Field Trip Request Form (Page 2 of 2) in pdf

Field Trip Request Form Page 2

PLESE COMPLETE THE FOLLOWING CHECKLIST PRIOR TO TURNING THE FORM TO THE MULTI-DISTRICT

COORDINATOR THREE WEEKS PRIOR TO THE DAY OF YOUR PROPOSED FIELD TRIP.

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1. I have scheduled any necessary transportation for the proposed trip through the

DLSEC Multi-District Secretary.

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2. I have informed the building administration, food service director, related services,

as well as all special area teachers of the scheduled trip well in advance.

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3. I have provided field trip information to parents/guardians well in advance. A copy of

this information has been given to the Multi-District Coordinator.

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4. I am aware that a copy of each student’s Emergency Medical form must be in my

possession or the possession of another supervising teacher throughout the field trip.

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5. I understand that students may not be transported in private vehicles without the

approval of the Executive Director.

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6. I have contacted the Nurse Supervisor regarding medical needs for all students

Who will be attending this field trip.

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7. I have notified the Multi-District Secretary of any special coverage (subs, etc.)

that is required because of field trip.

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Teacher Signature

Date

Field Trip Request Form Page 2