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6th Grade - Dave & Busters Field Trip

Location: Dave & Busters Staten Island

Date: Thursday, February 15, 2024

Cost: $34.00

Student Last Name*

Answer Required

Student First Name*

Answer Required

Caregiver First Name*

Answer Required

Cargiver Last Name*

Answer Required

Caregiver Email Address*

Answer Required

Caregiver Phone Number*

Number Required

Emergency Contact Name*

Answer Required

Emergency Contact Email*

Answer Required

Emergency Contact Phone Number*

Number Required

Important medical information that we should know

Answer Required

I am the Parent or Legal Guardian of the student named and give permission to participate in this field trip.

Field Trip Fee*

Price: $34.00

Confirmation Email

Confirmation Email *

Email Required