ASU Mid-South Bus Trip Attendance Sheet

[Press the TAB key to move from field to field] [Do NOT use the ENTER key]

Please complete this form and scan or email the completed form or personally take it to the Maintenance Department before leaving on your trip. ASU Mid-South must have a list of names and contact information for each passenger. Please complete the form electronically, print it out and take it with you to verify attendance. Once all passengers are on the bus, please verify their presence by placing a check mark in the “On Bus” column. Also, a Field Trip/Parental Permission/Medical Waiver form must be completed and on file before a student can ride the bus.

Name of person scheduling the trip:

Contact phone number of person scheduling the trip:

Destination:

Date Leaving:	Date Returning:

Name	Cell Phone Number	Emergency Contact Name	Emergency Contact Number	On Bus

Name	Cell Phone Number	Emergency Contact Name	Emergency Contact Number	On Bus