Field Trip Request Form
Complete for ALL field trips
Check classification:
 Instructional Field Trip
 Enrichment Field Trip
 Supplementary Field Trip
 Extended (Overnight)
Instructional FT
 Extended (Overnight)
Enrichment FT
 Extended (Overnight)
Supplement FT
Today’s Date:
Staff Member:
School:
Date of Trip:
Class or Grade:
Destination:
What is the goal or purpose of the trip?
How is learning incorporated into the field trip plans?
Will students miss class time?  Yes  No
How much instructional time:
Will all students in the class/organization be participating in this field trip?
 Yes
 No _____ How many students are in the class/organization?
_____ How many students are participating in the trip?
_____ How many students are impacted by absence of teachers?
What comprehensive and comparable plans are in place for students who are not participating?
Outline the curriculum and measures required for these students while you are gone:
Sponsoring Organization/Class:
Faculty Leaders/Advisors:
Chaperones: [Background checks have been completed.]
Describe how economically disadvantaged students are receiving an opportunity to participate in this field trip.
Note: It is the responsibility of the sponsoring staff member to communicate the mechanism for accessing
financial aid to all students.
Describe the accommodations being made for students with special medical, physical, or emotional needs. This
includes provisions in IEPs/504s.
Estimated cost:
How is the trip being financed? Is a fundraising event being used to
______Total cost for transportation
defray at least some of the trip expenses?
______Total cost for lodging
 Yes – please describe fundraising plans and attach a copy of the
______Total cost for food
______Cost for substitute teacher(s)
fundraising requests (outline funding sources below)
 No (outline funding sources below)
______Cost for registrations/admission fees
Other costs:
Funding sources:
______ A. Total cost for each student
______ B. Amount paid per student by building funds
______Total Estimated Cost
______ C. Amount paid per student through fundraising
______ Number of students
______ D. Other amounts paid per student (list source)
______ Total amount paid by each student (A-(B+C+D)
______ Cost per student
($500 or less recommended)
Signatures
Site Principal:
Date:
Appropriate Cabinet Member:
Approved:  Yes  No
Date:
Approved:  Yes  No
Instructional Field Trip
 District pays for transportation; district or site pays for all fees related.
 EVERYBODY GOES – with a very few exceptions of individual students that the team has determined would not
participate.
 Participation is not up to individual teachers or sites.
 Request form needs to be completed, signed by site principal, and sent to C and I for approval.
 Site must ensure all chaperones have background checks and all IEP/504 needs have been considered and met.
 Examples include Quarry Hill or Planetarium
Enrichment Field Trip
 Related to a course of study.
 Although voluntary, most or all students in class attend.
 School Board may approve a fee for these trips – after a public hearing is held.
 IF NOT SCHOOL BOARD APPROVED, we cannot charge fees. Parents may elect to donate monies to support the
cost of trip.
 Examples include Oxbow Park or Guthrie Theater
Supplementary Field Trips
 A type of extracurricular activity.
 May take place due to participation in course.
 Generally takes place outside of the school day; however, may overlap part of a school day.
 The District may require students to pay a fee to participate in supplementary trips.
 The District may accept donations or fundraising activities.
 Must be approved by the Superintendent, or designee.
School Board Policy 610 - Adopted April 7, 2015
(Form revised 8/18/15)