1 8 th Grade Event Packet Contents 1) Letter Home About Upcoming Events and Donations please read and mark the appropriate box at the bottom of the page 2) Interested in Chaperoning? check the box and include your contact information if you are interested in chaperoning. If you are not, please leave this page blank. you will be contacted if you are interested in chaperoning to confirm before the trip 3) Field Trip Permission Slip and Medical Form please read and fill in all required places, including medical information (for safety, we need this information with us when we go on the field trip, so please fill it out as fully as possible)
2 ~ Letter Home About Upcoming Events and Donations ~ Greetings Science 8 Students, Parents and Guardians, Feb 2012 Spring is approaching and there are two major exciting events happening in 8 th grade! The first is the annual Exploratorium field trip, where all 8 th grade classes from Da Vinci and Emerson take buses into San Francisco to spend the day immersed in science exploration. The second is the annual rocket project. Students will each be constructing their own model rocket as a way to learn about force, motion, and friction! These two major events can become expensive and each year we ask for donations to help cover the cost. Admission, bus fees, and the rockets cost around $35 per student. Both campuses ask for any donation possible to help cover the cost It is important to note that any donations made go into the total cost of these events donations are not for specific students or events. Therefore, if enough funds are raised between the two campuses, both of these events will be able to occur. Checks will be cashed sometime in February or March, once we know the total amount collected. If you choose to write a check (the preferred method), please make checks out to Emerson Junior High. Money should be sent to the teacher directly with the student, or through the office. In the memo-line, please write Exploratorium/Rockets. Please check one of the boxes below before sending back with the student. I am making a donation to the total cost of the events in the amount of $. Checks may be written out to Emerson Junior High with the memo line of Exploratorium/Rockets. Recommended minimum amount is $35, but any donation can help! I request use of the Helping Hand fund, and have not enclosed a donation. Students that are unable to donate will not be excluded from the events, as there is a Helping Hand fund available for use. You can google Exploratorium San Francisco if you wish to read more about the field trip. Thank you! Sincerely, Gina Dinucci Da Vinci Junior High Gary Slizeski Emerson Junior High
3 ~ Field Trip Permission Slip and Medical Form ~ DAVIS JOINT UNIFIED SCHOOL DISTRICT Parent/Guardian School Sponsored Trip Authorization (From 2a) (Students: Return this form to the Activity Sponsor when completed) STUDENT LAST NAME FIRST NAME SCHOOL GRADE ACTIVITY All day trip to the Exploratorium LOCATION Emerson/Da Vinci ACTIVITY SPONSOR Mr. Slizeski, Ms. Dinucci DEPARTURE DATE/TIME 8 San Francisco TYPE OF TRANSPORTATION Tuesday, March 27, :00 AM ANTICIPATED RETURN DATE/TIME Bus To Parent/Guardian: Tuesday, March 27, :15 PM 1. Your child is eligible to participate with a group from this school on the activity indicated above. One or more teachers will accompany the group. Signature below signifies that student and parent/guardian agree that the student is to go and return on the school-sponsored transportation indicated above. Privately arranged rides, even with parents, cannot be permitted. 2. Anticipated return time indicates the time at which we expect to arrive back to the starting point. If necessary, parents should arrange to meet their child at this time. Teachers accompanying the group cannot be responsible for seeing that every student has a means of getting home from the starting point. 3. STUDENTS WILL NOT BE PERMITTED TO ACCOMPANY THE GROUP UNLESS THIS FORM IS SIGNED BY THE PARENT OR GUARDIAN, SUCH SIGNATURE TO SIGNIFY PARENTAL APPROVAL. 4. No child will be denied participation in the trip if he/she is unable to pay for the costs. Please contact the staff sponsor if your child needs financial assistance. I, as parent/guardian, understand that by permitting my child to participate in this trip, I have waived all claims against the District (its employees) or the State of California for injury, accident, illness, or death occurring during or by reason of the trip (Education Code 35330). My signature below indicates that the above-named student has my permission to attend the field trip as outlined above and per the aforementioned conditions stated above. Parent or Guardian Signature Date OTHER TRIP INFORMATION: LUNCH: Please send a lunch with your child, or $5-$10 to buy lunch at the café.
4 DAVIS JOINT UNIFIED SCHOOL DISTRICT Parent/Guardian Emergency Procedure/Insurance Verification (From 2b) MASTER FOR SCHOOL YEAR (NOTIFY SCHOOL OFFICE OF ANY CHANGES) (I), (We), the undersigned parent(s) or guardian(s) of, a minor, do herby authorize the DAVIS JOINT UNIFIED SCHOOL DISTRICT, representative as agent(s) for the undersigned in our absence, to consent to x-ray examination, anesthetic, medical of surgical diagnosis or treatment, and/or hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of any physician or surgeon licensed under the Medicine Act, whether such diagnosis or treatment is rendered at the office of said physician or at any duly licensed medical facility. It is understood this authorization is given in advance of any specific diagnosis treatment, or hospital care required, but is given to provide authority and power on the part of our aforesaid agent(s) to give specific consent in any medical emergency to any and all such diagnosis, treatment, or hospital care which the aforementioned physician in the exercise of best judgment may deem advisable. This authorization is given pursuant to the provisions of Section 25.8 of the CIVIL CODE OF CALIFORNIA. The undersigned agrees to bear all costs incurred as a result of the foregoing. This authorization shall remain in effect for the duration of this academic year. Father or Guardian: Date: Mother or Guardian: Date: Home Phone: Business Phone: Alternate Emergency Phone #: Allergic Reactions: Medical/ Accidental Insurance Company: Insurance Policy/Group No.: Family Physician: Phone: Special Instructions: Parent/Guardian Signature Date It is the responsibility of the parent of guardian to update this information. Please notify the office of any changes. The Davis Joint Unified School District does not provide medical coverage for students. If you do not have medical coverage or would like additional secondary coverage for school event at a nominal cost, you may pick up information on supplemental school medical coverage from the school site secretary.
5 ~ Interested in Chaperoning? ~ Each year, Emerson and Da Vinci request chaperones to help with the trip. Basic chaperone duties include: - Touching base and accounting for a group of approximately 8-10 students a few times throughout the day (in the morning, once we arrive, lunch time, and before we come home). - Sitting staggered throughout the bus with the other chaperones to help monitor students. - Once at the Exploratorium, students are free to roam inside without a chaperone. During this time, you would monitor students as you walk around the Exploratorium and assist them if needed - Accompany Da Vinci and Emerson students into the gift shop if they request it of you (in previous years, they had to be accompanied by a chaperone to go in there. We are assuming this is the case this year as well). More details will be given to those who are selected. If too many parents offer assistance, we will conduct a lottery to pick. Admission and bus fees will be covered for chaperones. Please check the box below if you are willing to chaperone on Tuesday, March 27 th from 7:45 am to 3:30 pm. Yes, I am interested in chaperoning! My contact information is below. Contact information: Phone Number: Are you CPR Certified (this is NOT required to chaperone) Circle one Yes No you will be contacted if you are interested in chaperoning to confirm sometime before the trip
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