Yukon Experiential Learning
  • Experiential Learning
    • What is experiential learning?
    • Core competencies
    • Canoe program
    • Gallery: celebrating experiential education in Yukon schools
  • Off-Site Planning
    • Travelling on Traditional Territories
    • Off-site experiential learning policy & activity standards
    • Roles and responsibilities
    • Risk management
    • Simple or complex?
    • Forms
    • Submitting forms
    • Off-Site Review Committee
    • COVID-19 guidelines
  • Trip preparation
    • Grab your Go Bag!
    • Book canoes
    • Gear library
    • Assistant outdoor education guides
  • Learning community
    • Growing our knowledge
    • Off-site sharing & learning
    • Teacher resources >
      • Nature-based science activities
      • Team building activities
      • Canoe resources
  • Contact
    • 2022-23 experiential learning contacts
    • Curriculum & Assessment main page
    • First Nations Initiatives main page
Picture

Off-site experiential learning forms


I'm planning a trip with my class.  How do I prepare the paperwork?

Step 1: Download simple, complex, or complex out-of-territory forms
             Download any needed additional forms (listed below)  
      
Step 2: Complete forms, starting with the trip checklist and authorization
             Save these documents on your computer so you can make edits later
​
Applications on out-of-date forms may be returned.
Submit forms

Simple forms 

The forms below must be reviewed and approved by school administrator.
Checklist and authorization 
#1a Simple checklist and authorization
File Size: 44 kb
File Type: pdf
Download File

Consent form                          
#2 Simple consent form
File Size: 54 kb
File Type: pdf
Download File


Complex 

Medical information 
required for all complex trips
#5 Medical information
File Size: 70 kb
File Type: pdf
Download File

Do not forward with other trip documents. Handle in accordance with HIPMA.

Submit copies of the following forms for review and approval by for superintendent/executive director. 
Checklist and authorization
#1b Complex trip checklist
File Size: 61 kb
File Type: pdf
Download File

Consent                             
#3a Complex consent form
File Size: 51 kb
File Type: pdf
Download File

Risk analysis   
#4 Risk Analysis Form
File Size: 45 kb
File Type: pdf
Download File

Contingency plan 
#6 Contingency Plan Form
File Size: 47 kb
File Type: pdf
Download File

Submit detailed trip itinerary​​ and equipment list as part of PDF package. 
​All documents must be trip, season and activity specific.

Complex out-of-territory 

Submit copies of the following forms for review and approval by for superintendent/executive director 
Initial authorization
#26 Initial out of territory authorization
File Size: 43 kb
File Type: pdf
Download File

Checklist
#1c Out of territory trip checklist
File Size: 64 kb
File Type: pdf
Download File

Consent
#3b Out of territory trip consent form
File Size: 52 kb
File Type: pdf
Download File

​Risk analysis
#4 Risk analysis form
File Size: 45 kb
File Type: pdf
Download File

Contingency plan
#6 Contingency Plan Form
File Size: 47 kb
File Type: pdf
Download File

Submit detailed trip itinerary​​ and equipment list as part of PDF package
​All documents must be trip, season and activity specific

Additional forms - complete as required

Forms must be reviewed and approved by school administrator
Incident report 
pack printed copies on all complex trips
#12 Incident Report Form
File Size: 170 kb
File Type: pdf
Download File

Daily trip log form
multi-day wilderness trips only
#11 Daily trip log form
File Size: 46 kb
File Type: pdf
Download File

Volunteer registration
#7 Volunteer registration form
File Size: 50 kb
File Type: pdf
Download File

Use of private vehicles
#8 Use of private vehicles form
File Size: 83 kb
File Type: pdf
Download File

Billeting roles and responsibilities 
#9 Billeting roles and responsibilities
File Size: 51 kb
File Type: pdf
Download File

Firearms safety standards
#10 Firearms safety standards
File Size: 40 kb
File Type: pdf
Download File

Use of snow machines for transporting students
Use of snow machines for transporting students
File Size: 37 kb
File Type: doc
Download File

Yukon Workers Compensation Board
Please note recent changes to WCB coverage for out of territory trips:  
Workers who meet the conditions, set out in section 83 of the Workers’ Safety and Compensation Act, have workers’ compensation coverage while they are working outside Yukon, but within Canada, for periods less than 6 consecutive months and an application to the board is not required.
  • Experiential Learning
    • What is experiential learning?
    • Core competencies
    • Canoe program
    • Gallery: celebrating experiential education in Yukon schools
  • Off-Site Planning
    • Travelling on Traditional Territories
    • Off-site experiential learning policy & activity standards
    • Roles and responsibilities
    • Risk management
    • Simple or complex?
    • Forms
    • Submitting forms
    • Off-Site Review Committee
    • COVID-19 guidelines
  • Trip preparation
    • Grab your Go Bag!
    • Book canoes
    • Gear library
    • Assistant outdoor education guides
  • Learning community
    • Growing our knowledge
    • Off-site sharing & learning
    • Teacher resources >
      • Nature-based science activities
      • Team building activities
      • Canoe resources
  • Contact
    • 2022-23 experiential learning contacts
    • Curriculum & Assessment main page
    • First Nations Initiatives main page