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4th grade Zoo Trip

Location: Detroit Zoo

Date: June 13, 2025

Cost: Student $20.00 - Non-Refundable

Parent $20.00 - Non-Refundable

The Payment Due Date: Monday, June 9, 2025

By completing this form, I permit my child to attend this field trip and participate in any and all activities of Dr. Joseph F. Pollack Academic Center of Excellence(PACE). I agree that in allowing my child to attend this field trip that I will hold teachers, employees, and any other persons assisting with any phase of such trip harmless from any and all liability, claims, and responsibility for making such trip and activities. I further release all of these parties from liability by reason of any accident or injury that might occur while on the trip or participating in such activities.

In the event of illness or accident to my child and I cannot be reached, I authorize my child to be provided with such first aid treatment, ambulance service, and/or emergency hospitalization as deemed advisable and necessary by school personnel.

Student Last Name*

Answer required for "Student Last Name"

Student First Name*

Answer required for "Student First Name"

Parent/Guardian First Name*

Answer required for "Parent/Guardian First Name"

Parent/Guardian Last Name*

Answer required for "Parent/Guardian Last Name"

Parent/Guardian Email Address*

Answer required for "Parent/Guardian Email Address"

Parent/Guardian Phone Number*

Number Required

Quantity

Student Fee

Price: $20.00

Parent Fee

Parent must have completed the iChat & Volunteer training BEFORE making the payment.

Answer required for "Parent Fee"

$20.00 - Parent Fee

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"