due: Friday, May 8, 2009
Student Information:
I have read the attached itinerary, and I hereby give permission for my child, _________________________________, to travel with the Triangle Day School fifth grade class to Philadelphia. He/She will depart on June 3 and return on June 5, 2009.
________________________________
Signature of Parent/Guardian
Chaperone Information:
____ I would like to chaperone! Please contact me.
Name: _____________________________________________
____ If not selected as a chaperone, I would still like to join in the GFGA.
____ I would prefer a private room.
____ I would prefer to share a room with _____________________.
Guest Information:
____ I/We would like join the trip as a guest.
Name(s): ____________________________________________
____ I/We would prefer a private room.
____ I would prefer to share a room with _____________________.