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École Boundary Elementary

School
750 East 26th Street, North Vancouver, B.C. V7K 1A4
Ph: 604.903.3260 Fax: 604.903.3261 Callback: 604.903.3264
www.boundaryelementary.ca

Informed Consent – Handsworth Secondary School Play: No Idea
March 27, 2017
To: Division F01L Parents/Guardians

Destination: Centennial Theater Trip Date: April 7, 2017
Departure Time: 11:00 am Return Time: Between 3:15 & 3:30 pm
Transportation: Walking Cost: $ 5.00 per student

PURPOSE:
Students from the grade 7 Late French Immersion class will be going to Centennial Theaters to view the
Handsworth Secondary Schools play No Idea. The cost for this fieldtrip will be $5.00. Please ensure
that your child is appropriately dressed for the weather and has a small snack that is easy to cary.
Please fill out the form below and return it to your classroom teacher with the payment of $5.00 in a
ziploc bag by Tuesday, April 4th, 2017.

NOTE: This school field trip is optional. Alternate arrangements will be made for students who do not
participate.

SUPERVISION:
Mme Hall.

EXPECTATIONS:
Students will be expected to follow the École Boundary Elementary School Code of Conduct while on the fieldtrip.

NATURE AND SCOPE OF RISKS:
Motor vehicle accidents are always a risk on field trips.

SAFETY PRECAUTIONS:
A first aid kit and a cell phone will be taken by one of the teacher supervisors. Student Emergency Procedure
Plans/medical supplies will be brought for students with life-threatening medical conditions (e.g., anaphylaxis).
If you have any questions relating to this field trip, please contact the school.

Sincerely,

Mme Hall

30-Aug-2011 3300-99-11 Page 1 of 2
--------------- Return this Informed Consent Approval to School ----------------

Handsworth Secondary School Play No Idea – F01L– April 7, 2017.

I give my informed consent for my child, _______________________________, to participate in this field trip as outlined in
the Informed Consent Notice dated March 27, 2017.

_____________________________________ __________________________________
PARENT/GUARDIAN NAME (Please print) PARENT/GUARDIAN SIGNATURE

Enclosed is $5.00 cheque (# _____) for my child.

 Enclosed is $5.00 cash for my child.

My child will not be participating in this program.