I, the undersigned parent (or guardian) of __________________________ do hereby give my permission and consent for my child to visit:
Myrick Center on the following date: Tuesday, October 6, 2015.
Departure time: 12:10 p.m.            Arrival time: 12:30 p.m.          

Means of transportation: cars               Cost: $3.00
        If parents have any special requests to make concerning their child, they should convey their desires in writing to the instructor in charge, and if feasible, their request will be permitted; otherwise, the pupil must abide by the decision and judgment of the instructor at all times.  This trip permission slip must be signed by the parent or guardian and be on file with the instructor before a pupil will be taken on a field trip.

Return time: 2:45 PM

                                                                (Parent or Guardian)
  ____ I can drive and seatbelt _____ .

Please return the permission slip  by Wednesday, September 16.

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