FORM 1
ORANGE COUNTY PUBLIC SCHOOLS
FIELD TRIP REQUEST FORM
SCHOOL YEAR 2011-2012
FIELD TRIP MUST BE PRE-APPROVED BY AREA SUPERINTENDENT’S OFFICE 30 DAYS PRIOR
TO NOTIFYING STUDENTS, PARENTS, CHAPERONES OR COMMUNITY OF THE TRIP.
OVERNIGHT
OUT OF COUNTY/STATE
INTERNATIONAL
(90 DAYS PRIOR-REQUIRES SCHOOL
BOARD APPROVAL)
School Name
Name of Class/Club or Grade
Field Trip Coordinator (attending trip)
Name:
Contact Phone:
Field Trip Destination
Location:
City:
State:
Departure Date/Time
Return Date/Time
PART 1 - PRE-APPROVAL - DUE 30 DAYS PRIOR TO TRIP
Tentative # of students:
Transportation:
OCPS Buses
Charter Bus
Air Carrier
School Activity Bus (for in county trips only)
Parent will:
Drop Off
Pick Up Remain
Tentative # of chaperones:
Personal/Rental Vehicle
Tentative # vehicles______ # of drivers ______
Maximum 8 passenger per vehicle
Include emergency back-up driver
Example: 2 vehicles require 3 drivers
If more than 20 students attending you
will need to have a school/charter bus
Attach copy of permission slip and draft itinerary
Is this a joint trip with another school?
for pre-approval
Yes
No If yes, name of school:
Once Pre-Approved, Complete Part 2 below, Field Trip Information Form (Form 2)
and submit with supporting documentation 15 days prior to trip.
PART 2-FINAL APPROVAL
Final # of students:
Final transportation information:
OCPS Bus
Charter Bus-Company Name:
Personal/Rental Vehicle
# vehicle
# drivers
Rental Car Company:
(include 1 back up driver)
Final # of chaperones:
Air Carrier -Flight Information
Departing :
Airline:
Flight#
Flight time:
Return:
Airline:
Flight time:
Flight#
Attach list of drivers with copy of license & insurance
information for each.
PRINCIPAL/ DESIGNEE APPROVAL: _________________________________________ DATE: ______________
PRE-APPROVED
DENIED
AREA SUPERINTENDENT/EXECUTIVE AREA DIRECTOR: _________________________________ DATE: __________
FINAL APPROVAL GRANTED
AREA SUPERINTENDENT/EXECUTIVE AREA DIRECTOR: _________________________________ DATE: __________