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HICA Principal's Final Checklist For Out-of-town Travel - Checklist B (Mandatory)


1.   Consent forms sent and returned?

Yes

No

2.   Waiver form sent and returned?

Yes

No

3.   Medical Insurance numbers recorded?

Yes

No

4.   Alternate contact persons established?

Yes

No

5.   Field trip form submitted?

Yes

No

6.   Transportation organized and confirmed?

Yes

No

7.   Itinerary established and sent home?

Yes

No

8.   Lodging booked?

Yes

No

9.   Medical facilities established?

Yes

No

10. Emergency numbers secured?

Yes

No

11. Costs established and collected?

Yes

No

12. Equipment list established?

Yes

No

13. First aid kit?

Yes

No

14. Safety review completed?

Yes

No



Supervisor

Date

 

 

Principal

Date

Prepared for USIC by: Aon Reed Stenhouse


  

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