Field Trip Permission Form

Your child’s class will be taking a field trip to: Annapolis State House

Location: Annapolis State House (100 State Cir, Annapolis, MD 21401)

Mode of Transportation Bus

When Day Wednesday Date February 8, 2017

Leave at 7:30 am Return by 2:30 pm

Cost $ None Lunch and transportation provided!

Additional Information
Students will learn about the expanded
polystyrene (Styrofoam) prohibition bill
being introduced in the Maryland
General Assembly and meet their local
legislators.
Field trip being organized by Baltimore
Beyond Plastic and Blue Water Baltimore.
Contact bmorebeyondplastic@gmail.com or
call 410-499-1182 with any
questions/concerns.

Important: Please keep the top portion of this field trip permission form for your records.
CUT HERE ---------------------CUT HERE ---------------------CUT HERE ---------------------CUT HERE --------------------CUT
HERE

Please return this portion of the field trip permission form to Mr./Mrs./Ms.

Please return permission slip to your child’s teacher by Friday, February 3, 2017

I give my child,

permission to attend the field trip to The Annapolis State House

on Wednesday, February 8, 2017 from 7:30 am to 2:30 pm

I give permission for my child to receive emergency medical treatment. In case of emergency, please contact
Name Phone Number

1.
2.
3.

My child has special dietary or medical needs such as:

Parent’s/Guardian’s Signature Date

Parents are welcome and encouraged to participate in field trip activities. Please sign up below, and we will be in
touch. Thank you!

 Yes, I am available to serve as a chaperone. I can be reached at .