École Boundary Elementary School 

750 East 26​th​ Street, North Vancouver, B.C. V7K 1A4 

Ph: 604.903.3260 Fax: 604.903.3261 Callback: 604.903.3264 
  www.boundaryelementary.ca 

Informed Consent – French Presentation: Gregg LeRock

February 19th, 2019
To: Division F01L/F02L/E01/E02 Parents/Guardians

Destination: Centennial Theater Trip Date: March 14th, 2019

Departure Time: 9:30 am Return Time: 12:00 pm
Transportation: Walking Cost: $ 7.00 per student

PURPOSE: 
Students from the grade 6 and 7 Late French Immersion class as well as the Core French students from
grade 6 and 7 will be going to Centennial Theaters to view the district organized French Presentation by
Gregg LeRock​. ​The cost for this fieldtrip will be $7.00. Please ensure that your child is appropriately
dressed for the weather and has a small snack that is easy to carry.
Please fill out the form below and return it to your classroom teacher with the payment of $7.00 in a
ziploc bag by Wednesday, February 27th, 2019.

NOTE:​ This school field trip is optional. Alternate arrangements will be made for students who do not 
participate.

SUPERVISION:
Mme Hall, Mme Eliza, Ms. Dale, Mrs. Fletcher & Ms. Grinberg.

EXPECTATIONS:
Students will be expected to follow the École Boundary Elementary School Code of Conduct while on the fieldtrip.

NATURE AND SCOPE OF RISKS:

Motor vehicle accidents are always a risk on field trips.

SAFETY PRECAUTIONS:
A first aid kit and a cell phone will be taken by one of the teacher supervisors. Student Emergency Procedure
Plans/medical supplies will be brought for students with life-threatening medical conditions (e.g., anaphylaxis).
If you have any questions relating to this field trip, please contact the school.

Sincerely,

École Boundary Teachers

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 École Boundary Elementary School 
750 East 26​th​ Street, North Vancouver, B.C. V7K 1A4 
Ph: 604.903.3260 Fax: 604.903.3261 Callback: 604.903.3264 
  www.boundaryelementary.ca 

-​✄​--------------​ Return this Informed Consent Approval to School ​----------------​✄

​ arch 14th, 2019.

Gregg LeRock -​ M

I give my informed consent for my child, _______________________________, to participate in this field trip as outlined in
the Informed Consent Notice dated February 19th, 2019.

__________________________________ __________________________________

Enclosed is $7.00 cheque (# _____) for my child.

⬜

⬜ Online receipt # _________________________.

My child will not be participating in this program.

⬜

30-Aug-2011
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