NPSB | 310 Royal Street | P.O. Box 16 | Natchitoches, LA 71457-0016 | Phone: (318) 352-2358 | FAX: (318) 352-8138 | www.nat.k12.la.us
Natchitoches Parish School Board
Field Trip Request Form
OUT-OF-STATE TRAVEL MUST BE REQUESTED 30 DAYS IN ADVANCE OF THE NEXT BOARD
MEETING. The request must be submitted to the executive secretary by the 20
th
of the month prior to the
month the approval will be voted on by the Board (i.e., Travel on Dec. 1 must be submitted by Oct. 20 in
order to be voted on in Nov.) Telephone polls of Board Members are not permitted.
Class or Group Teacher
Teacher Cell Phone
Destination
Depart from Date Time
(specific location)
Return to Date Time
(specific location)
Method of Travel
Number in Group Students Teachers Aides Parents
Car Seats Required Yes No # of seats
Lift Bus Required Yes No # of chairs
Purpose
Chaperone Cell Phone
Chaperone Cell Phone
Chaperone Cell Phone
Chaperone Cell Phone
Bus Driver Approved Not Approved
FUND
FUNDING
PLEASE
CHECK
ONE
_____________________________________ _____________________________________
Signature of Principal Signature of Program Director
Please send the original to
Mrs. Carol Johnson, NPSB Accounting Dept.
& a copy to
Mr. Bob Downin/Transportation Dept. (with all required signatures)
*A list of students involved should be attached to this request.
Title I – School Wide Fund
Principal & Gwen Antee-Hardison
Principal & Gwen Antee-Hardison
Special Education – Program Fund
Principal & Cheryl Johnson
21
st
Century – Program Fund
