School District of Fort Atkinson Orchestra Boosters
" . . . No education is complete without music."  National Commission On Music Education
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310 S. 4th St. East
Fort Atkinson, WI   53538
________________________
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      Trisha Nielsen
      Jessica Rensberger

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    Camps
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       OrchestraBoosters
     @mail.fortschools.org

    Orchestra =
 (classical pieces +  
 contemporary works
  + jazz + fiddle)

Music Making and the Brain  

Music Making and Wellness

Support Music Brochure

National Association for
Music Education recommendations
 _______________________

Fort School District

Band Boosters

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On-line since May 10, 2001

Webmaster: 
Debra Judd-Ehrhardt

Last updated:  12/17/2005

                                            FORT ATKINSON HIGH SCHOOL
                                  FIELD TRIP PERMISSION AUTHORIZATION

S     _______________________________________ has an opportunity to participate
                       (Student Name)

T     in a field trip to _____________________________________________________
                                                                            (destination)

U    on ____________________________________. This trip is being sponsored by
                                        (day/date)

D     ______________________________________ . The group will leave school
                                (class/group)

E    at ________________________ and will return by _________________________.
                            (time)                                                                                (time)

N    The cost of the trip is $ ____________________. If you have any questions, please
                                                           (amount)

T     contact ________________________________________________.
                                                    (staff member)

RETURN THIS FORM BY ___________________________________________
                                                                                   (date)

^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

P     My son / daughter has my permission to take part in this field trip. I also authorize school
       district employees to call for emergency assistance which could require the services of a doctor,
A    dentist or emergency vehicle (e.g. ambulance or rescue squad) .

R     ___________________________________           ____________________________
                    (Parent Signature)                                                                             (home phone number)
E   
        __________________________________            ____________________________
N                        (date)                                                                                     (work phone number)

T * This form must be completed and returned to the person in charge of the field trip BEFORE the student may
        participate. These authorization forms shall be taken on the trip by the person in charge.

^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
T                                                 INSTRUCTOR
       HOUR     COURSE                         INITIALS         YES NO**     COMMENT/ASSIGNMENT
E     HR     ________________     ___________     YES NO       ___________________________________
            1        ________________     ___________    YES NO        ___________________________________
A      2        ________________     ___________    YES NO        ___________________________________
          3       ________________     ___________     YES NO       ___________________________________
C    4/5      ________________      ___________     YES NO      ___________________________________
         5/6       ________________     ___________     YES NO       ___________________________________
H    6/7      ________________      ___________     YES NO       ___________________________________
        7/8      ________________     ___________     YES NO       ___________________________________
E        9     ________________      ___________      YES NO       ___________________________________
           10     ________________      ___________     YES NO       ___________________________________
R       11    ________________       ___________      YES NO      ___________________________________

**NO -- teacher is expressing a concern that student should remain in class.