General Permission Form
for School Sponsored Field Trips
Cell Phone#: ( )____________ E-Mail Address:
Parent/Guardian’s Name: _______________________________________
Emergency Contact or
Event: Connetquot H.S. Model
U N Conf., Long Island, NY
Date(s) of the Event: Saturday, April 6th,
Departure time from Prep: 8am Estimated Time of Arrival to Prep: 9pm
*Students will be
instructed to call a parent before returning to Prep to arrange a pick-up.
Departure/Arrival Meeting Location: St. Francis Prep parking lot
Transportation provided by: SFP (yellow
Class/Teacher (Chaperone): Mr. Charles Jardines
I hereby give my child permission to
attend the aforementioned event. I am also aware that my child is
responsible for abiding by all school rules of St. Francis Preparatory will
enforce discipline to students who are in violation of any school rule or
regulation. In the unlikely event of an emergency, please contact me at the
number listed above.
Parent/ Guardian Signature:
Please use the reverse
side for any pertinent information regarding health or dietary concerns related
to your child’s well-being and that you like to make the chaperone away of.
Copy this document for safekeeping and return the signed original to the
teacher/moderator for record keeping.