Permission Form For Participation In A Field Trip

Dear Parent Guardian:

Your son/daughter is eligible to participate in a School-sponsored activity requiring transportation to a location away from the School building. This activity will take place under the guidance and supervision of Faculty & Parents, staff and other representatives of (The Patrick School). A brief description of the activity is as follows:

Event: SKIRMIS PAINTBALL, 211 North Meckesville Rd, Albrightsville, PA 18210

Designated Supervisor: Mr. Chavannes, Faculty, Parents

Date and Time of Departure: 09-26-14 9:00 AM – TPS

Date and Anticipated Time of Return: 09-26-14 5:30 PM

Method of Transportation: School Bus

Student Cost: Park ticket $25.00 + bus $25.00 = $50.00 (first come basis)

  • Open to one guest per student (No reservations) Full Payments (Guests $75.00)

PRICE DOES NOT INCLUDE PAINTBALLS.

  • Parent/Guardian/Emergency Contact Information

  • STUDENT ACKNOWLEDGEMENT