Holy Family Academy

Gardner, MA

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2023 Davis Farmland Field Trip- PREK-2

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  Please use this form to complete the permission slip and payment for the upcoming Davis Farmland Field Trip for Grades PREK-2.
  
  Please take a look at the email from the school with the trip details, meeting times, and other important information.
  
  How many people are you registering to attend the Davis Farmland Trip? (Please include students, parent/guardians, and any other siblings etc. that you are bringing). REQUIRED
  Please enter the total number of people you are registering to attend Davis Farmland. This includes students, chaperone, and any siblings etc. You will need to enter the name of all attendees and note their grade level and/or chaperone/sibling status.
  Please fill out this field.
  
  Information about the People in Your Registration Group 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  Information about the People in Your Registration Group 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  Information about the People in Your Registration Group 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  Information about the People in Your Registration Group 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  Information about the People in Your Registration Group 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  Information about the People in Your Registration Group 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  Information about the People in Your Registration Group 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  Information about the People in Your Registration Group 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  Information about the People in Your Registration Group 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  Information about the People in Your Registration Group 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade/Chaperone/Family/Sibling
  
  If your student(s) are being chaperoned by someone that you are not registering, please enter the name of their designated chaperone here.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  I give my HFA student(s) permission to attend the Davis Farmland Field Trip. I understand that I am responsible to coordinate their transportation to, supervision of, and transportation from Davis Farmland.
  
  If I do not plan to send my child to this learning experience, I agree to let the teacher and office know so that we can properly record their absence. This learning experience is being held in place of the regular school day.
  I Agree Please select this field.
  
  Please type your name here as an electronic signature REQUIRED Please fill out this field. Please enter valid data.
  
  The cost for admission is $13 per person for which you are registering, including students, chaperones, and siblings etc.13.0
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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