ST Augustine Camping Trip Permission Form April 5th – 6th Dear Parent or Guardian, Your child is going on a field trip. Please read the information at the top of this form, then sign and return the permission slip at the bottom of this form by ____________________. Field Trip Information: ST Augustine Camping Date: _____________________April 5-6 2014 ___________________________________________ Location: ____St Augustine__________________________________________ Purpose: ____________________Beacon Community Building Trip______________________________ Cost: ____$20.00_____________________________________________________________________ Cash or check payable to: _______UUUS_________________________________________________ Means of Transportation: ____Van___________Advisor Vehicles ________2__________________ th

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Leave: ___April 5 10am_______________________ Arrive back: _____April 6 5pm_______________ Special Instructions: All Beacon rules will be maintained. Group tents will be setup and at least one advisor per tent will be made available. All out of bounds areas will be announced at arrival. Save this part of the form for future reference.

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Sign this part of the form and return it to your child's teacher.

_____________________________________________________ has permission to attend a field trip to _________________________________________ on ____________________________________ from

Enclosed, please find cash/check in the amount of _____________________ to cover the cost of the trip. I give my permission for ________________________________________ to receive emergency medical treatment. In an emergency, please contact: Name: _________________________________________ Phone: ______________________________ Parent/Guardian Signature: ___________________________________ Date: _____________________