EDUCATIONAL EXCURSIONS:
Information to Parent/Guardian
This page is to be kept at home by the parent/guardian
APPROVED FORM – effective November 2011 – Form only valid when both sides are reproduced
Approval has been granted by The Hamilton-Wentworth District School Board to conduct the following educational
excursion(s):
The Hamilton-Wentworth District
Phone: (905) 527-5092
School Board
TEACHER IN CHARGE: Aaron Puley and Mark Verbeek
SCHOOL:
Repeat
Visits?
X No
Yes
Dates:
-
DESTINATION
Site Name
Royal Botanical Gardens
Site Address 680 Plains Rd W
Location (City/Town/Country) Burlington, ON L7T 1J1
Site Contact Person
Jason Van Veen
Site Phone Number
905-527-7962
Date of Excursion:
20/10/2014
Departure Time from
School:
Return Time to School:
9:00am
2:30pm
MODE OF TRANSPORTATION
 Walking
 Public Transportation
X Pre-Approved Carrier
Attridge Bus Lines
 Adult Volunteer Drivers
 Student Volunteer Drivers
 Student Driving Self - NB: Students driving self are not
covered under the Board’s Non-Owned Automobile Insurance
coverage.)
EcoTeams will learn about the EcoSchools program and resources,
including the online certification application; Explore best practices and strategies; and Address specific
questions or issues EcoTeams are facing. Teams will also engage in leadership building activities, co-operative
games, and a hiking tour of Royal Botanical Gardens.
STUDENT LEARNING EXPECTATION(S):
STUDENT ACTIVITIES: List ALL activities in which students will participate during the excursion. Physical/recreational
activities must meet Physical Education Ontario Safety Guidelines
Slips, sprains, and strains (from participating actively
- Any other minor injuries associated with moving
in an outdoor setting)
between rooms and buildings for workshops
Slight vocal strain caused from cheering
- Possible concussions due to falling
Click here to enter text.
GRADE/CLASSES
ATTENDING:
NUMBER OF STUDENTS
Various
TOTAL NUMBER OF SUPERVISORS:
10 Students per
school
COST TO STUDENT
$0
Payment, Informed Consent (if attached)
17/10/2014
And Permission due by:
17/10/2014
Final Refund Date:
 This excursion is subsidized. The total cost per student is
$23.00
The subsidy from
Outdoor
Education
is
Includes:
10
Male Staff
20
36
Female
Staff
Number of Volunteer Supervisors Required:
Number of Volunteer Drivers Required:
6
Volunteers
0
0
See reverse for all volunteer’s responsibilities. You may volunteer your
services on the attached permission form, or by calling the school.
$23.00
per student.
EXCURSION INFORMATION ATTACHMENTS:
X Detailed Itinerary
X Informed Consent
 Equipment, clothing, lunch needs, etc.
REMINDER TO PARENTS/GUARDIANS:
The student’s participation is subject to receiving your
approval.
You must complete and return to the school by the indicated
due date:

the attached permission form, and

(if attached) the Informed Consent Letter
Hamilton-Wentworth District School Board – Educational Excursions Policy 15.1 –Approved November 2011
for your child to participate in this school excursion. Please
review the responsibilities on the back of this page.
Please turn over. . .
Hamilton-Wentworth District School Board – Educational Excursions Policy 15.1 –Approved November 2011
RESPONSIBILITIES OF PARENT/GUARDIAN,
STUDENT SUPERVISOR AND VOLUNTEER DRIVER
PARENT/GUARDIAN
 complete all appropriate forms and return to school, with funds, by date indicated
 update emergency health information
 review excursion expectations, School Code of Conduct, Code of Conduct on School Related
Vehicles
 continue to provide daily required and emergency medications as customary in the school setting
 provide approved child car seats for children under 18 kg (40 lbs) for Volunteer Drivers
 if applicable, obtain additional student insurance
STUDENT
 comply with educational excursion expectations and Codes of Conduct
VOLUNTEER SUPERVISOR
 be well-informed about the details of the educational excursion and responsibilities
 model appropriate standards of behaviour
 report any accident, injury or discipline issue to the teacher in charge
 respect the confidentiality of the student, teacher and the school
 understand that pre-schoolers, students in other classes or schools, and pets, are not permitted due
to insurance implications
VOLUNTEER DRIVER
 meet requirements of Educational Excursion Volunteer Driver form
 complete and return form to school
 ensure children under 18 kg (40 lbs), are seated in approved child car seats
 ensure children under 12 years of age, are seated in the back seat if vehicle has front passenger air
bags
Hamilton-Wentworth District School Board – Educational Excursions Policy 15.1 –Approved November 2011