E 6153(a) Preliminary Field Trip Preparation
(10 months in advance for Out-of-State; 18 months in advance for international) |
No
|
No
|
Yes
|
| E 6153(c) Field Trip Information Form |
Yes
|
Yes
|
Yes
|
| E 6153(d) Verification of Field Trip Information |
Yes
|
Yes
|
Yes
|
| E 6153(e) Field Trip Questionnaire |
No
|
Yes
|
Yes
|
| E 6153(f) Student Indemnification Statement |
Yes
|
Yes
|
Yes
|
| E 6153(g) Student Behavior Contract |
No
|
No
|
Yes
|
| E 6153(h) Chaperone/Volunteer Indemnification Statement |
Yes
|
Yes
|
Yes
|
| Volunteer Screening Process for chaperone background check |
Yes
|
Yes
|
Yes
|
E 6153(i) Permission to Travel Outside the United States (only if trip is international)
Also refer to www.Travel.State.Gov for specific information on international travel.
|
No
|
No
|
Yes
|
E 3541.1(a) Driver Registration Form (if students are being driven)
|
Yes
|
Yes
|
Yes
|
| E 3541.1(b) Private Vehicle Transportation Safety Check (if being driven in private vehicle) |
Yes
|
Yes
|
Yes
|
E 3541.1(c) Booster Seat Safety Check (depending on size of student)
|
Yes
|
Yes
|
Yes
|
| E 6153.1(a) Field Trip Participation Consent Form for Medically Fragile/Intensive Needs (if needed) |
Yes*
|
Yes*
|
Yes*
|
| E 6153.1(b) Field Trip Accommodation Plan; Students with Medical Needs (if needed) |
Yes*
|
Yes*
|
Yes*
|
| Flight Itinerary |
No
|
Yes*
|
Yes
|
| Daily Itinerary |
Yes
|
Yes
|
Yes
|
| List of contacts including cell phone of teacher chaperone(s) |
Yes
|
Yes
|
Yes
|
| List of certified teachers that will be chaperoning |
Yes
|
Yes
|
Yes
|
| List of chaperones that will be the same gender as students they supervise |
Yes**
|
Yes**
|
Yes
|
All chaperones will need a background check
|
Yes
|
Yes
|
Yes
|
| Insurance summary |
Yes
|
Yes
|
Yes
|
| Due
to safety concerns, no 9-15 passenger vans may be used. 8-passenger (or less) mini vans are allowed. |
Yes
|
Yes
|
Yes
|
* Special needs/medically fragile student(s) only
** If overnight, only |
|
|
|