EXCELSIOR SPRINGS MIDDLE SCHOOL – VOCAL MUSIC
Field Trip Permission Form
Your child’s class will be attending a field trip to:
Silverstein Eye Centers Arena (Independence, MO)
5:15 pm – Depart from ESMS
7:00 pm – Performance – National Anthem
Tuesday, January 26, 2016
Date
Time
Missouri Mavericks Game
TBA – We will return at end of the second
period
Location
Silverstein Eye Centers Arena
19100 E Valley View Pkwy, Independence, MO 64055
(816) 795-7577, www.silversteineyecentersarena.com
Cost
$10 (Ticket)
Transportation
School Bus – See Above for Departure Times
Notes
Students are required to wear: Choir T-Shirt, a long-sleeved black, white or grey shirt, blue
jeans (NO holes), and tennis shoes. (NO Exceptions)
Please return this permission slip by:
Friday, January 22, 2016 – NO EXCEPTIONS
I give permission for my child
to attend the field trip to
from
5:15 pm
Enclosed is $
10.00
in
Silverstein Eye Centers Arena
to
on
Choir 7/8
Tuesday, January 26, 2016
TBA (See Above for Details)
to cover the cost of the trip. (Exact cas h or check made payable to ESMS.)
In case of an emergency, I give permission for my child to receive medical treatment. In case of such an
emergency, please contact:
Name
Phone
Parent/Guardian Signature
Date