETACH AND RETURN THIS PORTION

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OUT OF SCHOOL TRIP PERMISSION FORM AND MEDICAL RELEASE

TRIP: Class: 6th and 7th GradesDATE: Friday, October 24, 2014

STUDENT’S NAME ______HOME PHONE NUMBER ______

ADDRESS ______

MOTHER’S NAME ______DAYTIME PHONE # ______

FATHER’S NAME ______DAYTIME PHONE #: ______

EMERGENCY PHONE NUMBERS:

(DAY) ______

(NAME) (RELATIONSHIP) (PHONE NUMBER)

(EVENING) ______

(NAME) (RELATIONSHIP) (PHONE NUMBER)

HEALTH CARE PROVIDER ______POLICY NUMBER ______

Are there any medical conditions or allergies that the chaperones should be aware of ______

I hereby give permission to allow the above named child to attend the Frankford Township School class trip as noted above. In the event of MEDICAL EMERGENCY, I understand every effort will be made to contact parents or guardians of student. In the event I cannot be reached, I hereby give permission to the Frankford Township School to hospitalize, and/or secure treatment for my child, as named above.

______

(SIGNATURE OF PARENT OR GUARDIAN) (DATE)

TEACHERS: Must submit a copy of this form to the office

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