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Newark Museum

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GRADES 4 AND 5 FIELD TRIP

DESTINATION: NEWARK MUSEUM
DESIGNATED SUPERVISORS: TEACHERS, PARENT CHAPERONES
DATE OF DEPARTURE: THURS., MAY 15, 2025
TIME OF DEPARTURE: 8:30 AM
DATE OF RETURN: THURS., MAY 15, 2025
ANTICIPATED TIME OF RETURN: 2:45 PM
METHOD OF TRANSPORTATION: SCHOOL BUS
COST PER STUDENT AND CHAPERONE: $35.00

PAYMENT IS DUE NO LATER THAN MONDAY, APRIL 28, 2025
PAYMENT CAN BE MADE BELOW AND IS NONREFUNDABLE

SPECIAL INSTRUCTIONS:
- DRESS:GYM UNIFORM
- LUNCH:STUDENTS MUST BRING A LUNCH, WHICH WILL BE EATEN IN THE MUSEUM
- MONEY:STUDENTS CAN BRING MONEY FOR SOUVENIRS FROM THE GIFT SHOP
Field Trips are privileges afforded to students; no student has the absolute right to a field trip. Students may be denied participation if they fail to meet academic or behvoiral requirements.

This form MUST be completed and submitted to participate in this Field Trip.
This form is not accepting responses at this time.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parents' Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- We hereby release and save harmless Visitation Academy and any and all of its employees from any and all liability for any and all harm arising to my/our son/daughter as a result of this trip. In case of emergency, I give permission for my child to be taken to a physician or hospital by either a parent in charge or by school personnel. I understand that every effort will be made to contact me. I/We consent to the conditions of the event stated above, including the method of transportation.
  I Agree Please select this field.
- Per Person35.0
- # of persons REQUIRED Please fill out this field. Please enter an integer (number).
Total:

Submit

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