Skip to main content

SD41 Fieldtrip Forms

Home

SD41 Fieldtrip Forms

Burnaby School District

Home

Competition Team Field Experience Form

Educational Purpose and Objectives of this Field Experience:*
This form must be completed and submitted to your school’s principal (or designate) for preliminary approval at least 60 days in advance. Please arrange a meeting with your school principal (or designate) regarding this application.
Logistical Information
School
Destination:*
Is your Field Trip a Single Day, Overnight (Multiple Consecutive Days), or Multiple Day (Non-Consecutive)
- Single Day
- Overnight (multiple consecutive days)
- Multiple Days (multiple non-consecutive days)
Single Day Trip
Date of Field Trip
MM slash DD slash YYYY
Departure Time

: Hours

Minutes

AM/PM
Return Time

: Hours

Minutes

AM/PM
Overnight (Multiple Days - Consecutive)
Field Trip Departure Date
MM slash DD slash YYYY
Departure Time

: Hours

Minutes

AM/PM
Field Trip Return Date
MM slash DD slash YYYY
Return Time

: Hours

Minutes

AM/PM
Multiple Days (consecutive or non-consecutive days, but not overnight)
Select/Add the Dates for your Field Trip
Departure Time

: Hours

Minutes

AM/PM
Return Time

: Hours

Minutes

AM/PM
Communicable Disease Prevention Planning
Current Provincial or Regional Health Orders/Restrictions are in place that would impact the safety of the trip.*
- Yes
- No
The field trip must be cancelled, postponed or reconsidered. Discuss with your Principal.
Proof of Vaccination and Daily Health Check*
- Business may implement additional requirements and may require Vaccine Passports. The Educator-in-Charge must confirm these details in advance and avoid business that require Vaccine Passports
- Students, staff and volunteers should self monitor for symptoms of illness.
Illness*
Please state what protocols would be followed in the event students, staff and volunteers shows symptoms.
I have reviewed illness policy protocols.*
- Yes
Masks*
- Additional supplies of disposable non-medical masks are brought on the field study.
- First Aid kit is stocked with medical grade masks.
Staff and Volunteer Chaperones*
As part of planning, the Educator-in-charge must arrange for either additional staff and volunteer chaperones to be part of the field study or back-up staff/chaperones. Please list them here.

Save and Continue Later

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.

Save and Continue Later

Transportation
How are students traveling?*
- Together
- With Supervisors
- Individually
Are you using a District Sanctioned Bus/Van*
- Yes
- No
If so, company name*:
*Before booking transportation, check with Administration to ensure the carrier has been sanctioned by the School District for safety certification and liability coverage.
Are you driving a Privately-Owned Vehicle?*
- Yes
- No
Driven By:
*If private transportation is being used, appropriate liability forms must be completed and submitted by all drivers in advance of the field experience.
- Staff member
- Coach
- Student
- Parent
Are you using Public Transportation?*
- Yes
- No

Save and Continue Later

Costs
Estimated Cost Per Pupil :*
Amount to be Charged to Each Student:*
Is 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.

Save and Continue Later

Accommodations
Will Students be staying overnight in accomodations during this trip?
- Yes
- No
Accommodations: overnight stay (if applicable)
- Billets
- Hotels/Motels/Cabins/Chalets
- Campground
Billet Information
Billets Organizer:
Work #
Home #
Cell #
Hotel/Motel/Cabin/Chalet/Campground Details
Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Description of overnight supervision arrangements*:
*While guidelines recommend male and female students sleep in separate accommodations, considerations in planning should be made to accommodate students who do not fit the gender binary. In these cases, staff should work with administration, the student, and the student's family/guardian to determine suitable sleeping arrangements that meet the student's needs.

Save and Continue Later

Supervision and Communication Details
Sponsor Teacher Contact:
Destination Tel #*
Accommodation 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:*

Save and Continue Later

Potential for Injury
Note any anticipated or potential risks of injury to students (canoeing, hiking, etc.):*
Steps taken to minimize injury risks:*

Save and Continue Later

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 signature section/form.
Drop files here or

Max. file size: 16 MB.

Save and Continue Later

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:*

Save and Continue Later

Copyright © 2024 - 2025 SD41 Fieldtrip Forms