CBA Permission Slip – Grade 3 Field Trip to the New Park Circle Playground 11/30/23

Dear parents of 3rd grade students,

Your child’s class is going on a field trip! This is an excellent chance to further your child’s learning outside of the classroom.

As a reward for reading 100 chapter books, the students have earned 100 minutes at the new park. This motivated the students to read books.

Inspiring world changers together,
CBA Grade 3 Teachers

Please read and fill out the information below.
When?		11/30/23
Time of Departure:		11:30am
Time of Return:		1:10pm
Where?		Park Circle Playground 4800 Park Circle, North Charleston, SC 29405 https://www.northcharleston.org/government/projects/park-circle-reimagined/

Transportation:		Teachers, chaperones, and students will walk to the new playground.
Cost?		FREE
Cost?
		#REF!

CBA Field Trip Permission Slip - Park Circle Playground - Grade 3- 11/20/23

Name of Student (Please complete a separate form for each student)(Required)

First Last

Name of Parent/Guardian 1(Required)

First Last

Parent/Guardian 1 Phone Number(Required)

Name of Parent/Guardian 2

First Last

Parent/Guardian 2 Phone Number

By checking this box, I affirm acknowledgement of the following trip details.(Required)

I agree

ITINERARY At 11:30am, the teachers, chaperones, and students will walk down to the playground. We will eat lunch and the kids will play on the playground. At 1:10pm, we will walk back to the school.

Parent/Guardian Permission (please select one):(Required)

My child WILL attend the field trip. I understand the benefits and risks associated with this trip.

My child will NOT attend the field trip. I recognize that I will keep my child at home on the date of the trip. I also understand my son/daughter will miss the valuable academic learning experience. He/she may also be given an assignment to work on at home so as to not miss out on learning.

Special circumstances, allergies, or concerns

By checking this box, I affirm that I have provided CBA with all parent/guardian contact information and any special conditions for my child (allergies, medical conditions, etc.). I also agree that I will keep all parent/guardian and all student information (including medical information) up-to-date in the Student database (FACTS).(Required)

I agree

By checking this box, I affirm that I have carefully read and signed the Field Trip Liability form for the 23 - 24 school year and agree to its terms knowingly and voluntarily. This consent and release submitted to CBA for this school year has been read and is understood by myself.(Required)

I agree

By checking this box, I affirm that I have carefully read and understood the information regarding this specific trip.(Required)

I agree

Emergency Contact Name OTHER than Parent/Guardian Contact (School will attempt to call parents first)(Required)

Relationship to student(Required)

Emergency Contact Phone Number OTHER than Parent/Guardian (School will attempt to call parents first)(Required)

I am the parent/legal guardian of the child named above.(Required)

I agree

Parent/Guardian Signature

Date