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K -1 Blake's Cider Mill Field Trip Permission Form

Location: Blake's Cider Mill, 17985 Armada Center Rd., Armada, MI 48005

Date: Thursday, October 23, 2025

Time: Depart @ 8:45AM, and Return @ 2:00PM

Cost: $25/person (students & parent/chaperones)

The kindergarten and 1st grade teachers request a maximum of five chaperones per class. Chaperones are taken on a first-come basis.

CHAPERONES MUST:

Have ICHAT clearence for the 2025/2026 school year. (Stop at the main entrance security desk for ICHAT info.).
Have completed the volunteer training for the 2025/2026 school year. Click this link to view the schedule and to sign up Volunteer Training Schedule.
Ride the school bus to and from the field trip
Be responsible for a small group of students, as assigned by the classroom teacher.
Chaperones are required to pay for this trip.

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

Emergency Contact Name*

Answer required for "Emergency Contact Name"

Emergency Contact Email*

Answer required for "Emergency Contact Email"

Emergency Contact Phone Number*

Number Required

Important medical information that we should know

Answer required for "Important medical information that we should know"

Chaperone Request - I would like to be considered as a chaperone this field trip. *

Answer required for "Chaperone Request - I would like to be considered as a chaperone this field trip. "

Yes

No, not at this time.

Answer required for " "

I am the Parent or Legal Guardian of the student named and give permission to participate in this field trip. I agree that in allowing my child to attend this field trip I will hold teachers, employees, and any other persons assisting with any phase of such trip harmless from any liability, claims and responsibility for making such trip and activities. I further release all of these parties from liability because of any accident or injury that may 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 Trip Fee*

Price: $25.00

Quantity

Adult Trip Fee - Chaperones are required to pay.

Price: $25.00

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"