SAN DIEGO CITY SCHOOLS
Administrative and Legislative Services

PRINCIPAL’S CHECKLIST
MULTI-DAY AND/OR OUT-OF-STATE/COUNTRY FIELD TRIPS
 
1.  Approval for Field Trip: I have reviewed the plan for the field trip to

______________________________________________ on ______________

and I give tentative approval for the students to participate.		  _________________
Principal’s Signature		  ________
Date
2.  Approval for Field Trip Fund-raising: I have reviewed the plan for fund-raising for this field trip and give my approval for fund-raising activities to begin.
 _________________
Principal’s Signature		 ________
Date
3.  Lack of Funds: To help students in need of funds, the following actions are being taken: _______________________________________________________________
_______________________________________________________________
_______________________________________________________________		 _________________
Principal’s Signature		 ________
Date
4.  Return of Funds: Any funds not used for the trip will be returned in the following way: ___________________________________________________
______________________________________________________________
______________________________________________________________		 _________________
Principal’s Signature		 ________
Date
5.  Chaperones: An approved list of chaperones is on file in the main office of the schools. ____________________
Coordinators’s Signature		 ________
Date
6.  Academic Competition Trips Only: I certify that written criteria and guidelines for selecting participants along with copies of all written communication to parents and students related to the competition are on file in the main office of the school. _________________
Principal’s Signature		 ________
Date
7.  Representation: I certify that under my leadership, the school has made a concerted effort to include representation from all ethnic groups of students. _________________
Principal’s Signature		 ________
Date
8.  Insurance: I certify that each and every student participating in the field trip has personal accident insurance and trip cancellation insurance as required by Procedure No. 4587, C.4.e.(4) and C.6.a. and b. _________________
Principal’s Signature		 ________
Date
9.  Travel and Living Expenses: Provision has been made for coverage of all expenses while outside of San Diego. This includes plane fares, ground transportation, hotels, tours, and meals. Written evidence of this coverage is on file in the main office of the school. _________________
Principal’s Signature		 ________
Date
10. Contribution of Services: the following written agreement between the principal and certificated personnel, classified personnel, and voluntary supervisors stipulates that they will contribute their services and time outside of the regular school day without pay or reimbursement of expenses except for regular salary when supervising participating students and will waive all claims against the district.
Executed this date by:


Statement of Acknowledgment and Consent to Conditions of Trip
are on file at the following location at the school site:



File title, if appropriate: ______________________________________
 _________________
Principal’s Signature

____________________
Staff Member’s Signature

 ________
Date

________
Date
11. Releases: I certify that for each and every student participating in the field trip there is a Permission to Participate, Notification of Insurance, Waiver of Claims, and other Release Forms on file in the main office of the school.

File title, if appropriate: _______________________________________		 ____________________
Coordinators’s Signature

_________________
Principal’s Signature

 ________
Date

________
Date
12. Disclosure Statement: Principal, vice principal, ASB advisor, and teachers participating in tours for field trips paid by students have completed a Field Trip Conflict of Interest Disclosure form.
 _________________
Principal’s Signature		 ________
Date
13. Forward this form with other necessary papers to the Administrative and Legislative Services office. _________________
Principal’s Signature		 ________
Date