Educational Summary

(To be completed by supervising teacher(s) and submitted to the Principal prior to activity). Keep on file for category a and forward to Superintendent as notification for category b trip. Attach to approval-in-principle application form for category c,d).

Description and Objectives of Activity:

Activity fits into the curriculum.

Cost of Activity:

Source of Funds:

Planned Lead-Up Activities:

Planned Follow-Up Activities:

Names	Qualifications	Responsibilities

(if more, attach List)

Student Behavioural Expectations: It is expected that students will:

Number of Students Participating:

Grades:

Teacher Coordinator:

Number of Students per Supervisor:

Parent permission forms will be distributed on: (Returned by (Date)

Parents notified of risks involved: Yes No