Routine Field Trip Experience Form

Educational Purpose and Objectives of this Field Experience:*
Routine Field Experiences must begin and end on the same day. This form must be completed and submitted to your school’s principal (or designate) for approval at least 30 days in advance.
Logistical Information
School*
Is this single day or recurring Trip?*
- Single Day
- Recurring Trip
Date of Field Trip*
MM slash DD slash YYYY
You are submitting a date that is within 30 days of your fieldtrip and may not be able to be processed in time.
Departure Time*

: Hours

Minutes

AM/PM
Return Time*

: Hours

Minutes

AM/PM
Dates (Multiple)*
Departure Time*

: Hours

Minutes

AM/PM
Return Time*

: Hours

Minutes

AM/PM
Destination (within 100km of Burnaby):*

Supervision
Sponsor Teacher:*
Other Teachers:
Other Adult Supervisors/Support Personnel:
Total Number of Adults*
Total Number of Students*
Grade(s):*
Supervision Ratio:
Your Calculated Ratio is 1:
This field calculates the ratio of Adults to Students. Please fill out the fields below.
Your Calculated Ratio is 10 or over. Please ensure you have a low enough ratio to accommodate any unexpected absences.
K-3 (minimum ratio of 1:10)*
Gr 4-12 (minimum ratio of 1:15)*
*A minimum ratio of 1:8 is required for overnight trips and/or if there is potential for injury.

Costs
Estimated Cost Per Pupil :*
Amount to be Charged to Each Student:*
TTOC Required*
- Yes
- No
Is the TTOC required for:
- Full day coverage
- Half day coverage
Estimated TTOC Costs (if applicable)
Date TTOC is Required:*
TTOC Costs Funded by:
NOTE: Please book your TTOC through the ADS system once your trip has been approved by your administrator.

Sponsor Teacher Contact:
Destination Tel #*
Sponsor Teacher Cell #*
Supervision: Detailed supervision plan for entire trip attached.*
Max. file size: 16 MB.
Times during trip that students will not be directly supervised:*

Education Planning Details
Alternative activities for non-participants:*
Have you previewed or previously taken students on this trip?*
- Yes
- No
Are the field trip activities and exercise prepared?*
- Yes
- No
- Not Yet
Are the follow-up activities prepared?*
- Yes
- No
- Not Yet
Parent Information Letter and Parent Consent Form
Please upload a draft copy of your information letter for parents that describes the field experience, as well as the required parent consent form.*
This letter must include detailed information regarding the purpose of the experience, cost of the trip, mode of transportation, special clothing requirements, meal arrangements, scope of supervision for the trip, and student behavioural expectations, as well as the parent permission section/form
Drop files here or

Max. file size: 16 MB.

Submission
First Name*
Last Name*
Email*
If this is a trip at a secondary school, have you notified your department head? (answer if applicable)
- Yes
- No
Please Choose Your Principal:*

Logistical Information