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Kindergarten Field Trip Authorization
Tualatin Valley Junior Academy
21975 SW Baseline Road
Hillsboro, Oregon 97123
503-649-5518
I give permission for my child, _________________________, to leave
with the TVJA Kindergarten group for a trip to
_______________________________________________________
leaving at _______________________ on ______________________
and taking the bus.
We will be returning at approximately ________________________.
Please return this form by _______________________________.
Permission slips are not accepted the day of field trip because of
needed prescheduling.
Items needed for this field trip are checked:
___ Disposable sack lunch
___ Backpacks
___ Dress for weather conditions
___ Extra spending money for gift store
___ Have a good breakfast
___ Arrive to school early
___ Chaperones are needed: Cost for chaperones ____________
___ I can help. Please call me at _______________to confirm.
___ No chaperones needed, Thank you.
Important Information: If privately owned cars are used, chaperones
driving must give the office a current copy of their Certificate of
Insurance. Children must be in appropriate seats with working seat
belts and are not allowed in the front seat equipped with a passenger
airbag.
Please be sure the teacher has confirmed your plans to be with us on
this field trip. Surprises cause delays, financial mix-ups, and
sometimes there is limited space.
Remember to make other arrangements for siblings: this field trip is a
special time for your Kindergartner.
Additional Information:
____ Confirmed chaperones for this field trip are:
Signed, __________________________ Date,_________________
(parent or guardian)
____ Please note health concerns for my child(ren) on this field trip:
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Kindergarten Field Trip Authorization
Tualatin Valley Junior Academy
21975 SW Baseline Road
Hillsboro, OR 97123
I give permission for my child,_______________________, to leave with the
T.V.J.A. Kindergarten group for a trip to
Bauman Farms Pumpkin Patch
on Thursday, October 16
for a day of fun!
We will be leaving at 8:45 a.m. by T.V.J.A. bus
and returning at around 2:00 p.m.
Please pack a disposable sack lunch and dress for weather conditions.
Four (4) chaperones are needed. Cost for chaperones is $6.00
____Yes, I can help.
Please call or e-mail me at _____________________to confirm.
Remember to make other arrangements for siblings; this field trip is a
special time for your Kindergartner.
Signed, _______________________ Date,____________
(parent or guardian)
_____Please note any health concerns for my child on this field trip:
Return this form as soon as possible
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