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

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