Parental Consent Form ​Timeline

11:45 Leave
12:00 Arrive
12:05- 12:35 Tour
1:05 - 1:35 Activity
1:35 - 2:35 Smart Goals
2:45 - 3:05 Return

Students Name______________________ Date_____________________

Dear parent, during this day of ______________ we will be taking the students to the
Red Deer Museum for a les​son on nutrition and goal setting. ​During this field trip the students
will learn about Athletes and the challenges they have gone through to get where they are. Please
ensure that your child has a bagged lunch and is wearing the proper attire to go outside in case it
is cold.

Museum consent(please read this carefully.)

❏ I agree with children attending this field trip.
❏ I agree to my child to ride the bus for the duration of the trip.
❏ I agree that photographs may be taken but will only be used for school use.

Emergency Contact Information

Name_____________________________ Relationship______________
Contact Number________________________

Known Allergies my child may have

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
 Nutrition Bingo
Do you have Do you like Do you have Do you play a Do you like
a sister? Spaghetti? a dog? sport? bananas?

Do you have Do you have Do you like Do you like Do you play a
another type a Brother? pink? Hockey? musical
of pet? instrument?

What kind of Do you like Free Do you play Do you like

foods would rugby? video games? soccer?
be good for
running a
marathon?

Is your Do you like Do you like Do you not What kind of

favorite food Chocolate? Carrots like Ice foods would a
Pizza? cream? superhero eat
before they
save lives?

Do like sweet Do you like Do you like Do you have Do you live
snacks? yogurt? salty snacks? no Siblings? on a farm?