Field Trip Consent Form

Class: Grade 4

Trip: Unit related trip to the Bibliotheca Alexandrina: 1001 Inventions exhibit.

Date of trip Tuesday, December 1, 2015

Reason for The visit is connected to our current unit of inquiry on Inventions.
trip This outing will conclude our Unit and allow the students to experience a
local exhibit showcasing inventions and inventors from the Arabic world.
Please pack 1. Weather appropriate clothing and footwear. (We will be standing
outdoors for some time!)
2. Sack lunch to eat at the bibliotheca.
Cost 20 LE per student.

Please sign and return the form below and payment to notify us that you consent to
your child taking this trip, as part of the class curriculum.
Signed:

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Trip: Bibliotheca Alexandrina: 1001 Inventions
Date of trip: Tuesday, December 1, 2015

Student's name:
_______________________________________________________________
Any allergies or medical conditions the teachers should be aware of for the trip:
_______________________________________________________________
Preferred contact number on this day:
____________________________________________________________________

I understand I will be informed as soon as possible in the unlikely event of any injury,
accident or anomaly involving my child. Should the school be unable to contact us
quickly enough, I authorise the school staff, or another representative of AIA, to act
on my behalf in the case of any emergency.
I have received notification of the above mentioned trip and understand that failure to
return this form will result in my child’s exclusion from this school learning experience.

Signed: Date: