Bay Area Trip 2011 Documents

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    NorthernCaliforniaCollegeExplorationTrip2011

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    NorthernCaliforniaCollegeTripMay30thJune3rd,2011

    Thisisasampleitinerarywhichissubjecttochange

    Day1(Monday5/30/2011)5:30pm DepartonMotorcoach

    Dinneronyourown Traveltime

    Day2(Tuesday5/31/2011)

    ContinentalBreakfastonBus

    9:00AM Arriveatdestination

    10:00AM UCSantaCruztour

    Lunch1:30PM SantaCruzBoardwalk

    7:00PM Dinner

    8:30PM Departforhotel9:00PM Hotelcheck-in

    9:30PM Journalwritingandreflection10:00PM Roomcheck/lightsout

    Day3(Wednesday6/1/2011) Hotelcheck-out

    Breakfastathotel

    7:30AM DepartonMotorcoachtoSanJose/SantaClara

    9:00AM SantaClaraUniversitytour

    11:30AM Lunch1:00PM SanJoseStateUniversitytour

    3:00PM RosicrucianEgyptianMuseumvisit

    6:00PM Dinner8:00PM Hotelcheck-in

    9:00PM Journalwritingandreflection

    10:00PM Roomcheck/lightsout

    Day4(Thursday6/2/2011) Hotelcheck-out

    Breakfastathotel7:30AM DepartonMotorcoachtoPaloAlto

    9:00AM StanfordUniversityTour

    LUNCH DepartonMotorcoachtoSanFrancisco

    1:00PM SanFranciscoStateUniversitytour

    3:30PM GoldenGateBridgeandPark LombardStreetdrivingtour

    5:45PM PIER39/Dinner9:00PM DepartonMotorcoach

    Day5(Friday6/3/2011)

    12:00PM ArrivebackatConnollyMiddleSchool.Parentswillbeinformedlaterregardingamoredefinitivearrivaltimebasedontrafficandweather

    conditionsviaemail/text.

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    EducationalImplicationsThis trip is educationally advantageous to students and ties into the curriculum by addressingConnollysmission of increasing the awareness and enrollment in four-year colleges. Studentswillbenefitfromanincreasedawarenessofspecificuniversitiesthatotherwisemaynotbeaccessibletothem. Students will view various campus types and sizes, in order to aid in their future collegeselectionprocess.Therefore,byvisitingawidevarietyofcolleges,thestudentswillbeabletomake

    moreeducateddecisionsaboutwheretheywouldliketoattend.Theywillhavetheopportunitytofeeltheculturalatmosphere,andcompareeducationalprogramsofferedateachcollege,whichwillassisttheminmakingamorethoughtfuldecisionabouttheirfuture.Inaddition,thistripisawonderfulwaytorewardtheAVID/CMSstudentsfortheircontinuedcommitmenttotheireducationalgoals.FinancialImplications

    TripCost:$800.00Trippriceincludes:LuxuryMotorCoachtransportation,moderatehotelaccommodationswithinteriorcorridors(4studentsperroom),Tourof5CaliforniaUniversities,(3)Breakfastsatthehotel,(3)Lunchesdependingonlocation,(3)DinnerscomparabletoHardRockCaf.Thispricealsoincludes24HourEmergencyCustomerServiceandalltaxes,tips,andgratuities.ThetripcostincludesadmissiontotheRosicrucianEgyptianMuseum,andaRide-PassfortheSantaCruzBeachBoardwalk.

    *Ifpayingbycheck,anon-refundableamountof$75isduenolaterthanJanuary14,2011*Ifpayingbycheck,a2ndpaymentof$235.00isduenolaterthanFebruary15,2011*Ifpayingbycheck,a3rdpaymentof$235.00isduenolaterthanMarch15,2011*Ifpayingbycheck,thetripbalancewillbeduenolaterthanApril15,2011*CheckmustbemadeouttoConnollyMiddleSchoolandgiventoMrs.DialsoshecandeposititintotheTripaccountandonelargecheckcanbemadetoAdventureStudentTravel.

    *Ifpayingbycreditcard,anon-refundableamountof$110depositisduenolaterthanJanuary14,2011.A$35conveniencefeeisaddedtoyourdepositandwillnotbeaddedtothecostofyourtrip.A5%feeisalsoaddedifusingCreditCard.

    *AdditionalSpendingMoneyshouldbebroughttocoverincidentalsandsouvenirsandanythingelseyourstudentmaywanttopurchaseoutoftheconfinesofthetripinclusions!*Anymoneyraisedwillbedividedequallyamongthestudentsandusedtohelptowardsthefinalpaymentdue.Forthisreasonweaskthatpeoplepayinchunkstogiveusasmuchtimeaspossibletofundraise.

    PaymentOptions

    Thepreferredmethodofpaymentforeachscheduledinstallmentisintheformofacashierscheck/moneyorder/personalcheckmadepayabletoConnollyMiddleSchool,andConnollywillwriteonecheckforthegroup.Ifyouwanttouseacreditcardtopayforyourstudentstripaone-timeprocessorfeewillbeimposed.Creditcardpaymentwillalsobeacceptedforpaymentandwillincuraprocessor-imposedfeeof5%pertransaction.Wirepaymentswillalsobeacceptedforpaymentandwillincuraprocessor-imposedfeeof$50pertransactionaswellasanyfeesgeneratedfromyourbank.Ifindividualpaymentsarerequested,theywillincuraone-timefeeof$35perpersontobeappliedatthetimeoftheinitialdeposit.

    EmergencyContacts Mrs.JenniferDial

    [email protected](480)335-9961

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    Chaperones

    We will have a great team of adult leaders that will be taking care of your student. Each of our leaders will beapproved by the district office and have to be finger printed. These leaders will be finger printed as well as atleast two of the chaperones will be CPR and First Aid Certified.Chaperone Price is $800, because it includes everything the students will be receiving. If you are interested inchaperoning, or would like to know more about the chaperone policies, Please see attached ChaperoneDocument for more details.

    TripRulesandExpectations

    AllrulesofConnollyMiddleSchool(StudentHandbook)andtheTempeElementarySchoolDistrictwillbeenforcedontheAVID/HonorsFieldTrip.Failuretocomplywiththeaboveguidelineswillresultintheterminationofthefieldtripfortheparticularstudent.Inadditiontotheabove-mentionedrules,thefollowingtripguidelinesalsoapply:

    Staffandpeersmustberespected

    Studentsmustadheretothecurfewsetbythechaperones Studentsmustonlystayintheirassignedrooms Roomscheckswillbeenforcedbytheappropriatechaperone StudentsmustremainwiththeCMSAVIDProgram.Nostudentswillbepermittedtoleave

    thegroupalone! Alltripfunctionsaremandatoryforthegroup

    TheCMSAVIDTeamtakesyourstudentssafetyseriously.Ifastudentdecidestonotadheretoalloftheabovementionedrulesandexpectations,he/shewillnotbeabletoremainontheAVIDTripandmustimmediatelyreturnhomeattheparent/guardiansexpense.

    PleasecutalonglineandreturnASAPYoursignatureacknowledgesthatwehavereadandunderstandtheRulesandExpectationsoftheAVIDFieldTrip.______________________________________ _________________________________________________NameofStudent(print)SignatureofStudent Date______________________________________ _________________________________________________NameofParent(print)SignatureofParent DateParentContactInformation:

    HomePhone:____________________HomeEmail:__________________________________ WorkPhone:____________________WorkEmail:__________________________________ CellPhone:______________________Pleasesendthisform,andallotherrequiredforms,backwithacheckforthe$75depositmadeouttoConnollyMiddleSchool.Thisdepositisnon-refundableandwillcountasyourcommitmenttothetrip.

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    CALIFORNIACOLLEGETRIP ConnollyMiddleSchool

    2011COMMITMENTCONTRACT

    STUDENTNAME:____________________________________YES,I/wearecommittedtohavingtheabovenamedstudentparticipateintheCMSAVIDFieldTriptoSanFrancisco,California.I/Wehavereadtheparentinformationpacket.I/Weunderstandtheresponsibilityofhavinggoodacademicandbehavioralstandinginallclassestoparticipateinthistrip.I/Wealsounderstandhowveryimportantit istohaveexcellentattendanceatschoolthroughouttheyear.I/Weunderstandthecostofthetripperstudentis$800.00.IfyoudonatedtotheAVIDprogramusingTaxCreditmoneynorefundsarepossible:Duetothetaxcreditlaw.I/Weunderstandthatthecostof$800isapplicablewhenstudentsstayfourtoaroom.I/WeagreetoadheretoCMSFieldTrippolicies and procedures outlined in the packet. I/we understand that ifmy/our student becomesineligibleforthistripmy/ourmoneywillnotberefunded.I/WefurtherunderstandthattheTempeDistrictCodeofConductandtheConnollyDressCodeapplytothisandallfieldtrips.Anyviolationofbehavior and safety rules on the trip will result in the above named student being flown back toPhoenixatmy/ourexpense._____NO,thisstudentwillnotbeparticipatinginthisfieldtrip._____Iaminterestedinbeingconsideredasachaperoneforthistrip.IunderstandthatchaperonesareexpectedtotravelonthecharterbusesbothtoandfromCalifornia. IunderstandthattheChaperonefeeis$800.00,coveringeverythingcoveredbystudentfee.Ihavereadthechaperoneguidelinesinthispacket,andagreetofollowtheproceduresandrules.

    ThoseindividualsselectedtochaperonewillreceiveapacketfromthedirectortobecompletedandsubmittedtothedistrictofficenotlaterthanFebruary23.2011.Parent/GuardianName:_____________________________________DaytimePhone:()_________________ EveningPhone:()________________

    __________________________ ___________________________________Parent/GuardianNamePrinted Parent/GuardianSignature Date__________________________ _______________________ ____________StudentNamePrinted StudentSignature Date

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    CMSBehaviorExpectationsTheCMSCollegeExplorationTriptoNorthernCaliforniabringsgreatopportunityforstudentandparentparticipants.However,withthisopportunitycomesresponsibility.Thatresponsibilityincludesclassroomandfieldtripbehavior,maintainingacademicandbehavioreligibility,andsubmittingallnecessarydocumentationwithintherequiredtimelines.Itisimportantforstudentsandparentsto

    understandthatfailuretoliveuptotheseresponsibilitieswillcausethestudenttoforfeittheirrighttoparticipate.InorderforaConnollyMiddleSchoolAVID/HonorsStudenttoparticipateinthistrip,theymustrealizethattheyareactingasrepresentativesofCMSandmustmakethefollowingnecessarycommitments.Pleaseinitial(bothaparent/guardianandthestudent)aftereachrequirementandsignattheconclusionoftheform.EACHRULEMUSTBEINITIALEDBYBOTHTHEPARENT/GUARDIANANDTHESTUDENT

    1. ThreeStrikes,youreoutPolicy:Aseriousruleinfraction,asdeterminedbythedirectorwithinputfromchaperones,isastrike.Thisregardingcertainruleswillbeconsideredimmediate

    secondorthirdstrikes.1ststrike:Warningincludingdiscussionwithchaperoneanddirector.2ndstrike:Callhometoparentandlossoffreetimeduringfunactivities/excursions3rdstrike:Studentswillwalkwithdesignatedchaperoneatalltimes.Allprivilegeswillberevoked.ThreestrikesmayalsoresultinthestudentbeingsentbacktoTempe,attheparentsownexpense.Note:ANYruleinfractionthatjeopardizesthesafetyofthestudent,orthegroup,includingbutnotlimitedtoleavingyourchaperone,leavingyourhotelroomafterhours,orfightingisconsideredanautomaticthirdstrike.ThiswillresultinimmediateparentnotificationandahugepossibilitythatthestudentwillbeflownhometoTempeatthefirstpossibleopportunity.

    Theparentacknowledgesbyinitialingthistheyareresponsibleforreimbursingthedistrictforthecostoftheflight.

    _____Student_____Parent

    2. Anystudentwhoreceivesanoutofschoolsuspensionforanyreasonwillbeineligibleforthis

    tripasdeterminedbytheCMSAVID/Honorsteacherandadministrator._____Student_____Parent

    3.Studentsareexpectedtofollowclassroomrulesandprocedures.Students: Cannotdisruptthestudentslearningorthelearningofothers Willbegivenawarningtheninfractions/lunchdetentions Willparticipatefullyatalltimesduringclass

    _____Student_____Parent

    4.DuetoArizonataxcreditlaws,moniesdonatedthroughthetaxcreditprogramgiventoAVIDforthistripcannotberefunded.The$75depositisgiventoAdventureStudentTravel,andisnon-refundable._____Student_____Parent

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    5. While on the field trip, all students will stay in contact with their assigned adultchaperones. Noonewillbeallowedtowalk the colleges/attractionsaloneorleavetheareawithouttheirspecificchaperone.Studentsmuststaywiththeirdesignatedbuddy.Noonewillbeallowedtoleavethegroupforanyreasonatanystopwithoutpriorwrittenparentalconsent(seeattachedinformation)._____Student____Parent

    6.Studentswillattendallprogrammedactivities.Nooneisexcusedfromattendingandparticipatinginactivities,exceptforextremehealthreasonsverifiedbythenurseandthedirectors.Absencefromarequiredeventwillbeanautomaticthirdstrike,andmayresultinastudentbeingsenthometoTempeattheparentsexpense(seerule#1).____Student____Parent7. Student will follow all CMS guidelines for behavior, dress and grooming. These guidelines arespecifiedintheConnollyHandbook.Appropriatedressforeventswillbedeterminedbythedirectors,basedonparkregulations,andwillbeadheredto.______Student______Parent8.Studentswillfollowallguidelinesforbehaviorassetbythedirectorsandlocationrules.Thismeans

    noline jumping,nograffiti,novandalism,andnorudebehavior. Weexpect tobeproudofyouatalltimes! Studentswill use languageand behaviors that are respectfuland appropriate. This includesbeingpolitetoeachother,locationpersonnel,busdriversandchaperones.Dontspoilitforanyoneelse!)_____Student_____ParentWehavereadandinitialedthestatedrulesandIagreetoabidebythemduringtheschoolyearandonthe

    field trip. I understand clearly that my childmay be sent home at my expense for failing to obey therequiredrulesforsafetyandbehavioronthistrip.Inthiscase,IunderstandthatIwouldbenotifiedand

    arrangementswouldbemadeformychildtoreturntoTempeATMYEXPENSE.IagreetoreimbursetheCMSAVIDprogramfortransportationcostsshouldmychildneedtobesenthome.Iunderstandthatthe

    rulesandexpectationsareforthesafetyandenjoymentofeveryoneparticipation,andagreetocomply

    fully.

    ParentPrintedName ParentSignature Date

    StudentPrintedNameStudentSignature Date

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    TempeSchoolDistrictNo.3EducationalStudyFieldTripPermissionForm

    Totheparents/guardiansofstudentsintheAVID/HonorsClassatConnollyMiddleSchool

    (Grade/Class) (School)_Mrs.Dial____isplanningaovernighteducationalFieldTripto:TheSanFranciscoBayArea(Teacher/Leader)

    from_5/30/2011_to_6/3/2011_.Transportationwillbeprovidedby__charterbus____(Date) (Schoolbus,citybus,walking,etc.)Thepurposeofthetripis:toeducateyourstudentonthepublicandprivateuniversitysysteminNorthernCalifornia,wheretheywilllearnaboutcollegelifeandadmissionrequirements.Thelocationofthisactivityincludesexposureto:(x)animals,(x)plants,(x)water,()other_anythingontheearthanditsenvironments_:-)_____________________________________Thelocationrequiresthateachstudentbeabletoaccomplishthefollowingphysicaltasks:walkthelengthofmanycampusesandlearnabouthisofherowncollegepotential.

