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  • Informed Consent - Salmon Release: Hastings Creek Friday 7 May 2010 $0 Per Student

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    The document is a permission form for a Division 4 field trip to release young salmon fry back into Hastings Creek. [1] The trip will take place on Friday, May 7th, departing the school at 9:00 AM and returning by 11:00 AM. [2] Students will be transported by parent drivers to the release site, where they will each release a few salmon fry into the creek and observe the local environment. [3] Basic safety precautions like a first aid kit and emergency plans will be in place, and risks are expected to be minor, like twisted ankles.

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    The document is a permission form for a Division 4 field trip to release young salmon fry back into Hastings Creek. [1] The trip will take place on Friday, May 7th, departing the school at 9:00 AM and returning by 11:00 AM. [2] Students will be transported by parent drivers to the release site, where they will each release a few salmon fry into the creek and observe the local environment. [3] Basic safety precautions like a first aid kit and emergency plans will be in place, and risks are expected to be minor, like twisted ankles.

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    25 views2 pages

    Informed Consent - Salmon Release: Hastings Creek Friday 7 May 2010 $0 Per Student

    Uploaded by

    api-25975241
    The document is a permission form for a Division 4 field trip to release young salmon fry back into Hastings Creek. [1] The trip will take place on Friday, May 7th, departing the school at 9:00 AM and returning by 11:00 AM. [2] Students will be transported by parent drivers to the release site, where they will each release a few salmon fry into the creek and observe the local environment. [3] Basic safety precautions like a first aid kit and emergency plans will be in place, and risks are expected to be minor, like twisted ankles.

    Copyright:

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    of 2

    BROOKSBANK ELEMENTARY

    Ph: 604-903-3280
    Fax:604-903-3281
    Brooksbank@nvsd44.bc.ca

    This is an important notice.


    Please have it translated.

    Informed Consent – Salmon Release


    Wednesday 28 April 2010

    To: Division 4 Parents/Guardians


    Trip Date: Friday 7 May 2010
    Destination: Hastings Creek Return Time: 11:00 a.m.
    Departure Time: 9:00 a.m. Cost: $0 per student
    Transportation: Parent drivers

    PURPOSE:
    To release our young salmon fry back into the wild. NOTE: This school field trip is
    optional. Alternate arrangements will be made for students who do not participate.

    DESCRIPTION OF ACTIVITIES:
    We will meet at school as usual in the morning. We will place the salmon fry into a bucket, and
    drive the 10 minutes to our selected release site on the Hastings Creek near Fromme
    Elementary School. Students will each need a small empty container to take a few fry and
    release them in a nearby spot in the creek. We then examine the local conditions of water,
    forest and creekside while we walk.

    TRANSPORTATION:
    Students will be transported by private vehicle.

    SUPERVISION:
    P. Clarke, and at least one other parent is required, however I like to have several parents on
    site.

    NATURE AND SCOPE OF RISKS:


    Motor vehicle accidents are always a risk on field trips. Students will be walking through an
    urban forest. They will not be walking in the creek or going in the water at all. Twisted ankles
    are a possibility, and for that reason we walk, not run.

    SAFETY PRECAUTIONS:
    A first aid kit and a cell phone will be taken by the teacher supervisor. Student Emergency
    Procedure Plans/medical supplies will be brought for students with life-threatening medical
    conditions (e.g., anaphylaxis).

    Sincerely,

    Paul Clarke

    04-Feb-2009 3300-99-11 Page 1 of 2


    BROOKSBANK ELEMENTARY
    Ph: 604-903-3280
    Fax:604-903-3281
    Brooksbank@nvsd44.bc.ca

    ---------- Return this Informed Consent Approval to School --------


    -

    Salmon Release – Division 4 – Friday 7 May 2010

    I give my informed consent for my child, _______________________________, to participate in this


    field trip as outlined in the Informed Consent Notice dated Wednesday 28 April 2010.

    _____________________________________
    PARENT/GUARDIAN NAME (Please print)
    __________________________________ PARENT/GUARDIAN SIGNATURE

     I am able to drive for this field trip. (Mr. Clarke will supply a map to the site.)
    I have seat belts (no seats equipped with airbags) for _____ students, including my
    own child. Mr. Clarke can phone me to confirm driving at this
    number________________________________.

    04-Feb-2009 3300-99-11 Page 2 of 2

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