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OCDSB 640 International Field Trip - Student Group Exchange Pre-Trip ApprovalOCDSB 640: International Field Trip/Student Group Exchange Pre-Trip Approval Trip Title: Date Submitted: School:School Phone: Lead Trip Supervisor/Teacher(s):Number of school days affected: Purpose of Field Trip/Subject/Extra- curricular: Accommodations: Hotel, hostel, school dormitory or other accommodation as a group Billeting with informed consent Tour Organizer Departure Date: Time: Via: To: Return Date: Time: Via: To: Proposed travel route/additional destinations: In case of late return or other inquiries Contact: Phone: Learning Activities (provide specific details, including time blocks): Contact Information: Supervision Supervisor Names: Number of students: Number of staff: Number of volunteers: Ratio: Supervisor Responsibilities Expenditures Transportation: $ Accommodations: $ Meals: $ Rentals: $ Admission: $ Other: Other Total: $ Expenditures Total: $ Revenues Student Levy: $ Fundraising: $ Board Support: $ Other: Other Total: $ Revenues Total: $ Grade: Athletics Information Name of School: Sport/Team: Coaches Name: Teacher Non-Teacher Name:Teacher Non-Teacher Name: Teacher Non-Teacher Season Description From: To: Details (practices, league competitions/meets, tournaments, other): Risk Assessment OSBIE Risk Rating: Activity: Risk: Mitigating Strategy: Regular School Program Coverage Arrangements for teachers on trip: Program for students who will remain in regular school program: Arrangements for students who miss regular classes due to trip participation: Submitted By: Signature: Date: Principal:Signature: Date: Superintendent:Signature: Date: Associate Director:Signature: Date: