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Membership Application
indicates a required answer
By filling out this form, I grant permission for my child(ren) to attend this field trip/event. I understand that I must provide transportation for my child(ren) to and from the field trip/event, and agree to be on time for drop off and pick up.
Field Trip/Event Name
Date of Trip/Event
Parent Name:
Child(ren) Name(s)
Name of person providing transportation
Contact number for the person providing transportation
Emergency Contact Name
Emergency Contact's Phone Number
