Grade 7/8 Curling Field Trip Permission Form

To Parents/Guardians:
Hope Lutheran Christian School requires each student participating in a field trip to receive the written consent from their parent(s)/guardian(s) in order to participate. In addition, the School seeks to advise parent(s)/guardian(s) of potential risks of injury associated with the field trip activity. Field trips are a part of the school program and provide students with valuable learning experiences. If you chose not to permit your child to participate in this field trip, the School will provide alternate supervision for the student at their grade campus.

Where: Golden Ears Winter Club, 23580 Jim Robson Way, Maple Ridge

Date of field trip: Thursday, December 12th, 2019

Purpose of the field trip: To experience a new activity and learn the fundamental movement skills involved in the sport of curling.

Students will need to bring: Clean (indoor) running shoes; wear loose fitting pants (e.g. sweat pants, track pants, yoga pants, or any pant that stretches). Do not wear jeans or tight pants. Shorts are not allowed. Wear loose fitting jackets over sweaters so that you have layered clothing and you can adjust as needed. Students may choose to wear thin gloves (no bulky ski gloves) if they would like.

Departure time: 12:15 pm

Expected return time: 2:30 pm

Supervision: Mrs. Olding, Mrs. Edema, and Mrs. Vassor

Transportation provided by: private vehicle and/or school bus

Special Safety Information/ Injury Risk: Students could slip and fall on the ice, resulting in bumps, bruises, and potentially concussion.


Parent/Guardian Permission

By checking the "Yes" box below I give permission for my child to participate in the field trip as described.

I acknowledge that, while the School staff will take reasonable steps to prevent injuries to students, some degree of risk is inherent in the nature of this activity, and may occur without fault on the part of the student, School Board, its employees or agents, or the facility where the activity is taking place. By allowing my child to participate in this activity, I am agreeing that the activity described above is suitable for my child, and I am accepting the risk of injury associated with the activity.

My child and I understand that the Student Code of Conduct applies during the field trip, and I will be responsible for all costs incurred due to my child’s failure to abide by the Code of Conduct (i.e. cost to send my child home).
Email address *
Name of Student(s): *
Homeroom of Student(s): *
Parent/Guardian Permission *
Parent Day Time Contact Number *
Secondary Contact in case parents can not be reached in an emergency (name, phone, relationship) *
Please list any special concerns, such as health or medical, that the School staff should be aware of regarding your child’s participation
I am willing to be a volunteer driver for this field trip.
I have submitted a complete Volunteer Driver Package to the school office:
How many students can your vehicle seat?
My vehicle has a front passenger-side air bag:
Submit
Never submit passwords through Google Forms.
This form was created inside of Hope Lutheran Christian School.