Teacher Field Trip Request Form | Abbotsford Christian School

General Information

Campus*

Teacher's Name

First

Last

Cell Number*

Class*

Number of Students*

Destination*

Date of Event*

Departure Time*

Return Time*

Destination Contact Person*

Destination Phone Number*

Purpose/Educational Value of Trip (Goals and/or Student Learning Outcomes)*

Adult Supervisor Names*

Expenses

Admission

Transportation

Facilities

Other

Total Estimated Cost of Trip*

Source of Funding

Cheque Required*

Cheque Amount

Cheque Made Payable To

Safety

Medical Alert Considerations met (please describe):*

Special Needs Student Considerations Met (please describe)*

Safety Plan*

Briefly describe the safety plan to address any key risks related to the site/area, weather, activity and/or group:

Supervision Plan*

Briefly describe the supervision process to be used e.g., large or small group settings, lead/sweep, head counts, buddy system, level of supervision (constant, visual, on-site, in the area); other elements of the supervision plan as relevant:

Volunteer Plan*

Briefly describe the process to identify, screen and brief for roles and responsibilities (e.g. briefing to be conducted when, where, how, by whom):

Emergency Plan

First Aid Kit(s) (stocked and accessible)*

Check any and all that apply:

Yes

No

Emergency Communications Equipment Accessible*

Check any and all that apply:

Telephone

Cell Phone

None

Other

Student Contacts and Numbers Accessible (in yellow duotang)

Yes

No

Primary First Aid Person (if relevant)

Attachments Checklist

View and download forms

Upload Parent/Guardian Correspondence

Upload Volunteer Driver Authorization Application Form

(if applicable)

Upload Passenger List Form

This field should be left blank

Field Trip Request Form

General Information

Expenses

Safety

Emergency Plan

Attachments Checklist

Title