2019-2020 Free February Field Trip: Jump Street Question Title * 1. What is the student's last name? OK Question Title * 2. What is the student's first name? OK Question Title * 3. What is the student's email address? OK Question Title * 4. What is the parent/guardian's email address? OK Question Title * 5. What is the student's cell phone number? OK Question Title * 6. Who is the student's emergency contact? OK Question Title * 7. What is an emergency contact number for the student? OK Question Title * 8. Below is a list of any medical concerns that field trip chaperones should be aware of. This may include medications I take, foods I am allergic to, if I carry an inhaler, or anything else that is important for medical purposes. OK Question Title * 9. I understand that I MUST turn in the hand-signed permission slip to Kaci Sintek (kaci_sintek@dpsk12.org) in the main office in order to be able to go on any school field trips. I understand that this permission slip must be given to her before getting on the bus to be eligible to attend any of the field trips. I understand that a typed permission slip does NOT meet the requirements; I understand it must be hand-signed by my parent/legal guardian. I understand OK Question Title * 10. 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 food is not provided, and that I should bring my own water/snacks/lunch or money should I get hungry. I understand OK DONE