Field Trip/Transportation Request

Requests must be submitted with completed Transportation Information at least 10 business days prior to trip

Full Name of Teacher/Sponsor/Coach *

Email Address of Teacher/Sponsor/Coach *

School *

Administrator Email Address *

Teacher/Coach/Sponsor Cell Phone Number *

Club/Organization/Sport *

Is this request for an overnight trip? *Please make request 30 days in advance for Superintendent approval* *

Yes

No

Preliminary plans have been made to take: *

To: (Location/City/State) *

On: (Date) * +

How many students will be attending? How many boys? How many girls? *

I have ascertained that the following teachers or parents are planning to go: *

Total cost of the trip, including transportation, will be: *

Source of Funds: *

Is this request for an athletic event? *

Yes

No

Please affirm the following: *A signed permission slip from pupils' parent/guardian giving approval to participate will be secured from each pupil. *I have discussed with you (the principal) the nature and extent of this trip prior to making any firm committments concerning tickets, transportation, or chaperones. *I will furnish the secretary on THE DAY BEFORE THE TRIP, AT THE LATEST, the names of the students who will be making the trip. I will also give the secretary a list of the students who do not plan to make the trip. *

Agree

Disagree

Special Conditions (i.e. special needs students, nurse needed for trip, etc.) *

Educational Justification for the Trip: *

Educational Activities employed to prepare students for trip and/or follow up activities or evaluations: *

Transportation Form

All field trips using PCBOE drivers must return by 2:15 PM Eastern unless approved by the transportation supervisor.

Notes for Sponsors

Sponsors are responsible for making arrangements for hotel accommodations and meals for any driver(s) on overnight trips. Sponsors must supervise and be responsible for discipline on the bus. Positively no eating or drinking on the bus without prior approval. Sponsors must notify the transportation department within 24 hours of trip cancelation (unless due to inclement weather), otherwise, you will be charged one (1) hour for driver and mileage cost to your location. Sponsors are required to bring a list of students/sponsors on the trip and leave a copy with the school.

Cost of Trip = $30.00 per hour/driver and $1.75 per mile or per state-mandated cost.

Departure Date and Time (EST) *

Return Date and Time (EST) *

Pick Up/Drop off Location on Campus *

Will you be using PCBOE Buses? *

Yes

No

Will you be using Volunteer Drivers? *

Yes

No

Will you be using Charter Buses? *

Yes

No

PCBOE Bus Information

# of PCBOE Bus Needed *

# of Transportation Department Drivers Needed *

If "0" Transportation Department drivers are needed, then list the name(s) of those who will drive: *

Charter Buses

Charter Company Name (Please send a copy of charter agreement) *

Charter Agreement

Personal Vehicle/Volunteer Driver

List drivers below: (Each driver must complete a Volunteer Driver Form and provide proof of insurance) *

Child Nutrition

Will you need sack lunches? *

How many lunches will you need? *