Sample Field Trip Form

(Date)

Dear parent(s)/ guardians,

As you know, your daughter has been actively attending the Girls’ Club program at [the school]. Girls’ Club (provided by POWER Camp National) would like to invite the girls to attend the Montreal Museum of Fine Arts Once Upon a Time Walt Disney exhibition as an end of the program celebration. The exhibition will take place on Saturday, March 17, 2007 from (TIME ) at:

Montreal Museum of Fine Arts (Jean-Noël Desmarais Pavilion)

1380 Sherbrooke Street West
Montreal, Quebec H3G 2T9

514-285-2000

The outing is free of charge including transportation and ticket admission.

Re: Supervision:

Present will be four qualified and experienced chaperones. The chaperones are:

Re: Departure and Arrival:

In regards to departure and arrival the meeting place will take place at:

Jolicoeur Metro (near the station’s depanneur)

6200 Drake Street

Main intersection is: Jolicoeur Street

We will be leaving the metro exactly (TIME ) in order to take the public transportation of the metro. After the exhibition, we will return to Jolicoeur metro at (TIME).

P. S.

Enclosed is a description and information of the exhibition.

Warmly,

(Name)

Girls’ Club Coordinator

POWER Camp National

I ______(parent/guardian’s name) give permission for my daughter ______(daughter’s name) to attend the Montreal Museum of Fine Arts Once Upon a Time Walt Disney exhibition.

1.  I understand as well that I am fully responsible for my daughter’s transportation home after the exhibition.

2.  I am fully aware of the risks involved in this trip, and I accept the arrangements for supervision as noted above.

Supervision:

Adults / Students / Adult/Student Ratio / Cost per Student
ø
Person(s) in charge and Other Adults / Position
Girls’ Club Coordinator
Girls’ Club Facilitator
Girls’ Club Facilitator

Mode of transportation: (Please indicate how your daughter will return home)

o  Walking

o  Bus transportation

o  Car transportation

o  Taxi

o  Other:______

Contact Info:

The need to have the contact information in case of emergency is necessary. Please include your name, address, telephone number.

Name: ______

Address: ______

Contact Phone Number:

______(Home)______(Work)

Signed, ______Date ______

Field trip Policy

______

POWER CAMP NATIONAL: GIRLS’ CLUB

PARENTAL PERMISSION & RELEASE FORM

FIELD TRIPS

Program:
Educational Objective:
Theme of Event:
Destination:
Date:
From: To:
Method of Transportation:

Supervision:

Adults / Students / Adult/Student Ratio / Cost per Student
ø
Person(s) in charge and Other Adults / Position
Girls’ Club Coordinator
Girls’ Club Facilitator
Girls’ Club Facilitator