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613, 713, 813 Enrichment Through The Arts Trip

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Enchricments Through The Arts

Holidays Around the World

Theater Show - CSI Enrichment Center 2800 Victory BLVD.

Cost $11

Date: 12/19

Classes: 613, 713, 813

Trip Coordinator: Nordian Scafe

Depature Site: I.S.27 - 9:15 a.m.

Return Site: I.S.27 - 12:30 p.m.

Mode of Transportation : Yellow Bus

Purpose of Trip: The purpose of the trip is to experience and appreciate diverse cultural celebrations and traditions through an immersive show that showcases holidays from around the world.

Specific Clothing: N/A

Below is the permission slip and payment form

Last Name *

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First *

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Class*

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(INITIAL HERE) This trip will include the following physical and sports activities. - WALKING. *

Initial Here

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(INITIAL HERE) I understand that there are risks of injury associated with the above-listed physical and sports activities and I consent to my child’s participation in all these activities except for the following: *

INITIAL HERE

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(WRITE N/A IF IT DOES NOT APPLY) Please indicate below any permanent or temporary medical or other condition, including special dietary and medication needs, or the need for visual or auditory aids, which should be known about your child: *

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(INITIAL HERE) c) I agree that in the event of an emergency injury or illness, the staff member(s) in charge of the trip may act on my behalf and at my expense in obtaining medical treatment for my child. d) I understand that my child is expected to behave responsibly and to follow the school’s discipline code and policies. e) I agree and understand that I am responsible for the actions of my child. I release the school from all claims and liability that arise in connection with the trip, except if due to the negligence of school officials. f) I understand that I am responsible for getting my child to and from the departure and return sites identified above. I understand that my child shall be accompanied by staff member(s) during the trip, including while traveling from the departure site to the destination site, and from the destination site to the return site. g) I understand that alcoholic beverages and/or illegal drugs are prohibited and have discussed this prohibition with my child. I understand that if my child is found in possession of these substances, they will be subject to school disciplinary procedures and possible criminal prosecution. h) I understand that students who violate the school’s discipline code may be excluded in the future by the school from participating in a trip.*

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In an emergency I can be reached at:*

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Additional Contact:*

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I give my permission for my child to participate in this school trip. (SIGN BELOW)

Signature*

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STUDENT DECLARATION

(to be signed by Middle School and High School students)

I have read this form and I understand that I am to act on this trip in the same responsible manner in which I am expected to conduct myself in school.

Students must write their name here to determine that they have read the rules and regulations. *

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Trip Payment *

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$12.00

Confirmation Email

Confirmation Email *

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