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Dub City Field Trip

Student Name(Required)
Parent/Guardian Name(Required)
Additional Student Name
Additional Student Name

Field Trip Consent

Please provide consent or deny consent for each planned field trip for the Summer of 2023. A Yes or No response is required for every field trip. “Yes” indicates consent while “no” will result in a denial of consent and your student will not be able to participate in the activity.
Bold Face Dairy Bar | Tuesday 6/11/24 | 2:30-4:30(Required)
801 Mt Hope Ave Suite B, Cincinnati, OH 45204 | Pick UP: 2:15 Drop OFF: 4:45
University of Cincinnati | Tuesday 6/18/24 | 2:30-4:30(Required)
2600 Clifton Ave, Cincinnati, OH 45221 | Pick UP: 2:15 Drop OFF: 4:45
Soak City (Kings Island) | Tuesday 6/25/24 | 10-3(Required)
6300 Kings Island Dr, Mason, OH 45040 | Pick UP: 9am Drop OFF: 4pm | Swimsuit required
Freestore Foodbank (volunteering) | Tuesday 7/2/24 | 1:00-4:30(Required)
3401 Rosenthal Wy, Cincinnati, OH 45204 | Pick UP: 12:45 pm Drop OFF: 4:45pm
Dunham Pool | Tuesday 7/9/24 | 2:30-4:30(Required)
4356 Dunham Ln, Cincinnati, OH 45238 | Pick UP: 2:15pm Drop OFF: 4:45pm | Swimsuit Required
Burnett Woods | Tuesday 7/16/24 | 2:30-4:30(Required)
3251 Brookline Ave, Cincinnati, OH 45220| Pick UP: 2:15pm Drop OFF: 4:45pm
Western Bowl | Tuesday 7/23/24 | 2:30-4:30(Required)
6383 Glenway Ave, Cincinnati, OH 45211 | Pick UP: 2:15pm Drop OFF: 4:45pm
Mt. Airy | Tuesday 7/30/24 | 2:30-4:30(Required)
5083 Colerain Ave, Cincinnati, OH 45223 | Pick UP: 2:15pm Drop OFF: 4:45pm
Mt. Echo | Tuesday 8/6/24 | 2:30-4:30(Required)
251 Mt Echo Park Dr, Cincinnati, OH 45205 | Pick UP: 2:15pm Drop OFF: 4:45pm
Digital Signature of Consenting Guardian or Student (if over 18)(Required)
By filling out your name as the parent, guardian, or consenting student (if over 18) below, you are signing in agreement with Back2Back’s ability to take your child on extracurricular activities. This digital signature serves as an additional form of consent along with the choices above.
Date of Submission(Required)
This field is for validation purposes and should be left unchanged.