Johnny Wilson Farm

We encourage families to use this online portal to make field trip payments whenever possible.

If you prefer to pay by cash or check, please select the in-person payment option below, complete the online permission form, and send the payment to school with your student.

Please note that a $25 fee will apply to any returned check. The returned check fee and the original payment amount must be paid in full before the student may attend the field trip.

Pay Online

$19.00

*Participant's First Name

*Participant's Last Name

*Teacher's Name (or 1st period teacher)

*Current Grade

*Parent/Guardian First & Last Name

*Emergency contact #1

List name, and relationship. Must be over 21 years old.

*Emergency contact #1 phone number

*Emergency contact #2

List name, and relationship. Must be over 21 years old.

*Emergency contact #2 phone number

*Has your student's emergency or medical information changed since the beginning of the school year?

Yes

If yes, please explain what changed

*I permit my student to be photographed, videotaped, or otherwise recorded during this field trip for educational and school-related publications, social media, or promotional purposes.

Yes

*I confirm that I am the parent or legal guardian of the student listed above and give my permission for my student to attend the field trip described in this form.

I agree