1. No category

OLYMPIA
SCHOOL
FIELD
TRIP
REQUEST
I DEPARTMENT/GRADE
SCHOOL
I
REQUESTED
CHECK
IF OVERNIGHT
By
Alex Steinkamp
STEM Robotics & Automotive Club
Olympia High School
a
DISTRICT
I Randy Steele
DESTINATION
Oakland Convention Center, Oakland CA
I
DEPARTURE DAy/DATE
3/26/15
PURPOSE OF TRIP (lEARNING
FIRST
Tech Challenge
ITINERARY
OVERVIEW
I
TIME
I
RETURN DAy/DATE
3/30/15
1:15 pm
TIME
10:30 am
OBJECTIVES)
(FTC)
(ATTACH
US West Super Regional
DETAILS)
See attached
TYPE OF EVENT (PARADE,
CONTEST,
RETREAT,
MEET. CONFERENCE,
ETC.)
Robotics Competition
I
PERSON(S) IN CHARGE
GROUP (DEBATE,
#
ADULTS
STUDENTS
# TEACHER
ACCOMPANYING
REOUIRED:
F:
M: 7
ONE PER
(LIST NAMES)
10 STUDENTS
CELL PHONE CONTACT
DAY TRIP
lONE
PER 6 STUDENTS OVERNIGHT
(503) 747 9395
0
PHONE@DESTINATION
CHAPERONES
F:
M: 2
(360) 259 4750
Ale)( Steinkamp,
#
BAND, ETC.)
Diy Cow FTC Team
Alex Steinkamp
Randy Steele
ADD'l
PARENT CHAPERONES
M:
F: 2
Bus
FERRY
0
DORM
MOTEL
FOOD
INDIVIDUAL
OTHER COSTS
SPECIFY:
BUILDING BUDGET
ACCOUNT
#
STUDENT
BODY
ACCOUNT
#
- OTHER
.
SCHOOL
HOUSING
PHONE
Jeanne Miller, Denise Robinsoo
Con OF TRIP
TRANSPORTATION
CONTACT
MEALS
Registration
PRIVATE
0
0
VEHICLE[lj
PRIVATE
S
OTHER
HOME
3,330
2,720
OTHER
GROUP MEALS
and
S
Air
Substitutes
(:::?/.9--d 7-&Jm
CfE (staff, gnd transport, reg)
s
I WILL GIVE THREE (3) DAYS' WRITIEN NOTICE TO STAFF PRIOR TO TRIP.
I WILL ACQUIRE A PERMISSIONSLIP FOR EACH STUDENT: LEAVE ONE COPY W 10FFICE; RETAIN ORIGINAL FOR TRIP.
I HAVE
HAD MY CURRENT
ClASS LIST REVIEWED
FOR HEAlTH
CONCERNS
AND HAVE ANY NEEDED EMERGENCY
ACTION
PLANS.
I HAVE BEEN TRAINED BY THE SCHOOL NURSETO ADMINISTERMEDICATIONS.
I HAVE A FIRST AID KIT FOR EVERY VEHICLE.
SCHOOL NURSE IS AWMlf. OF TRIP AND WILL REVIEW STUDENT LIST FOR HEALTH CONCERNS & MEDICATIONS PRIOR TO DEPARTURE.
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OLYMPIA SCHOOL DISTRICT
Career & Technical Education (CTE)
Student Travel Supervision Plan
School:
Olympia High School
Organization/Class:
-------
STEM Robotics & Auto Club
Event: FTC Western U.S. Super-Regional,
Location:
Cost:
Oakland Convention
_
Center, Oakland CA
$8,295
_
Permission Forms:
./ Notification of event, details, supervision
./
_
Refund Policy:
plan, cost, refunds, etc. to parent(s)
o Parent Meeting held, 2/9/15
o Email to parent(s) - all parents have confirmed
Travel request permission form (signed by parent)
o
None
_
and student
by email
2/9/15
Date/Time/Location
Date
3/26/15
3/30/15
of Travel:
Location
Leave OHS for SeaTac, fly to OAK
Leave Oak, fly to SeaTac, drive OHS
Travel:
./ Online travel request: submitted
./
./
Leave
1: 15 pm
Arrive
7:30 pm
4:00 am
10:30 am
_
o Bus 0 Van • Personal Car (robot transport)
Sub request # TBD
Other: AlaskaAir 7 students/2 chaperones/1 teacher
Day Trip / Overnight Trip
# of students 7
# of advisors 4 __
_
_
_
Attached:
./ Event notification (details) given to parent(s)/student
Parent Meetings held, 2/9/15
./ Mileage map (Map Quest, etc.) - if out of area travel
Attached to Field Trip Request Form
./ OSD Field Trip Request (keep copy for yourself)
o Administrator sign-off
Date Attached
o Nurse sign-off (w/10 days notice)
Date pending
_
o Staff notification (e-mail w/3 days notice)
Date pending
_
./ OSD Travel Request Form (keep copy for yourself) Submitted to CTE__
Date 2/12/15
_
Supervision
•
•
•
•
3/26/15
OSDStaff, Alex Steinkamp. Randy Steele
Vetted Chaperones: leanne Miller. Denise Robinson
Steele travels in personal vehicle with robot and gear
o 5:00 am: depart Olympia
o 7:00 pm: arrive hotel
7 Students. 2 chaperones and Steinkamp fly to venue
o 10:15 am: depart OHSby parent transportation
o 7,30 pm: arrive hotel from airport via BART
o 10:00 pm: Bed Check
Supervision 3/27/15
•
•
•
OSDStaff: Alex Steinkamp. Randy Steele
Vetted Chaperones: leanne Miller. Denise Robinson
7 Students. 2 chaperones and Stienkamp/Steele to competition
o 7:30 am: walk to competition venue (Steele deliver robot/supplies by car)
o 8:00 am - 8:00pm: 1st day of competition at venue
o 8:00 pm: walk to dinner /hotel
o 10:00 pm: Bed Check
Supervision 3/28/15
•
•
•
OSDStaff: Alex Steinkamp. Randy Steele
Vetted Chaperones: leanne Miller. Denise Robinson
7 Students. 2 chaperones and Stienkamp/Steele to competition
o 7:30 am: walk to competition venue
o 8:00 am - 8:00pm: 2nd day of competition at venue
o 8:00 pm: walk to dinner /hotel
o 10:00 pm: Bed Check
Supervision 3/29/15
•
•
•
OSDStaff: Alex Steinkamp. Randy Steele
Vetted Chaperones: leanne Miller. Denise Robinson
7 Students. 2 chaperones and Stienkamp/Steele to competition
o 7:30 am: walk to competition venue
o 8:00 am - 6:00pm: final day of competition at venue
o 6:00 pm: Steele load up robot/supplies. depart for Olympia
o 6:00 pm: walk to dinner /hotel
o 9:00 pm: Bed Check
Supervision 3/30/15
•
•
•
OSDStaff: Alex Steinkamp
Vetted Chaperones: leanne Miller. Denise Robinson
7 Students. 2 chaperones and Steinkamp fly home
o 4:00 am: BARTto OAKairport
o 6:00 am: fly to SeaTac
o 9:00 am: arrive SeaTac. parent transport to OHS
o 10:30 am: arrive OHS