AAC Field Trip and Experiences Transportation Request Form 24-25

This form must be submitted 4-6 weeks before the date of the trip.

All Requests must be submitted before April 15, 2025 for AAC assistance with transportation.

If there are any questions email Transportation@aacmentors.org

Question Title

* 1. Status of Trip

Initial Request

This is a Change Request. Note what changed here and complete form.

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* 2. Date of Field Trip

Trip Date

Date

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* 3. Name and Detailed Address of pick up location.

Location Name

Location Street Address:

Location City:

Location State:

Location Zip:

Question Title

* 4. Start Time: What time should we show up for loading?

Start Time:

Time

AM/PM

Question Title

* 5. Where are you going?
Name and Detailed Address of Destination-Including Zip Code:

Location Name

Location Street Address:

Location City:

Location State:

Location Zip:

Question Title

* 6. Return Time: What time do you want to leave your destination and return back?

Start Time:

Time

AM/PM

Question Title

* 7. End Time: What time do you want to be back at your original pick up location?

Start Time:

Time

AM/PM

Question Title

* 8. # of passengers

Total # passengers:

Number of Chaperones:

How many passengers are 4th grade or younger?

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* 9. Do you need any special accommodations for your bus? Wheelchair accessible etc. If yes, please list.

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* 10. Contact Person on Day of Trip:

Contact Person:

Contact Person Cell:

Organization:

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* 11. This field trip is approved by my Teacher and School Leadership.

Yes

Question Title

* 12. Payment Information:
Each trip will cost $500. Corporate Partners are asked to select their method of payment below. Grant funds are available for Non Profit or Civic Partners.

We are a corporate partner and will pay the $500 fee online. Click Here

We are applying for Dater Foundation Grant Funds.
(For Non profit or Civic groups ONLY)

I understand as a corporate partner we are responsible for reimbursing Adopt A Class for cost of field trip transportation. AAC will send an invoice to:
(Include Name and email for Invoice below)

AAC Field Trip and Experiences Transportation Request Form 24-25

Question Title

* 1. Status of Trip

Question Title

* 2. Date of Field Trip

Question Title

* 3. Name and Detailed Address of pick up location.

Question Title

* 4. Start Time: What time should we show up for loading?

Question Title

* 5. Where are you going?
Name and Detailed Address of Destination-Including Zip Code:

Question Title

* 6. Return Time: What time do you want to leave your destination and return back?

Question Title

* 7. End Time: What time do you want to be back at your original pick up location?

Question Title

* 8. # of passengers

Question Title

* 9. Do you need any special accommodations for your bus? Wheelchair accessible etc. If yes, please list.

Question Title

* 10. Contact Person on Day of Trip:

Question Title

* 11. This field trip is approved by my Teacher and School Leadership.

Question Title

* 12. Payment Information:
Each trip will cost $500. Corporate Partners are asked to select their method of payment below. Grant funds are available for Non Profit or Civic Partners.

Question Title

* 13. Description and Purpose of the Field Trip

Question Title

* 14. Comments/Notes:

AAC Field Trip and Experiences Transportation Request Form 24-25

Question Title

* 1. Status of Trip

Question Title

* 2. Date of Field Trip

Question Title

* 3. Name and Detailed Address of pick up location.

Question Title

* 4. Start Time: What time should we show up for loading?

Question Title

* 5. Where are you going?Name and Detailed Address of Destination-Including Zip Code:

Question Title

* 6. Return Time: What time do you want to leave your destination and return back?

Question Title

* 7. End Time: What time do you want to be back at your original pick up location?

Question Title

* 8. # of passengers

Question Title

* 9. Do you need any special accommodations for your bus? Wheelchair accessible etc. If yes, please list.

Question Title

* 10. Contact Person on Day of Trip:

Question Title

* 11. This field trip is approved by my Teacher and School Leadership.

Question Title

* 12. Payment Information:Each trip will cost $500. Corporate Partners are asked to select their method of payment below. Grant funds are available for Non Profit or Civic Partners.

Question Title

* 13. Description and Purpose of the Field Trip

Question Title

* 14. Comments/Notes:

* 5. Where are you going?
Name and Detailed Address of Destination-Including Zip Code:

* 12. Payment Information:
Each trip will cost $500. Corporate Partners are asked to select their method of payment below. Grant funds are available for Non Profit or Civic Partners.