Slip Due:__10-1___

HATBORO-HORSHAM HIGH SCHOOL

FIELD TRIP PARENTAL PERMISSION SLIP

Destination The Woodmere Art Museum

Trip Date 10/7 Estimated Departure Time 11:15 a.m. Estimated Return Time 2:00 p.m.

Mode of Transportation school bus Teacher sponsors K. English-Murphy; DJ Fromal

Course/activity associated with the trip Enrichment

Special instructions (e.g. attire, admission fee, meal arrangement, etc.)

  1. ___$5 cash or check payable to “Woodmere Art Museum” due with slip______
  2. ___Casual dress acceptable—BUT no ripped jeans/no athletic sneakers/nothing revealing
  3. ___Students will need to eat 3A or 3B (and if 3B leave early)______

In the event of a serious injury/accident, I give permission for my child to be taken to the nearest physician or hospital for treatment.

Emergency contact person

Emergency contact person phone #

Alternate phone #

Special medical conditions, allergies, etc.

Hatboro-Horsham High School is not responsible for any damage to or loss of student’s personal property while traveling on a school sponsored field trip.

Parent/Guardian Signature Date

Student Signature Date

Student Name (print)