Form 260-2

Educational Summary

(To be completed by supervising teacher(s) and submitted to the Principal prior to activity).  Keep on file for category a and forward to Superintendent as notification for category b trip.  Attach to approval-in-principle application form for category c,d).

Description and Objectives of Activity:

Activity fits into the curriculum.

Planned Lead-Up Activities:

Planned Follow-Up Activities:

Names Qualifications Responsibilities

(if more, attach List)

Student Behavioural Expectations: It is expected that students will:

Parents notified of risks involved: Yes No

Prepared for USIC by: Aon Reed Stenhouse