* 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 February 26th 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 own water, snacks, and lunch.

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