BALDWIN COUNTY SCHOOLS

FIELD TRIP REQUEST

All requests must be received no less than 5 business days before the field trip.  Requests may be mailed through the pony or faxed to 457-3328.

School Name

Oak Hill Middle School 

Source of Funding ( $2 per mile + driver's fee) and Code:

Date of Request:

Date of Proposed Trip:

Class:

Grade:

Number of Students:

Time of Departure:

Date & Time of Return:

Place of Departure:

Destination:

Purpose of Proposed Trip:

QCC/GPS Addressed: 

Estimated Round Trip Mileage: 

Transportation Approval:

Important Note:  Bus availability, transportation approval, and trip estimate cost must be confirmed with the Transportation Department in writing before submission of request.

Number of Buses Needed:

Names of Adult Chaperones with Cell Phone Numbers:

Signed Permission Slips from Parents are on file:

TRIP EST COST:

Driver Meal

Proposed Trip Requested By:

Driver Salary

Fuel Cost

Assistant Principal:

Total

Athletic Director:

Fund Source

Principal's Signature:

Fund Source Approval

Note:  SSA form must be attached and all signatures must be on the form before this form will be processed. (Baldwin High School only)