    Specialclothingrequiredforthistripwillinclude:AppropriateTravelDresswithintheconfinesoftheTripDressCodegivenbyMrs.DialOtherinformation:Weneedatleast6chaperonestocomealongpleaseemailmejdial@tempeschools.orgOrcallmeat480.967.8933x4811ifyouareavailable____________________________________________Wewillbehavingmeals:()atschool(X)Mealsaway:TheCostofthetripincludes(3)breakfasts,(3)lunches,and(3)dinners.Theonlymealsnotincludedarethemealsthatoccurwhiletraveling.Studentswilleatdinnerathomebeforegettingonthebustoleave.Alsostudentsareresponsibleforthesnackstheymaywanttopurchasewhileonthetrip.Mychildwill:()bringsacklunchfromhome(X)bringmoney()requestaschoolsacklunch

    Pleasereturnthissignedpermissionformnolaterthan:__Friday,January14,2011___

    Nochildwillbepermittedtoattendthistripwithoutwrittenpermission.

    Mysignaturebelowindicatesmyconsenttohavemychild_______________________________accompanythe_ConnollyAVID/HonorsClasses_onthefieldtripnotedabove.IacknowledgeandunderstandthatTempeSchoolDistrict#3sliabilityinsurancecoversinjuryonlyifnegligenceisprovedagainsttheDistrict,andthatinothercircumstances,thestudentsinsuranceisresponsibleforcoverage.___________________________________________________________________________PrintedNameofParent/GuardianDate

    ___________________________________________________________________________SignatureofParent/GuardianDate

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    TempeSchoolDistrictNo.3EducationalStudyFieldTrip

    EMERGENCYMEDICALINFORMATIONANDCONSENTFORM

    Name___________________________________________Birthdate__________________Age_________

    HomeAddress________________________________City__________________Zip__________________Parent/Guardian(s)FullName(s)____________________________________________________________HomePhone_____________________WorkPhone_____________________Cell____________________

    Personotherthanparentwhomaycareforortransportchildwhobecomesillorinjured:Name_________________________________________________Phone___________________________PreferredHospital_________________________Doctor_______________________Phone_____________

    DrugAllergies__________________________________________________________________________Food,Plant,InsectStingAllergies:__________________________________________________________ChronicHealthProblems(asthma,epilepsy,etc.):______________________________________________RecommendedTreatments:________________________________________________________________Medicationtobetakenduringafieldtripmustbeintheoriginalprescriptionpackagingwithspecificinstructions.Ifyourchildmusttakemedication(s)duringthetriptime,pleasenotifythenurse.Listallnames,specificdosages,andtimestobegiven:______________________________________________________________________________________________________________________________________

    ______________________________________________________________________________________**************************************************************************************

    CONSENTFOREMERGENCYCARE School___________________________________Student_______________________________________BeitknownthatI,theundersignedparentorguardianoftheabovenamed,doherebygiveandgrantuntoanymedicaldoctororhospitalmyconsentandauthorizationtorendersuchaid,treatmentorcaretosaidstudentsas,inthejudgmentofsaiddoctororhospital,mayberequiredonanemergencybasisintheeventsaidstudentshouldbeinjuredorstrickenillwhileparticipatinginaschoolapprovedstudentactivityorfieldtrip.Itisherebyunderstoodthatanyexpensesincurredwill

    bepaidforbypersonalinsuranceormoniesoftheparent.Paymentoftheexpensesisnotaschoolresponsibility.Datedthe__________dayof_____________________2011,_________________________________________ParentorGuardianSignature

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    DistritoEscolardeTempeNo.3

    FormularioparaPermisodeExcursinEscolarEducativa

    AlosPadresdeFamilia/GuardianesdeAVID/HonorsClassenConnollyMiddleSchool

    (Grado/Clase/Grupo) (Escuela)Mrs.DialestplaneandounaExcursinEscolara::__TheSanFranciscoBayArea

    (Maestro/Lder)en_5/30/2011_to_6/3/2011_.Transportacinproporcionadapor_Autobs__________(Fecha) (AutobsEscolar,Pblico,Caminar,etc.)Elpropsitodeesteviajees:toeducateyourstudentonthepublicandprivateuniversitysysteminNorthernCalifornia,wheretheywilllearnaboutcollegelifeandadmissionrequirements.Ellugarparaestaactividadincluyeexposicina:(x)animales,(x)plantas,(x)agua,()otros__anythingontheearthanditsenvironments_:-)_Ellugarrequierequecadaestudiantepuedaejecutarlassiguientesactividadesfsicas:walkandlearnabouthisofherowncollegepotential.

