Field Trip Permissions

      FIELD TRIP CONSENT FORM

DESTINATION:  Jumpstart Games, Central Park, Collingwood

DATE OF TRIP:  September 28, 2017                                 

Grade/Group Involved:  Grade 4                                                                   

SUPERVISOR(S):  R. Potter, J. Hare, J. Gough, E. Mitchell

DEPARTURE FROM SCHOOL:  9:10 a.m.

RETURN TO SCHOOL:  3:00  p.m.

TRANSPORTATION: Walking          

COST PER STUDENT:  Nil

ADDITIONAL INFORMATION:  Note sent home with additional information

** PLEASE DETACH & RETURN **

While trips are supervised by the teaching staff, they involve activities beyond those of normal school programs.  It is essential that parents/guardians counsel their children on the necessity for extra care and co-operation.

NOTE:            Please be aware that students participating in extra-curricular activities or events where the public is invited, i.e. field trips, school concerts, school teams, may be photographed and/or reported on by media or the general public.

ALSO NOTE: Students must return the signed permission form below.  Verbal permission will NOT be accepted NOR will parent/guardian notes.  Students who do not return the permission form will remain at school.

My child, ______________________________, has my permission to participate in the field trip to:  Central Park Collingwood

Date:  September 28, 2017                       

_____ Yes, I am able to assist with supervision.                 Phone #______________________

Parent/Guardian Signature: _______________________________________________

NOTE:  Volunteers & Drivers MUST have an up-to-date Criminal Record Check.

              Volunteer Police Check:  _____Yes     _____No

Please include relevant medical information that the teacher should be aware of that would relate to the nature of the trip.