HAPPY VALLEY ELEMENTARY SCHOOL
FIELD TRIP CONSENT FORM
FOR LOW RISK ACTIVITIES
December 10, 2012.
Mr. Gadd and Mrs. Dickinson have arranged a field trip for students in grades 6 to go to the Dominion Observatory on Tuesday, December 11, 2012.
We will be away from the school from 10:00 a.m. to approximately 12:30 p.m. We will be travelling by school bus. The learning outcomes for this field trip are covered under the Science curriculum, Extreme Environments.
This field trip is paid for with class funds provided by PAC. Students should bring their snack and lunch as they usually do, as there will be no opportunity to buy food.
Accidents can be the result of the nature of the activity and can occur with or without any fault on either the part of the student or the School Board or its employees or agents, or the facility where the activity is taking place. By allowing your son/daughter to participate in this activity, you are accepting the risk of an accident occurring, and agree that this activity, as described above, is suitable for your child.
Mr. Gadd and Mrs. Dickinson
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Please return this permission form to your child’s teacher Tuesday , Dec. 11th. Children not returning the form will not be permitted to participate in this field trip. Alternate supervision will be arranged for them at school.
I give ______________________________ (name of student) permission to participate in the field trip to The Dominion Observatory on Tuesday, December 11th, 2012. I understand that my child may be exposed to certain risks while participating in this activity. Accidents and injuries may occur.
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Signature of Parent/Guardian Date
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Printed name of Parent/Guardian
