Field Trip Form

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.

Important Information:  If privately owned cars are used, chaperones 
driving must give the office a current copy of their Certificate of 
Insurance.  Children must be in appropriate seats with working seat 
belts and are not allowed in the front seat equipped with a passenger 
airbag.

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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Kindergarten Field Trip Authorization

Tualatin Valley Junior Academy
21975 SW Baseline Road
Hillsboro, OR 97123

I give permission for my child, ________________________to leave with the 
T.V.J.A. Kindergarten group for a trip to 

Oregon Children’s Theatre-Newmark Theatre
on Wednesday, February 18

To have an up-close theatre experience of the play, 
“Click Clack Moo”

Leaving at 8:30 by T.V.J.A. bus and returning to school around 11:30.

Four (4) Chaperones total are needed.   Cost for chaperones is $7.75.  Money 
for ticket must be received to confirm spot.

_______Yes, I can help.
Please call or email me at ______________________ to confirm my spot.

Remember to make other arrangements for siblings; this field trip is a 
special time for your Kindergartner.  We only have a limited number of 
tickets for this program.

Signed, ___________________________  Date, __________________
 	      (Parent or guardian)
Return this form to your child’s teacher as soon as possible.