2021 Orientation Expedition Consent Gr 6-9

2021 Fall Orientation Expedition Informed Consent Gr 6-9

Parent(s)/Guardian(s), you MUST initial items 1, 2 and 3 and sign this consent form in order for your child to be able to go on the IPS Orientation Expedition, September 8 - 10, 2021. Please sign this form by Friday, September 3, 2021.

  • Please note that the students will be participating in activities which will expose them to risk on the Island Pacific School Orientation Trip to Garibaldi Park or Alice Lake Campground and Alice Lake Campground from September 8 – 10, 2021. Although the following non-exhaustive list identifies most of the potential perils associated with the IPS Orientation Trip, it does not and cannot cover all possible perils.

    • harm, injury, dismemberment, or death from activity in the school on Tuesday, September 7th prior to departure (e.g. tripping, falling down stairs, etc.)
    • harm, injury, dismemberment, or death in being transported to and from Bowen Island on BC Ferries on September 8th and\or 10th (e.g. injuries sustained on the ferry, ferry crash, or ferry sinking, etc.)
    • harm, injury, dismemberment, or death in being transported by bus, van, or private vehicle to and from Bowen Island (or West Vancouver) on September 8th and\or 9th, and\or 10th (e.g. vehicle accident or crash, etc.)
    • harm, injury, dismemberment, or death associated with setting up and maintaining camp in Garibaldi Park or Alice Lake Campground (e.g. damaging hands while setting up tents, etc.)
    • harm, injury, dismemberment, or death associated with preparing or eating meals in Garibaldi Park or Alice Lake Campground (e.g. cutting oneself with a knife, burning oneself on the stove, scalding oneself, choking, etc.)
    • harm, injury, dismemberment, or death associated with eating meals at Garibaldi Park or Alice Lake Campground (e.g. scalding oneself, choking, etc.)
    • harm, injury, dismemberment, or death associated with participating in the supervised rock-climbing on September 8th or 9th (e.g. strained\broken limbs, sunstroke, etc.)
    • harm, injury, dismemberment, or death associated with participating in any outdoor game or activity, such as Ultimate, running in the forest, etc. (e.g. strained\broken limbs, , etc.)
    • harm, injury, or death associated with failing to take the prescribed dosage of any required medication.
    • harm, injury, dismemberment, or death associated with moving to, or residing at, any unauthorized location (i.e. going out of bounds)
    • harm, injury, dismemberment, or death associated with moving to, or residing at, any unauthorized activity (e.g. inflicting harm on another)

  • By signing below, I/We hereby give full and informed consent for our child to attend the IPS Fall Orientation Week on September 8-10, 2021.