AUBURN CITY SCHOOLS TRIP PERMISSION FORM

Montgomery Zoo Field Trip

I, ________________________Mother/Father/Guardian (Circle One) hereby grant permission
for my child, __________________________________________ to go on the trip to visit the
Montgomery Zoo in Montgomery, AL.
Date: Thursday, April 19
Time of departure: 8:00 a.m.
Estimated time of return: 1:30 p.m.
Method of transportation: Bus
Teacher: S. Jones
Cost to student: $10.00

My School Bucks for Field Trip Fees

*If you are unable to use the convenient online payment feature, please send traditional payment to
nd
school (cash or check) before Monday, April 2 . Thanks!

_____ I paid for my child’s field trip using My School Bucks. My

confirmation number is ___________________________________________.

Auburn City Schools has a new feature that allows our school to collect field trip fees through My School
Bucks. This service helps our accounting office to be more accurate, saves time, and makes the payment
of transportation and entry fees easier. Please go to www.myschoolbucks.com and look for School
Store. After clicking on the orange ‘Browse All Items’ button, you should see ‘Kindergarten Field Trip-Zoo’
listed. Simply select this item to add to your cart and complete the transaction. There is no processing
fee associated with the School Store.

In granting this permission I hereby expressly waive my claim for liability against Auburn City Schools, the
Board of Education, including its employees and representatives, and release them from all liability in
connection with this trip. Further, I assume full responsibility for any damage to persons or property
caused by my child or ward. I further expressly agree that in the event disciplinary action may be
necessary, my child or ward may be forthwith returned home at my expense. Further, in case of injury or
emergency to my child or ward, I hereby authorize the school to act in the best interest of my child. I
further consent and will be responsible for any medical or dental treatment that may be advisable at the
discretion of any physician or dentist. I understand that I will be personally notified if it becomes
necessary for my child or ward to be returned home and/or require health treatment. It is further
warranted that if this CONSENT FORM is signed by one or two parents or guardians, it is with the
authority of the other.

____________________________________________ ______________________________
Signature of Parent or Guardian Date

Please mark if your child will have a school or home lunch on this day. Any school
sack lunches ordered on the permission form prior to the trip must be paid for, even if a lunch
is brought from home on the day of the trip.

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