THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

PUPIL SUPPORT SERVICES

1960 Landings Boulevard

Sarasota, Florida 34231

Telephone: (941) 927-9000

FIELD TRIP AUTHORIZATION FORM

INSTRUCTIONS: In-County Field Trips/School Bus Requisitions require PRINCIPAL approval ONLY. Out-of-County field trips/school bus requisitions require principal and assistant superintendent /designee approval. Any trip involving students’ Out-of-State/Country travel require School Board approval and should include release forms, insurance coverage and other data supplied by the company assisting with the arrangements. Provide the information requested below and on the back of this form prior to departure date and submit this completed form with appropriate attachments to the principal and assistant superintendent/designee for approval adhering to the advance notification time lines recorded after field trip below.

Check One:

 In-County Out-of-County (4 wk)  Out-of-State (8 wk)  Out-of-Country (12 wk)

School: ______Destination: ______Purpose: ______Departing From: ______Date: ______Time: ______a.m./p.m.

Returning To: ______Date: ______Time: ______a.m./p.m.

Grade/Class/Sport: ______

Person-In-Charge: ______Telephone #: ______Method of Transportation:  School Bus (Attach School Bus Requisitions)  Charter Bus

 Airline  Other (Explain): ______

NOTE: If other than a Sarasota County school bus, please attach certificate of insurance from carrier or Statement of Insurance on private vehicle form

See Board policy on use of MPV's.

Meal Arrangements: ______

Lodging Arrangements: ______Number of Female Students: Number of Male Students: Total: ______

Number of Female Chaperones: Number of Male Chaperones: Total: ______

Names of Chaperones:______Cost Per Student: $______

It is understood that permission slip & Emergency Medical/Treatment Field Trip Consent Form will be obtained from parents prior to the field trip.

Funding Source:  Individual  Fundraiser  PTO/PTA  Internal Funds

 Other Explain:______Verification of student medical insurance was completed for out-of-county/overnight travel? ______Yes ______No

Principal:  Approved  Denied
Signature: Date: ______
Associate Superintendent/Designee:
(Out-of-County/State/Country)  Approved  Denied
Signature: Date: ______
OUT OF STATE/COUNTRY FIELD TRIP WAS SCHOOL BOARD APPROVED ON: ______ITEM #: ______

RET: Master, ESY 003-90-SEC- BUS

Dupl., OSA The School Board of Sarasota County complies with State Statutes on Veterans’ Preference and Florida Statutes on REV. 5/9/04

non-discrimination on basis of race, color, sex, religion, national origin, age, disability, marital status or sexual orientation.

FIELD TRIP REQUEST INFORMATION

Please provide the following information for any and all field trips

1.Explain the direct instructional connection with instructional program.

2.Describe how students are being selected to participate with assurances of equal access for all students, regardless of economic level.

3.Describe how students will be supervised once they arrive.

4.Should an emergency arise, how will communication and transportation be handled?

fldtpreq.003 (6/20/01)