Afterschool Program Field Trip Permission Form

Afterschool Program Field Trip Permission Formwebadmin2025-04-24T13:20:47-07:00

Dear Vernonia Village Families:

On the final day of school, June 11, 2025, we will have a field trip to Camp Cedar Ridge, including allowing the kids to experience our 300′ Slip & Slide, our pool and inflatable bounce houses! Parents, guardians and other siblings are invited to join us at 5:15p. Thank you!

Please complete the form below:

STUDENT First Name *

STUDENT Last Name *

Parent/Guardian 1 Full Name *

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Email Address *

Agreements & Consent

My camper will attend the field trip to Camp Cedar Ridge on Wednesday, June 11th (minimum day/last day of school). *YesNo

NO BUS SERVICE - PARENT PICK UP ONLY *

I understand that there will NOT be bus service home. I must pick up my child at Camp Cedar Ridge at 18062 Keasey Road at 5:15pm.

Consent - Inflatable Bounce Houses *

I give my child permission to use the inflatable bounce houses at Camp Cedar Ridge.

Consent - Slip & Slide *

I give my child permission to use the 300' Slip & Slide at Camp Cedar Ridge.

Consent - Swimming Pool *

I give my child permission to swim in the Camp Cedar Ridge swimming pool with a certified lifeguard on duty.

Need to Send Swim Attire, Towel & Sunscreen *

I will send a swimsuit, towel and sunscreen to school with my child on 6/11. I will label all belongings.

Join Us for Dinner & Evening Programming!

Will you be joining us for dinner and evening programming beginning at 5:15pm? *YesNo, I will pick my child up at 5:15pm.

Number of Adults attending dinner

Number of Children attending dinner

Any dietary restrictions or needs? (Vegan, vegetarian, gluten- free, etc)YesNo

Tell us more about your dietary needs (how many, etc)

info@CampCedarRidgeOR.org | (503) 429-2801

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