IT’S A FIELD TRIP!
Wednesday Nov. 25
We’re going to St. Charles Stadium 18 Movie Theater
We’ll be seeing “The Peanuts Movie” (rated G)
Departing at 9:00 a.m.
Returning at approximately 12:00 noon
(please arrive 30 minutes prior to departure time)
Parent Chaperones are welcome!
Please wear your Vacation Station T-Shirt.
 There is no cost for this field trip, unless you purchase an optional snack pack.
 OPTIONAL SNACK PACK: If you would like , you may pre-purchase an optional children’s snack
pack for the movie for $5.00 (payable in cash by exact change only).* The snack pack
includes: popcorn, small root beer, Sprite or water, and a small candy.
*Scholarships available*
If purchasing the snack pack, please return your money along with the permission slip form by
Monday November 23, 2015.

-COMPLETE ONE FORM PER CHILD, PLEASEChild’s Name: __________________Grade__________
____ My child may attend and ____
Parent’s Name:_______________________________
I want to chaperone or ____ I cannot chaperone this time.
____ I do not want my child to attend the field trip . I will make alternate arrangements for my child.
____ I do not want my child to attend the field trip. Please arrange for my child to attend another VS location.
In case of an emergency please call:__________________________ at the following phone number:______________________
Will your child need to take medication while on the field trip?:
YES
NO
If yes, please list medication and times ( a doctor’s note must be on file):
OPTIONAL SNACK PACK:
Any Allergy/health concerns?_______________________________
Permission Slips due
Monday November 23, 2015
__ Yes I want to purchase a snack pack and have
included $5.00 cash.
__ No, I am not purchasing a snack pack.
If purchasing a snack , please indicate your child’s drink
choice:
___ Sprite
Parent’s Name
Date
___ Root Beer
___ Water
___ Please contact me about a scholarship