GRANBY MEMORIAL MIDDLE SCHOOL
DAY FIELD TRIP PERMISSION FORM
______________________________________________ has my permission to go on a field trip to
Name of Student
__Heifer Farm, 216 Wachussett Street Rutland, MA 05143_______________
Location of Field Trip
On _Tuesday, April 29_ with __Grade 7 – Maroon Team__ from ___7:30 am__ to about 4 PM
Date
Class or Group
Time
Time
A School Nurse will accompany this trip.
PARENT’S CONSENT FOR EMERGENCY TREATMENT FOR MINORS
In the event of an emergency or sudden illness, I grant permission to Granby Memorial Middle School personnel to seek medical
treatment. I understand that this authorization is given to avoid unnecessary delay in emergency or medical treatment. I presume a
reasonable attempt will be made to contact me or person(s) listed as an emergency contact prior to seeking treatment unless it is
deemed an emergency by chaperoning personnel. Granby Memorial Middle School (GMMS) or individuals representing GMMS will
not be responsible for any charges incurred.
I give permission for pertinent emergency medical information regarding my child to be shared with the chaperone/teacher(s). Please
use the space provided to list any changes or updates to the emergency information concerning your child on file with the school
nurse’s office, or additional information about your child which school personnel should know relative to this field trip.
____________________________________________________________ ___________________________________________
Parent/Guardian Signature
Date
Students receiving daily medication(s) during school hours will receive their medication as scheduled by the chaperoning teacher
unless otherwise noted by parent/guardian below. Please notify school nurse’s office (844-3038) if a change in the normal medication
schedule is needed. No medication can be carried by the student or administered to the student without a parent/guardian and
physician written authorization on file in the school nurses office. Medication authorization forms can be obtained from the school
nurse.
Contact Information relative to the time period of this Field Trip:
_____________________ ______________ ___________ __________ ___________
Contact Name
Relationship
Home
Work
Cell
___________________ ______________ ___________ __________ _____________
Contact Name
Relationship
Home
Work
Cell
_____________________ ______________ ___________ __________ ___________
Contact Name
rev 9/8/09 pa, 5/10pa, 9/13/10pa
Relationship
Home
Work
Cell
7th Grade Maroon Team
HEIFER FARM FIELD TRIP
Purpose: This interactive educational field trip supports GMMS Science Living Things Unit, multiple Social Studies Units and our
District Mission of developing compassionate contributors. During this four hour program, students will actively participate in
activities to learn about the concepts of development and sustainability as they move through educational stations which include a
global village meal, hands-on learning at village sites, livestock interactions and garden activities.
Who: Every member of the seventh grade class who returns a permission slip by March 19, 2014.
Date: Tuesday, April 29, 2014
Time: Students will arrive at school on their regularly scheduled buses. For the trip, buses will leave school at approximately 7:30
am and return about 4:00 pm. Parents will need to make arrangements for their child to be picked up as we will not be home in
time for regularly scheduled buses. Students will call when we are twenty minutes from school. Please do not park in the circle in
front of the middle school when picking up students, as this will prevent bus access when we return.
Cost: $40.00 per person. Make check payable to GMMS, and send it with the permission slip and return by March 19, 2014
Food: Students may wish to bring a light snack for the bus. (No candy, glass bottles or energy drinks.) Students will be making lunch
in the global village. Students with dietary concerns should bring a bagged lunch.
A letter from Heifer Farm Education Manager…
Dear Parents:
We are excited that your child is participating in a program at Heifer Farm in Rutland, Massachusetts! Heifer International is
a global non-profit organization based in Little Rock, Arkansas whose mission is to work with communities to end hunger
and poverty and care for the earth. We accomplish this through a variety of ways, most notably by working with developing
communities to provide livestock and the appropriate training to increase production and income. For more information,
please visit www.heifer.org.
What’s Heifer Farm?
Heifer Farm is one of Heifer’s Learning Centers located here in the United States. It is our goal to provide experiential
education that inspires, challenges, and engages people to take action to help meet our mission. Most importantly, we
want your child to learn in a fun and challenging environment.
Field Trip At-a-Glance
While your child is at Heifer Farm, she/he will explore the farm and engage in activities that Heifer believes will raise
awareness about global hunger and poverty. We offer tours and programs for all ages throughout the year. Depending on
the program, your child could explore a village in China or Kenya, milk a goat, work in our organic garden, try a typical
Peruvian meal in our Peru Global Village site or learn about global population and consumption patterns using our floor-size
world map activity.
Dressing for Success
A large portion of our field trips are spent outdoors. Programs run rain or shine. Your child should come wearing farmappropriate clothing and close-toed shoes (no sandals or flip flops please). Also, Heifer Farm is often windier and cooler
than other areas due to our elevation so please send your child in layers depending on the season of the visit. We want
everyone to be comfortable so they can enjoy their experience.
Paul Bertler, Education Manager
Heifer Farm
Paul.Bertler@heifer.org
Return Pages 2 and 3 of this packet with $40.00 by Wed. March 19, 2014 to your PERIOD 1 teacher!
NOTE: This trip will not return for regularly scheduled buses. Parents must make arrangements for
their students to be picked up at approximately 4:00 pm. Students will call when we are twenty minutes
from Granby. Please do not park in the circle in front of the middle school when picking up students, as
this will prevent bus access when we return.