Out of School Activities Plan

School: _________________________________________________________

Date(s) of Trip:__________________________ Duration of Trip: _____________________

Destination: _______________________________________________________________

# of students:

# of Teachers/Staff:

# of other Adult accompaniment

Purpose/Objective of Trip: _______________________________________________________

Relation to Curriculum:__________________________________________________________

Educational Activities: __________________________________________________________

Have arrangements been made for:

Teacher coverage No q ______________________________________________________

While gone? Yes q ______________________________________________________

Programming for students No q _______________________________________________

not participating? Yes q _______________________________________________

Students who miss regular No q ___________________________________________

classes due to trip participation? Yes q ___________________________________________