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Colchester Public Schools
Application for Approval of Field Trip
Overview: This form must be completed by all staff to request approval of a field trip.
Directions:
1. Complete the form attaching all applicable documentation and submit to your administrator. The application
must be submitted at least two weeks prior for in-state field trips, and two weeks and two months prior for
out-of-state trips.
2. The Administrator will recommend or not recommend. If approved, the form must be sent to the
Superintendent. .
3. The Superintendent will either recommend or not recommend and will bring to the Board of Education if the
request is for an out-of-state field trip.
4. If applicable, the Board of Education reviews and makes the final decision.
_Today’s Date: 6/4/24
* Keith Morrissette Transportation: Schoo! Bus
School: WJJMS Bus Service Number(s) (if applicable):
Grade(s) and Group(s): 8th Grade Band/Chorus Number of Students: 75
Date(s) of Trip: Friday, May 23, 2025 Number of Day(s) of Trip: 1
Event: Six Flags Trip
Destination: «i. Flags New England Phone Number: (44) 786-9300
Address . State:
(for each destination): 1623 Main St., Agawam, MA MA
Time of Departure From School: 12PM Special Clothing and/or Equipment Required:
Time of Arrival Back at School: 8PM music tshirt
$20-$75 Suggested Student Pocket Money: $ $20
1. Name: Keith Morissette Cell Phone: (860) 303-7777
2. Name: Lynn Goodwin Cell Phone: (860) 334-6211
List all adult chaperones: Ratio of adult chaperones to students must be at least: 1:5 for Grades K-2, 1:8 for Grades 3-5; 1:10 for
Grades 6-8; and 1:15 for Grades 9-12 (one-day trips) or 1:10 (overnight trips)
Applicant Signature Ni Y, .
Administrator's Signature 7 »<__—— [=] Recommended C] Not Recommended
[Ey ¥ecommended [| Not Recommended
Board of Education Meeting Date: Hi Recommended [| Not Recommended
Bus Reservation Date: Price of Bus(es): $
*If a trip to a foreign country, please complete and attached the CIRMA insurance application and notify parents of coverage Last Updated 5/27/21
Field Trip Cost Form
Date(s) of Trip: Friday, May 23, 2025
Event: Six Flags Trip
M&J Bus(es) ONLY
Number of Students: Estimated Hours for trip: g
{Add 1 hour pre/post trip)
75
Number of Buses: 1
Per Student Calculations:
M&J Bus(es) ONLY Coach Bus(es) ONLY
Admission per student: $45
Miscellaneous Fees per student: nla
Total admission and miscellaneous fees: $45
Cost of Bus TBBP~ (RAO, 4a
Total Field Trip *Cost per Student: $45 + Bus —
Silod =
Additional Costs:
Number of Substitute Teachers n/a
Rate per Day
Special Education costs nla
Cost Associated if Nursing Required n/a
Total *Cost to District: $0
Total *Cost of Trip: —$20$7% 4595.32.
Alternate funding for trip provided by:
co Music Activity Fug
*Insert these costs on the accompanying Field Trip Application
Form updated 5.27.21