Field Trip Permission Form FIELD TRIP DETAILS Date of Trip:_________________________ Location:________________________________________ Type of Site: _____Construction Site _____Not a Construction Site Description of Activity: _________________________________________________________________ ____________________________________________________________________________________ Meet at: Location: __________________________________ Time: ____________________________ Dismiss at: Location: ________________________________ Time: ____________________________ Means of Group Transportation: _____Public Transport _____Private Bus _____ Foot _____Other Mentor in charge: Name: _____________________________ Mobile number: ____________________ Special instructions (e.g., sturdy shoes): ___________________________________________________ STUDENT AGREEMENT I, __________________________________________, understand that certain risks are involved in Name of Student visiting a construction work site, and I accordingly agree to behave properly and to comply with safety rules and any other directives given to me at the work site by ACE mentors or representatives of the contractor leading the tour. Further, I agree to wear any required clothing such as my own hard-toe shoes or to don helmets distributed by the contractor. SIGNATURE OF STUDENT X__________________________________________________________________________________ Signature of Student Date ACE Mentor Program - Los Angeles/Orange County 409 N. Pacific Coast Hwy., #565 · Redondo Beach, CA 90277 · 805.210.5527 [email protected] · www.acementor.org Career Directions for Students in Architecture, Construction and Engineering