Roald Dahl s. The Musical. Who: All Sixth Grade Students Where: BROADWAY NYC When: April 24 th. Cost: $40.00 (includes transportation and show)

Transcription

1 Roald Dahl s The Musical Who: All Sixth Grade Students Where: BROADWAY NYC When: April 24 th Cost: $40.00 (includes transportation and show) - The first $20 payment is due December 5, The second $20 payment is due January 8, The kids will then need to bring an additional $10 to buy their lunch at a rest area the day of the trip. Info: The students will leave H.M.T.C.A. around 9:30 am. They will travel by Coach Bus to a rest area and purchase their own lunch around 11:30 am. They will then travel to the Shubert Theater in NYC. The play will take place from 2pm to about 5pm. On the bus ride home students will be given a snack and their bagged dinner. They should return to HMTCA around 7:45pm for pick up. If you have any questions please contact Ms. Gomes at gomer002@hartfordschools.org To Change the World it Takes a Little Genius

2 Hartford Public Schools Parent/Guardian Information for Student Field Trip Dear Parent or Guardian: Your child is invited to participate in the field trip that is described below. After carefully reviewing the information provided, please sign the attached permission form for your child to participate. If you do give permission, you must provide us with answers to the questions on the Permission Form. After answering the questions, sign and date the form indicating your permission and your agreement with the information provided, and return it to the contact teacher. If you would like to discuss the field trip or the form with us, or if you require additional information before making a decision, please call the contact person listed below. School: Hartford Magnet Trinity College Academy Contact Teacher: Roxanne Gomes Date of Departure From School: April 24 th 2013 Time: 9:30 am Date of Return To School: April 24 th 2013 Time: 7:45 pm Destination: The Shubert Theater West 44th Street New York, NY Transportation: Premier Bus and Limo Company All trips and activities may involve some risk of injury to children, and we cannot guarantee that no injuries will occur. This trip will involve the following special activities: [Describe or ne ] The students will enjoy the Broadway production of Matilda in NYC.

3 We expect students to behave appropriately during the trip and comply with all school rules. We reserve the right to exclude your child from the trip in the event of a serious disciplinary offense. We may require you make arrangements for his or her transportation home if your child disrupts the trip. The cost of the trip will be $ per student. This amount must be paid by: First Payment due: December 5 th ($20) Second Payment Due : January 8 th ($20) refunds will be made after April 1 st under any circumstances Contact Teacher on Trip: Roxanne Gomes Tel. #: Administrator Contact at School During Trip: Sally Biggs Tel. #

4 Hartford Public Schools Parent/Guardian Student Travel Permission Form Will your child require any special care in connection with this trip? Include a complete description of your child s allergies, medication requirements and medical, physical or mental conditions that may be important in caring for or supervising your child. ne My child requires special care because of the following: Do any of the special conditions connected with the field trip impact your child? The following special conditions of the trip are of particular concern because my child (example: cannot swim, is allergic to poison oak, is afraid of heights, etc) We will contact you immediately in the event of the need for emergency medical treatment for your child. However, in the event of an emergency before we can contact you, do you authorize us to provide emergency medical care? Do you understand, and agree, that all trips and activities involve some risk of injury to children and we cannot guarantee that no injuries will occur? Do you understand, and agree, that your child may be excluded from the field trip in the event of a serious disciplinary violation?

5 Who may we contact during the period of the trip if we need to notify you of a problem, change of plans or emergency? Please provide more than one name. Name: Telephone # Relationship Name: Telephone # Relationship I give permission for my child [Name] to participate in the field trip and that the information provided above is true and complete. Parent/Guardian Name: [Print] Date: Parent/Guardian Signature: