Medieval times Field Trip Permission Slip Teacher/Sponsor of Trip

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Medieval TImes Field Trip Permission Slip

Teacher/Sponsor of Trip: 6th Grade Team Grade: 6th Grade

Destination: Medieval Times Dinner Theater Date of Trip: Thursday, June 2, 2016

Cost of Trip : $40 – see attached letter Due Date: January 29, 2016

Full Payments may be made online at, or by cash or check made payable to the school.

Arrive at school no later than: Normal time Time Leaving: 9:00 AM Time Returning: 2:30 PM

Lunch Information: Lunch is provided as part of the show - please inform of any dietary concerns. Medieval Times Dinner Theater offers vegetarian and gluten free meals.

Parent Chaperones are Needed: Yes Cost for Chaperone: $40

Sponsor Comments: CCPS dress code will be enforced. We recommend that students wear North East clothing for easy identification



PLEASE RETURN THIS PART OF THE FORM along with the payment option part of the Intro letter

Name of Student: ___________________________________________ Grade:6th Grade
Destination: Medieval Times Dinner Theater Date of Trip: Thursday, June 2, 2016

I hereby give my permission for my student to participate in the school-sponsored trip listed above. I understand that if the departure or arrival time is outside the regular bus schedule, I will provide transportation to and/or from school. School sponsored trips are part of the program and therefore staff and chaperones are responsible for reasonable and prudent supervision of students. Students are held to the same code of conduct for the duration of the trip as if they were in school.

In the event that my student should require emergency medical care at any time that he/she is under the supervision of the Cecil County Public Schools or any of its employees or agents, I give my full permission for emergency medical care to be administered/obtained. I understand the every reasonable attempt will be made to reach me at the telephone numbers listed below, but that no emergency care will be delayed or withheld because of an inability to promptly contact me.
Parent/Guardian's Daytime Phone Number (the day of the trip): _______________________________

Parent/Guardian's Cell Phone Number: __________________________________________________

Other Emergency Contacts: ____________________________________________________________

  1. ________________________________ ___________________ ______________________ Name Relationship to Student Phone Number

  2. ________________________________ ___________________ ______________________ Name Relationship to Student Phone Number

List any concerns, allergies, other pertinent health information or any medications that may be necessary.

(Medications will be administered by the classroom teachers. Appropriate forms must be completed)


If someone other than yourself is picking up your student, please put their name and number below.

Name of person: _______________________________________ Phone Number: _________________________________

Please indicate method of payment: ⏭Payment made online: ⏭Cash enclosed: ⏭Check made payable to the school enclosed:

Parent/Guardian Signature*: _____________________________________________ Date:_______________

*The above signature grants permission to attend the field trip and to administer/obtain emergency medical treatment

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