LOWER RISK SECONDARY FIELD TRIP
PARENT CONSENT FORM
es pie
eles
activity _duertioge i Te Art Teacher ___ Meecha. bth
Location ppeeniD Severe patel)
Tal Arvaltime back at school
Departure time from school
Qverview kinerary for the Fielé Trip Program
__ THiS 8 9 Clntene Pork Fen busine ( Fee bP pete
Nit he Hed = : :
[2 waking to and fromthe actiity J Transported by choo! bs
(1) riven private vehicles (21 orivers required
‘ir bag on tte font passenger side uniess the passenger s 12 years of 3g@or elder rivers ae responsible for complying with a child
73 Volunteer Orwer Farm
‘Transportation:
‘estraintfeccser seat requirements, Oaver must have completed 2 50
Parent Helpers Required: Yes [] No Lunch Required: ves ["] No L~
Fee to be Paid ves EF]. No EY — Amount Required: §
* This permission sip must be returned for your child's participation - written nates or phone calls ae not acceptable.
PERMISSION SLIP
nave read and am informed about the proposed field trip to a
participate in this trip. | understand there is a cost involved
request that my child
with this form
and haveenclosed §
|, the undersigned parent or guardian of the above name¢ student, request that my son/daughter be allowed to
participate in the event described above. Both my son/daughter and | understand that Board Policy 4240 Student
1 drugs and/or inappropriate student conduct may
Behoviour- Discipline applies on al field trips. The use of alco
result in suspension from school. Students engaging in these behaviours are liable to be sent home at thei families’
expense
List medical conditions/ medication the staff/supervisor should be aware of
Please supply the schoo! with: family physician, Care Card number end emergency numbers (if not already on file
Parent/Guardian Signature: Phone: Sc
lean help drive # - students with seathelts. I can help supervise: Yes No O
Yes 0 No O
Ihave completed the Volunteer Oriver Form
Ihave 3 Volunteer Driver Form an file with the office and ail information is still current: Yes () No O
Teacher/Office Use Only
Fee for Field Trip Received: Yes 1 No QO Amount
Initials: _