Offsite Outing Request

Teacher Name:(Required)

First Last

Class:(Required)

Students Participating:(Required)

Destination:(Required)

Mode of transportation there:(Required)

Mode of transportation back:(Required)

Purpose of trip:(Required)

Event Date:(Required)

Event Start Time:(Required)

Is there a cost to students?(Required)

Is there a cost to KCC?(Required)

Medical needs during off ground time:(Required)

Will this impact 1:1 therapy, group therapy or integration? Please be specific:(Required)

Parent Notification Plan:(Required)

Additional staff/volunteers:(Required)

CAPTCHA