Field Trip Permission to Drive | Smart Diehl Academy

Event: Clara’s Trip – A Cirque & Dance Nutcracker Story

Date: Friday, December 12

Location:

Booth Playhouse @ Blumenthal Performing Arts Center (Uptown Charlotte)

Departure Time: 9:00AM

Return Time: 12:30 PM

Transportation: Choose below:

Field Trip Attendance

my child WILL attend the field trip.

My child WILL NOT attend the field trip.

Single choice

I will dive my own child to Creative Canary Art Studio for the field trip.

I give permission to a Smart Diehl Academy Staff member or Parent Volunteer to drive my child.

My child will not attend the field trip. I will keep them at home this day.

My child will not attend the field trip, they will stay at Smart Diehl Academy this day.

Student Name

Parent/Guardian Name

Parent/Guardian Phone

(If applicable) I give permission for my child, named above, to be transported by Jayme Diehl, another Smart Diehl Academy staff member, or a parent volunteer.

Signature

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Date picker

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