Kindergarten Field Trip Authorization

Tualatin Valley Junior Academy
21975 SW Baseline Road
Hillsboro, Oregon  97123
503-649-5518

I give permission for my child, _________________________, to leave

with the TVJA Kindergarten group for a trip to

_______________________________________________________

leaving at _______________________ on ______________________

and taking the bus. 

We will be returning at approximately ________________________.

Please return this form by _______________________________. 
Permission slips are not accepted the day of field trip because of
needed prescheduling.

Items needed for this field trip are checked:

___ Disposable sack lunch
___ Backpacks
___ Dress for weather conditions
___ Extra spending money for gift store
___ Have a good breakfast
___ Arrive to school early

___ Chaperones are needed:      Cost for chaperones ____________

___ I can help.  Please call me at _______________to confirm.

___ No chaperones needed, Thank you.


Please be sure the teacher has confirmed your plans to be with us on
this field trip.  Surprises cause delays, financial mix-ups, and
sometimes there is limited space.

Remember to make other arrangements for siblings:  this field trip is a
special time for your Kindergartner.

Additional Information:
____ Confirmed chaperones for this field trip are:



Signed, __________________________   Date,_________________
               (parent or guardian)

____ Please note health concerns for my child(ren) on this field trip:


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