    Lavestimentaespecialrequeridaparaestaexcursinescolares:_AppropriateTravelDresswithintheconfinesoftheTripDressCode

    OtrainformacinWeneedatleast6chaperonestocomealongpleaseemailmejdial@tempeschools.org

    Orcallmeat480.967.8933x4811ifyouareavailable______________________________________Tendremoselalmuerzo:()enlaescuela(X)fueradelaescuelaTheCostofthetripincludes(3)breakfasts,(3)lunches,and(3)dinners.Theonlymealsnotincludedarethemealsthatoccurwhiletraveling.Studentswilleatdinnerathomebeforegettingonthebustoleave.Alsostudentsareresponsibleforthesnackstheymaywanttopurchasewhileonthetrip.Miniollevar: ()almuerzodesucasa ()dinero ()requeriralmuerzodelaescuelaFavorderegresaresteformulariodepermisoanomstardarde:_Friday,January14,2011___

    Nosepermitirqueningnnioasistaaestaexcursinescolarsinunpermisoporescrito.

    Mifirmaautorizaqueminio/a_____________________________asistacon_ConnollyAVID/HonorsClasses_alaexcursinescolarsealadaenlapartedearriba.TengoconocimientoyentiendoqueelseguroparaaccidentesdelDistritoEscolardeTempe#3cubresolamentesisepruebanegligenciaencontradelDistrito,enotrascircunstancias,elsegurodelestudianteesresponsablepordichacobertura.___________________________________________________________________________

    PrintedNamedeFamiliaoGuardianFecha___________________________________________________________________________FirmadelPadredeFamiliaoGuardinFecha

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    DistritoEscolardeTempeNo.3

    ExcursinEscolardeEstudiosEducativosFORMULARIODECONSENTIMIENTOEINFORMACINMDICAPARAEMERGENCIAS

    Nombre____________________________________FechadeNacimiento_________________Edad_________

    Direccin________________________________Ciudad__________________ZonaPostal_________________NombreCompletodelPadredeFamilia/Guardin(es)_______________________________________________NmerodeTelfonodelHogar_________________Trabajo___________________Celular_________________

    Algunapersonaquenoseanlospadresyquepudierahacersecargoodetransportaralnioencasodeenfermedadolesiones:Nombre________________________________________________No.deTelfono_______________________HospitaldePreferencia_____________________Doctor__________________No.deTelfono______________

    AlergiasaMedicamentos______________________________________________________________________AlergiasaAlimentos,Plantas,PicadurasdeInsecto:_________________________________________________ProblemasdeSaludCrnicos(asma,epilepsia,etc.):_________________________________________________TratamientosRecomendados:___________________________________________________________________Losmedicamentosquesellevendurantelaexcursinescolardebernestarenelfrascooriginalconlarecetamdicaylasindicacionesespecficas.Sisuniodebedetomarmedicamento(s)duranteestetiempo,favordenotificarloalenfermero(a).Anoteunalistadelosnombresdelosmedicamentos,dosisespecficaylashorasenquedeberndarse:____________________________________________________________________________

    ___________________________________________________________________________________________*******************************************************************************************

    CONSENTIMIENTOPARAENCASODEEMERGENCIAEscuela___________________________________Estudiante__________________________________________Yoel/laabajofirmante,padredefamilia/guardindelestudiantearribanombrado,doymiconsentimientoyautorizacinacualquiermdicouhospitalparaproporcionarauxilio,cuidadootratamientosielestudiantemencionadoanteriormentepudierarequerirloencasodeemergencia,alenfermarseolastimarsedurantelaactividadoexcursinescolaraprobadaydeacuerdoalcriteriodelmdicouhospital.Esdemiconocimientoquecualquiergastoincurridosercubiertoporelpadredefamilia/guardinoseguromdicopersonal.Elpagodeestos

    gastosnoesresponsabilidaddelaescuela.Fechadoelda__________de_____________________del20______,en__________________________,AZ_____________________________________

    FirmadelPadredeFamiliaoGuardin

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    CALIFORNIAAVIDTRIPCHAPERONEPOLICIES

