Before submitting, please be sure to:
  1. Fill in all requested information.
  2. Pay any fees online. Click here.
  3. Submit this form online by the due date.
Child's Name:
Grade:
Name / Place of Trip:
Date of Trip:
Parent completing form:
Carpool information:
No parental drivers are needed for this trip.
Drivers are needed and I would like to be a driver and a chaperone for this field trip. I can take (#) of children in my vehicle..
I would like to drive my own child and chaperone only him/her.
I would like to chaperone, but I do not wish to drive.
Siblings are encouraged to attend this trip, so I will be bringing (#) of siblings, ages (list ages).
I will be keeping my child home and he/she will not be attending this field trip.

Please read and sign:
I give permission for my child to attend the field trip as described above. I understand that my child will be transported to and from this field trip by car or van (or bus) driven by a member of the Rockbridge staff or a Rockbridge parent (or by a professional bus driver).
Agree Disagree
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911 Generals Hwy, Millersville, MD 21108 - P: 410-923-1171 - learning@rockbridge.org