Facebook Instagram Email Phone

4th Grade Field Trip

- 2025-26 Permission Slip
  
  Thank you for submitting a permission slip.
  
  4th Gr field trip to State Capitol and Veteran's Museum, Thursday, March 19, 2026
  Trip Coordinator: Ms. Helena Herrera
  Additional Staff and Chaperones: Mr. Ethan Collins and 2 parents (to be announced)
  Transportation: City Bus
  Lunch: Bring a cold lunch/drink from home. We'll go to the Chocolate Shoppe for dessert (one single cone or dish per student).
  Cost: $9.50
  Field Trip fee, including ice cream, will be billed via FACTS.
  Schedule: 8:45 am: leave school/walk to city bus; 10 am: Capitol Tour 11-12:45 Lunch and Ice Cream; 1 pm, Veteran's Museum Tour; 2:30 pm: back at school. (Times approximate and may vary based on bus schedule).
  
  Child/ren's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Number of Students for Whom You Are Giving Permission REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Parent/Guardian Information
  
  Name of Parent/Guardian Completing Form
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Permission and Acknowledgements
  
  In the event of an emergency, if chaperones cannot reach me (or other designated emergency contacts listed in FACTS), I authorize emergency treatment of my child. REQUIRED Please fill out this field.
  
  I give my permission for my child/ren, named above, to participate in this school activity. REQUIRED Please fill out this field.
  
  By completing this form, entering my name in the signature box, and clicking the "Submit" button:
  I indicate my permission and release of liability for my child/ren, named above, to participate in this school activity.
  I understand that I remain legally responsible for any personal actions taken by my (above named) child.
  I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Blessed Sacrament School and the Diocese of Madison, its officers, directors and agents, coaches, chaperones or representatives associated with the event, arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the same for reasonable attorney's fees and expenses arising in connection therewith.
  I understand that submitting this electronically-signed document will be valid and enforced in the same manner as a hand-signed document that exists in physical form.
  
  Parent Electronic Signature REQUIRED Please fill out this field.
  
  Date Signed REQUIRED Please fill out this field.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.