Date: Thursday, May 14, 2015

Please choose one of the Trip Type  Farm Trip Planetarium Trip Museum Trip

My child will be going on the trip to the chosen venue.
 Yes No

Transport Options.
 Only child is going by bus Child and other person(s) going on the bus. # of persons on bus Child and other person(s) going straight to the venue. # of persons attending event Child going to the venue with a parent, but parent not going inside the venue

Help with Transport
 I will be able to help with transport. # of children I can transport I will not be able to help in transporting children

Required

Required

Required

Child Name *

Class Teacher*

I will send $3 as venue fee. If another person/adult is accompanying, I will add the extra $3.

If the child(ren) and another person is/are taking the school bus, a transport charge of $7 per person be added to the total.

(If paying by check, please make check payable to NEW HORIZONS MONTESSORI and hand in to the teacher or the office).

By typing my signature and sending this form using the internet medium I acknowledge that I have read and understood all the information provided to me by the school; I agree and understand that my electronic signature is equivalent to my manual written signature.

Type Parent's Name*

Considered as signature

Date*