Field Trip Request Form

Local, low-risk, day trip request form

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General Information



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

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:

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

Check any and all that apply:

Check any and all that apply:

Attachments Checklist

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(if applicable)