* 1. What is the student's last name?

* 2. What is the student's first name?

* 3. What is the student's email address?

* 4. What is the parent/guardian's email address?

* 5. What is the student's cell phone number?

* 6. Who is the student's emergency contact?

* 7. What is an emergency contact number for the student?

* 8. I understand that I MUST turn in a hand-signed permission slip to Kaci Sintek (kaci_sintek@dpsk12.org) in order to be able to go on the field trip.  I understand that this permission slip must be given to her by January 16th in order to eligible to go.  I understand that a typed permission slip does NOT meet the requirements; I understand it must be hand-signed by my parent/legal guardian.

* 9. I understand that I must be on time to ride the bus, and if I am not, the bus may leave without me.  I understand that lunch is not provided, and that I should bring my snacks or cash for lunch.  I understand that we will be walking outside at times and around livestock,  so I should wear the correct shoes and clothing for the day's events.