Wonderworks Field Trip

WonderWorks Field Trip

Complete this form and submit payment for your child to attend the field trip.

WonderWorks Field Trip

Wednesday, May 8, 2024
Student Name(Required)
The undersigned, who is the parent/guardian of named above, a minor (hereinafter referred to as “Student”), on behalf of himself and student, their personal representative, assigns, heirs and next of kin, request Student is permitted to participate in the aforementioned event:
Acknowledgements(Required)
First and Last Name
Medical Information: In the event Student becomes ill, I authorize the faculty or chaperones to obtain medical attention at a physician’s office or hospital. Student is covered by the following medical insurance:
If none, type none
If none, type none
I UNDERSTAND THAT EVERY EFFORT WILL BE MADE TO REACH ME BEFORE MEDICAL PERMISSION IS GIVEN TO TREAT MY CHILD.
First and Last Name
Price: $40.00