Trip Request Form

Trip Request Form
Please use this form to request day and overnight trips that fall outside of Experiential Education Week and Spring Break. Requests must be made at least two weeks in advance of the proposed trip.
General Trip Details
Trip name*
Type of trip*

DayOvernight
Division*

Lower SchoolMiddle SchoolUpper SchoolAthletics
Do you have approval from your Department Chair?
Does your trip involve students in more than one division? If yes, please indicate divisions below.*
Does your trip involve students in more than one division?*

YesNo
Which divisions?

Lower SchoolMiddle SchoolUpper School
Department (if applicable):*
Trip destination*
Current Date

MonthDayYear
Date
Date of trip and planned time of departure from campus:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Days until trip begins
Advance Notice Needed

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Please Note:

Trips proposals must be submitted two weeks in advance for a "Day Trip" and one month in advance for an "Overnight Trip". Please change the date of the proposed trip or contact Meghan Edwards at medwards@ljcds.org.
Return date and time you expect to return to campus:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Faculty/Staff Program Leader name*

First NameLast Name
Faculty/Staff Program Leader e-mail*
example@example.com
Faculty/Staff Program Leader cell phone*
Please enter a valid phone number.
Class, club or team name*
Class name, club name etc.
Student List

If your roster changes prior to the trip, please provide healthoffice@ljcds.org with an updated list. If you are submitting an overnight trip proposal several months ahead of time and your list is not finalized, be sure to provide healthoffice@ljcds.org with your finalized list at least one weeks prior to departure.
Please list the students that will be attending the trip. If you prefer, you may upload a file.
Students list file upload

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# of students participating in trip
Description of trip: Please write a short paragraph to summarize the trip to be used on the permission slip.

Example: MS students will spend the day at Disneyland looking for and analyzing practical applications of the material they learned throughout the year. Using a scavenger hunt model, students will find instances of acting methods, character choices, scenic, lighting, sound, and props that help tell the story of an individual ride, area, or the park in general. During the day, we'll establish meeting times to see the Storytellers theatre show, as well as a check in for ice cream, and finally view the parade and fireworks. Between those group meeting times, students will be in their groups roaming the park and working on their scavenger hunt assignment.
Trip purpose *
Description of trip*
Estimated cost excluding transportation (ie. entry fees, donation fee, etc.). If your planned trip is overnight, enter N/A (we will refer to your budget spreadsheet).*
Trip budget source/allocation (if known).
Please list chaperones (if known).
Are there additional vendor/partner forms to include in permission slips?
Please upload vendor/partner forms if necessary.

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Transportation needed? After submitting this form, you must submit a Transportation Request in FMX. E-mail Dan Wagner (dwagner@ljcds.org) with any questions about requests.*
Total number of travelers (seat count for transportation)
Please indicate if the following information is required on student permission slips.

Medical ConditionsAllergiesOther

Trip Itinerary

Please add the trip itinerary in the space below or upload a file.
Trip Itinerary
Trip Itinerary File Upload

Upload a file copy of the detailed trip itinerary
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Additional trip information (insert info OR paste a link to a Google Doc here)
Additional trip information (upload any other relevant documents here)

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Should be Empty:

Trip Request Form

Please use this form to request day and overnight trips that fall outside of Experiential Education Week and Spring Break. Requests must be made at least two weeks in advance of the proposed trip.

General Trip Details

Please Note:

Student List

Description of trip: Please write a short paragraph to summarize the trip to be used on the permission slip.

Questions for Upper School Trips

Trip Itinerary