DAY TRIP STEP 1 FORM 259-1

APPLICATION TO PLAN A DAY TRIP

School: _________________________________ Principal: ______________________________

Field Trip Leader: ___________________________________________________________

Grade: ________ Date of Trip: _________________________

Approximate Number of Student Participants: ________

Purpose & Destination:

Approximate cost of field trip ________

Field Trip Leader signature:

I have read and understood AP 259 Day Trips

__________________________________________________ Date: _________________________

Principal’s signature:

Approved Not Approved by Principal

___________________________________ Date: _________________________

 DAY TRIP STEP 2 Form 259-2
DAY TRIP PLAN AND
RISK AND CURRICULUM FIT ASSESSMENT

School Name: _________________________________ Principal: ______________________________

Field Trip Leader Name: ___________________________________________________________

Grade of Student Participants: ________ Planned Date of Trip: _________________________

Approximate Number of Student Participants: ________

Field Trip Purpose and Destination:

Activities:
Detailed itinerary is required for approval of this proposal. Record itinerary below or attach itinerary. (Add space to
record here for simple trips)

Estimated total cost: _______ Estimated cost per student: _______

Note: All fees must be within approved district fee schedule

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 DAY TRIP STEP 2 Form 259-2
Transportation (reference AP 562; Staff Volunteer Driver Qualifications and Vehicles Authorized for
Transporting Students to Off-Site Activities):

District approved Parent Volunteer Calgary Transit: Taxi

carrier Drivers Bus and/or C-Train

Multi-Function School Cycling Rental Vehicle(s) Walking

Activity Bus
(“Tubby Bus”)

Supervision:
Day Trips

Grades Supervisor to
Student Ratio

Kindergarten 1:6

1, 2, and 3 1:8

4, 5, and 6 1:10

7, 8, and 9 1:12

10, 11, and 12 1:15

Number of Participating Students: Total ___ Minimum Number of Chaperones Required: ______

List Names of Chaperones: Select Designation

Other
________________________
Other
________________________

________________________ Other

Other
________________________
Other
________________________

________________________ Other

________________________ Other

Other
________________________

NOTE: All chaperones must complete an orientation about the expectations for supervision on this field
trip prior to commencement of the trip.

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 DAY TRIP STEP 2 Form 259-2
Risk Assessment:

All field trips have an element of risk. The risks will vary according to the nature of the trip, the supervision provided,
the destination and numerous other factors. Field trips are likely to involve higher risk than classroom activities.

1. Have you:
a. Ensured that there are an appropriate number of supervisors for the destination, planned activities and
dynamics of the participating students? E.g., identify accommodations required
b. Become personally familiar with the destination or if not, will another person with first-hand experience
accompany the trip?
i. Name of experienced individual ___________________________
c. Completed a hazard assessment of the destination and planned activities to identify any risks that
require additional care and/or increased supervision?
d. Considered the impact of weather changes or uncontrolled elements and have participating students
and parents/legal guardians been advised of appropriate clothing requirements?
e. Prepared an emergency action plan to effectively address the following:
i. injury or medical emergency?
ii. communication with school admin and/or parents/legal guardians in event of an emergency
or a change in plans?
iii. contingency plans in the event of inclement weather or other unforeseen event happening?

Curriculum Fit and Program of Studies Outcomes:

All field trips must have a curriculum focus with outcomes that cannot be accomplished in the regular school
setting. The trip must be directly linked to, or be an extension of, Alberta Education’s Program of Studies.

1. Explain the fit with Alberta Education’s Program of Studies

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 DAY TRIP STEP 2 Form 259-2
2. List the instructional activities that students will be participating in to prepare for the trips and following
the trip:
a. Preparing for the trip

b. During the trip

c. Following the trip

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 DAY TRIP STEP 2 Form 259-2

Field Trip Leader signature:

I have read and understood AP 259 Day Trips

__________________________________________________ Date: _________________________

Principal’s signature:

Approved Not Approved by Principal

___________________________________ Date: _________________________

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