CCES - Kindergarten Devine's Pumpkin Patch

Devine's Pumpkin Patch Field Trip Permission Form

*Student Name

*Homeroom Teacher

*How will your child's lunch be provided?

Sack lunch from HOME

Sack lunch from SCHOOL

*I will be able to chaperone this field trip?

I will pay $7.00 at the gate and will bring my own lunch.

Yes

No

*I am willing to be in charge of a group of 2-3 students during this trip.

There will be no additional children accompanying me.

Yes

No

*Chaperone Name

If you are not interested in chaperoning insert N/A.

*Do you have a background check on file?

If you are not interested in chaperoning select N/A.

Yes

No, please send me the Google Form.

N/A

*Are you CPR certified?

If you are not interested in chaperoning select N/A.

Yes

No

N/A

*Do you give permission for your child to attend this field trip to Devine's Pumpkin Patch on October 21st, 2026?

Yes

No

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