Clone of 2024/2025 Field Trip Confirmation Form

Scholar Full Name*

First NameLast Name

Scholar Grade*

Field Trip Destination*

Name of Parent/Guardian*

First NameLast Name

Parent/Guardian Phone Number

Please enter a valid phone number.

Parent/Guardian Email*

example@example.com

If a lunch period occurs during the trip, please indicate if your scholar will bring a disposable lunch (no glass bottles) or if they need a bagged lunch from Sodexo. (Not all field trips include lunch)*

I will provide a disposable lunch for my scholar on the day of the trip.My scholar will need a bagged lunch from Sodexo.Not Applicable

For High School scholars ONLY, how will the scholar be attending the field trip?*

Riding on CLA provided transportationTranportation in the scholar or parent private vehicleNot Applicable

If payment is needed for this field trip, how will you be paying? (Select Credit/Debit to open card payment fields) [Please verify if your trip requires payment]*

Cash/Check in officeCredit/Debit Card with this formFinancial Assistance is requestedNot Applicable

Fee Selection (Payment only required if indicated on flyer/teacher instructions)

General Field Trip Fee

$5.00

Wildlife Images Field TripKinder & 3rd Grade Trip to Wildlife Images

$10.00

Rogue Rock Gym FeeFee for the HS field trip to Rogue Rock Gym

$10.00

Sponsor Field Trip FeeFor those families that may want to sponsor a child, who is unable to pay, for a field trip. Sponsor funds not used for students on this trip will be donated to the CLA Foundation for financial assistance for future field trips.

$5.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card

Financial Assistance Approved by Admin

Sponsorship Used

Cash Paid

Check Paid

Check Number

Card Payment Received

WD Received