Students Name *

First Name

Last Name

Parents/ Guardian Name *

First Name

Last Name

Home/Work Phone *

(###)

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Cell Phone *

(###)

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Field Trip Permission *

To enrich our Summer Camp curriculum and provide an enhanced educational experience beyond the classroom setting, periodically we will venture outside to explore what Atlanta metro has to offer by way of education. You will be notified in advance of the scheduled field trip with all of the details, and if there will be any additional fees associated with the field trip.

I give permission for my student to participate in any scheduled field trip.

I do not give permission for my student to participate in any scheduled field trip. Please note: if students do not participate in scheduled field trips, no one will be available at the school, the student will need to stay home on those days.

Date *

MM

DD

YYYY