1. No category

OLYMPIA
I
SCHOOL
CAPITAL
FIELD
DISTRICT
r
,~
REQUEST
I REQUESTED
DEPARTMENT/GRADE
BUSINESS
HIGH SCHOOL
SCHOOL
TRIP
IF OVERNIGHT
-
By
ALLISON
ED/FBLA
CHECK
-----------
MCFADDEN
DESTINATION
SPOKANE.
WA
2:45 PM
TUE..4/14/15
PURPOSE
OF TRIP
FBLA
STATE
ITINERARY
(lEARNING
FRIDAY.
4/17115
OBJECTIVES)
LEADERSHIP
CONFERENCE.
SPOKANE.
WA
(ATIACH OfTA1LS)
OVERVIEW
KEYNOTE
I TIME
6 PM
I RET1JRNDAy/DATE
I TIME
DEPARTURE DAV/DATE
SPEAKERS.
WORKSHOPS.
COMPETITIONS.
CAREER/COLLEGE
FAIR
TYPE OF EVENT (PARADE, CONTEST, RETREAT, MEET, CONFERENCE, ETC.)
CONFERENCE
PERSON(S)
I GROUP
IN CHARGE
ALLISON
MCFADDEN
# STUDENTS
M: 9
ADULTS
F:
ACCOMPANYING
REnUIRED:
3
(LIST NAMES)
CELL PHONE CONTACT
ONE PER 10 STUDENTS DAY TRIP lONE
ALLISON
# TEACHER
CHAPERONES
M:
#
F:
(DEBATE, BAND. ETC.)
FBLA
PER 6 STUDENTS OVERNIGHT
360-701-1992
MCFADDEN
PHONE@
BUS DRIVER
DESTINATION
1
ADO'L
PARENT CHAPERONES
CONTACT
PHONE
F:
M: 1
CosrOFTRIP
TRANSPORTATION
SCHOOL~
Bus
FERRY
~
DORM
MOTEL
HOUSING
o
PRIVATE
VEHICLED
0
PRIVATE
HOME
GROUPMEALS
FOOD
-'j(;
'1
V
BUILDING
OFFICER & GROUP DINNER
"'N6
OTHER COSTS
BUDGET
ACCOUNT #
STUDENT BODY
ACCOUNT #
v
V
o
o
o
t/
J WILL GIVE THREE(3) DAYS' WRITTENNOTICETO STAFFPRIORTOTRIP.
I WilL ACQUIRE A PERMISSION SLIP FOR EACH STUDENT: lEAVE ONE COPY W/OFFICE;
RETAIN ORIGINAL FOR TRIP.
I HAVEHAD MY CURRENTClASS LIST REVIEWEDFORHEALTHCONCERNSAND HAVEANY NEEDEDEMERGENCYACTION PLANS.
I HAVEBEENTRAINEDBYTHE SCHOOLNURSETO ADMINISTERMEDICATIONS.
I HAVE A FIRST AID KIT FOR EVERY VEHICLE.
. ..
SCHOOL NURSE IS AWARE OF TRIP AND Will
p:\form5lfield
.
trip request sept 2011.doo:
..
REVIEW STUDENT LIST FOR HEALTH CONCERNS & MEDICATIONS PRIOR TO DEPARTURE.
-
September 2011
OLYMPIASCHOOL DISTRICT
Career & Technical Education (CTE)
Student Travel Supervision Plan
=is
School:
POtA
Event:
Location:
Organization/Class:
~10--~
>ro~
WA-
4 ~ID
Cost:
Refund Policy:
~e-.
_
Permission Forms:
Notification of event, details, supervision plan, cost, refunds, etc. to parent(s) and student
(attach document)
o Parent meeting w/handout
o Email to parent(s)
Notice sent home with student
)&... Travel request permission form (signed by parent)
9(
x..
Date/Time/Location of Travel:
Date
Time
Li-114-1 r$' d.!~
4- n h'f UCtllJ
Location
iYlU<--uf @; CtiS
1J1.L.1,wp ~
It- . IdJ
Leave
Arrive
Leave
Q JY.A
,
.J
00\)W
Arrive
1.Rfh'-'-
~~~+eu,..
Tra~
lElJOnline travel request submitted #
b.f3us 0 Van 0 Personal Car
----i;a.. Sub request #
\ loo,2:? W()..~
o Parent(s) driving (permission form) 1::)
o Other (please describe below)
o
()
~
Day Tri I Overnight Trip
# of stude
12# of advisors
2Ratios: Da --1-a-d-v-is-o-r/-1-0-s-tu-d-e-nt-s-vernight - 1 advisor/6 stu e t
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Attached:
J!( Event notification (details) given to parent(s)/student
Date ~_l~_/
o Mileage map (Map Quest, etc.) - if out of area travel
o OSD Field Trip Request (keep copy for yourself)
o Administrator sign-off
Date
~Id-.•hs
o Nurse sign-off (w/10 days notice)
Date
o Staff notification (e-mail w/3 days notice)
Date
ifllE':>115 4o OSD Travel Request Form (keep copy for yourself) # -------
?-I ';)..,hS:
_
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Supervision to Event:
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