Form 032-05-0047-01-ENG "Special Field Trip Permission" - Virginia

What Is Form 032-05-0047-01-ENG?

This is a legal form that was released by the Virginia Department of Social Services - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Virginia Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 032-05-0047-01-ENG by clicking the link below or browse more documents and templates provided by the Virginia Department of Social Services.

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VDSS MODEL FORM – FDH
SPECIAL FIELD TRIP PERMISSION
(Required by Standards for Licensed Family Day Homes 22 VAC 40-111-980 B)
Child’s Name
Destination of Field Trip
Date of Field Trip
Duration of Field Trip
From:____________________ To:___________________
Mode of Transportation:
___ Walking
___ School bus
___ Public transportation
___ Provider vehicle
______________________________________
Name of Driver
___ Other vehicle
______________________________________
Name of Driver
I grant permission for my child to participate in the field trip described above.
________________________________________________ _____________________
Parent’s Signature
Date
032-05-0047-01-eng
VDSS MODEL FORM – FDH
SPECIAL FIELD TRIP PERMISSION
(Required by Standards for Licensed Family Day Homes 22 VAC 40-111-980 B)
Child’s Name
Destination of Field Trip
Date of Field Trip
Duration of Field Trip
From:____________________ To:___________________
Mode of Transportation:
___ Walking
___ School bus
___ Public transportation
___ Provider vehicle
______________________________________
Name of Driver
___ Other vehicle
______________________________________
Name of Driver
I grant permission for my child to participate in the field trip described above.
________________________________________________ _____________________
Parent’s Signature
Date
032-05-0047-01-eng