    Duetosafety,liabilityandTempeDistrictpolicyreasons,allchaperonesmustbeatleast21yearsofage.Sincethisisan

    over night fieldtrip, chaperones are required to hold a current finger print clearance card, complete a volunteerapplication and go through a background check. Those parents who are interested in volunteering to beconsidered for chaperone responsibilitiesmust contactMrs. Dial no later than January 29. The CMS AVID

    ElectiveteacherandAVIDsiteteamwillselectchaperones. Chaperone applications will be accepted by the AVID Elective teacher based on student supervision needs. All

    Chaperonesaresubjecttothe$800fee.Therewillneedtobeaone-to-fiveratioofchaperonestostudents.Chaperoneapplicantswillbenotifiedofacceptance.$75.00chaperonepaymentdepositwillbedueonJanuary14 th.Chaperoneswillfollowthesamepaymentscheduleasthestudentattendees(seeitinerary).

    Onechaperonewillberesponsibleforthesamefamilygroupofpre-assignedstudentsfortheentiretrip.Thisincludesridingonthesamebuswiththemandwalkinginthecolleges/attractions.Ifyouareunabletowalkalldaylong,pleasedonotapplytobeachaperone.TheAVIDElectiveteacherwilldeterminewhoisineachfamilygroup,andchangeswillnotbemadewithoutpriorapprovalofthedirectors.

    Chaperones are responsible for seeing that their entire family group is on time forall events, including busboarding.

    Chaperoneswill always checkfor their wholefamily groupwhen enteringor exiting the buses. The AVIDElectiveteacherwill be the designated bus captain,who isa certified CMS facultymember. Chaperoneswill report to thecaptain. All chaperones will be required to carry a personal cell phone with them. Cell phones are essential forcommunication.

    Chaperoneswillnotusephysicalforceonanychild,includingtheirown,foranyreasonatanytimeonthistrip.Physicalcontactisstrictlyforbidden.QuestionablebehaviorwillresultintheadultbeingaskedtoreturntoTempeathisorherownexpenseimmediately.

    ChaperonesshouldreportanybehaviorproblemsorconcernsimmediatelytotheAVIDElectiveteacher,andtheAVID

    Electiveteacherwillberesponsiblefordecisionsandconsequences.TheAVIDElectiveteacherwillbefair,butwillactinthebestinterestofthegroup,andoffuturetrips.

    Chaperonesare notresponsiblefor paying foranything fortheirfamilygroups,only theirownsouvenirs. They are

    expectedtoassistwithinhalersandmedicationschedules.Theyshouldnothavetocarryitemsforanystudent. ChaperonesrepresentCMSandareresponsibleforthebehavioroftheirfamilygroup.Theywillencouragepoliteness,

    expectadherencetocollege,bus,andattractionrulesandprovidepositiveenergyforthewholetrip! Ifsomethingunforeseenhappens,dontpanic!Wecantakecareofeverything,andcanbeflexible.Yourmanners,your

    attitude, and your calm and kind handlingof any situation will be amodelfor the students. Theywill reflect yourattitudeandbehavior!Bepositive,beacheerleaderforyourgroupandhavefun!

    CMSChaperonesareAWESOME!!!!!

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    I,__________________________________________________,doauthorizeachargetomycreditcardbyAdventureStudentTravelLLC

    accordingtothefollowinginstructions:

    CardholderName&Address(asappearsoncreditcardstatement):

    ________________________________

    ________________________________________________________________

    CreditCardNumber:________________________________ExpDate:________

    Totalamountofcharge:$_______________CreditCardType: Visa (5%feewillapply) Mastercard

    Discover

    AmericanExpress

    Ielectaone-timechargeoptionandwillmakeotherarrangementsforfuturepayments.

    IelecttotelephonetheASTFinanceOfficeandrequestchargesforfuturepayments.

    Ielecttosetupanautomaticchargeforallfuturepaymentswithareceiptcopye-mailedto____________________________________

    Regardingpaymentforthefollowinggroup:

    GroupName:________________________________________________

    TripDates:______________________________________

    Nameoftraveler(s):____________________________________________

    E-mailaddressforinvoice/statement:____________________________________

    X_____________________________________Date__________________AuthorizedSignature

    CreditCardPurchaseAuthorization

    Fax:775-459-1492