For an online fillable form, please click here.
1. Reviewed request with Associate Superintendent of Business & Finance or Designate for insurance purposes? | Yes | No |
2. Confirmed that the purpose of curricular travel has a direct relationship to the Alberta Program of Studies? | Yes | No |
3. Consent forms sent and returned? | Yes | No |
4. Waiver form sent and returned? | Yes | No |
5. Medical Insurance numbers recorded? | Yes | No |
6. Alternate contact persons established? | Yes | No |
7. Field trip form submitted? | Yes | No |
8. Transportation organized and confirmed? | Yes | No |
9. Itinerary established and sent home? | Yes | No |
10. Lodging booked? | Yes | No |
11. Medical facilities established? | Yes | No |
12. Emergency numbers secured? | Yes | No |
13. Costs established and collected? | Yes | No |
14. Equipment list established? | Yes | No |
15. First aid kit? | Yes | No |
16. Safety review completed? | Yes | No |
17. Reviewed the risk factors listed in section 11.6 of AP 260 and will continue to monitor in regards to this application? | Yes | No |
18. Superintendent has been informed? | Yes | No |
Supervisor | Date |
Principal | Date |