CBA Permission Slip – Grade 5 Field Trip to Water Mission – Feb 2024

Dear parents of 5th 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.

In History class, students are learning how to welcome refugees to the Charleston area. The purpose of this trip is to learn from Water Mission, which serves refugees around the world (https://watermission.org/).

Inspiring world changers together,
CBA Grade 5 Teachers

Please read and fill out the information below.
When?	2/28/24
Time of Departure:	10:30am
Time of Return:	11:45am
Where?	Water Mission 1150 Molly Greene Wy Bldg 1605, North Charleston, SC 29405

Transportation:	The students will use personal vehicles or school bus for transportation.
Cost?	TOTAL DUE
Cost?		$ 2.00

Payment should be made via Venmo @charlestonbilingualacademy. Payment must be received prior to the day of the trip.

CBA Field Trip Permission Slip - Water Mission - Grade 5 - Feb 2024

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 We will leave CBA immediately after math class (10:30am) and return to CBA during the lunch period (11:45am).

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

My child WILL attend the field trip. I have attached money noted above with this form. I understand the benefits and risks associated with this trip. I understand the money is non-refundable as reservations will be made. I understand that my child should not bring any money with them as we will NOT be going to the gift shop.

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 have submitted any payment due via Venmo to charlestonbilingualacademy.(Required)

I agree

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

I agree

Parent/Guardian Signature

Date