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Get field trip form 2010-2024

MNPS Field Trip Request Form This form must be completed at least one month in advance as per DSOP 6. 103 Will MNPS buses be used yes no If not list transportation carrier AND Insurance provider Date approved not approved Principal Executive Director Required for all in county field trips not on the approved list or out of county. 151 for all trips involving MNPS students and staff no matter the destination date or time of trip* Attach an itinerary for out of county and overnight trips. School Sponsor Phone Date and time of departure Is this an overnight trip no yes If so itinerary must be attached Destination s including address es Check one in county out of county out of state Name of group Number of students adults Is this an Athletic Trip Yes OR No parents others Adults attending and position/title Purpose of trip Select Lunch Option Sack lunches needed Lunch provided at site School lunch not affected Will stop and eat If this option is selected list lunch location School Cafeteria Manager Signature REQUIRED FOR ALL TRIPS ADA needs adult or student Bus Other Will a school nurse be required no yes If yes Fax/send signed approved form to school nurse office 862-4012 two weeks prior to trip date. If a nurse is required for overnight trips 4 weeks notice is required for out of state trips 8 weeks notice is required* Cost of trip Total Cost of Trip Cost per Student Method of securing funds Requisitions and Purchase Orders must be completed PRIOR to any reservations or bookings per DSOP FM2. Associate Superintendent/Designee Required for out of state or out of country Transportation Department Fax 291-6325 Revised 7/7/10. 151 for all trips involving MNPS students and staff no matter the destination date or time of trip* Attach an itinerary for out of county and overnight trips. School Sponsor Phone Date and time of departure Is this an overnight trip no yes If so itinerary must be attached Destination s including address es Check one in county out of county out of state Name of group Number of students adults Is this an Athletic Trip Yes OR No parents others Adults attending and position/title Purpose of trip Select Lunch Option Sack lunches needed Lunch provided at site School lunch not affected Will stop and eat If this option is selected list lunch location School Cafeteria Manager Signature REQUIRED FOR ALL TRIPS ADA needs adult or student Bus Other Will a school nurse be required no yes If yes Fax/send signed approved form to school nurse office 862-4012 two weeks prior to trip date. School Sponsor Phone Date and time of departure Is this an overnight trip no yes If so itinerary must be attached Destination s including address es Check one in county out of county out of state Name of group Number of students adults Is this an Athletic Trip Yes OR No parents others Adults attending and position/title Purpose of trip Select Lunch Option Sack lunches needed Lunch provided at site School lunch not affected Will stop and eat If this option is selected list lunch location School Cafeteria Manager Signature REQUIRED FOR ALL TRIPS ADA needs adult or student Bus Other Will a school nurse be required no yes If yes Fax/send signed approved form to school nurse office 862-4012 two weeks prior to trip date. If a nurse is required for overnight trips 4 weeks notice is required for out of state trips 8 weeks notice is required* Cost of trip Total Cost of Trip Cost per Student Method of securing funds Requisitions and Purchase Orders must be completed PRIOR to any reservations or bookings per DSOP FM2. .

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