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Ciaravino Apple Bee's 831,832, 834

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APPLEBEE’S KITCHEN TOUR TRIP 12/22 Ms. Mainolfi

New York’s favorite restaurant is now New York’s favorite classroom. This groundbreaking program introduces students of all ages to the workings of a high-volume kitchen. From food safety to cleanliness, students are sure to leave with a new appreciation of an ordinary dining experience. Following the class, each student receives an Applebee’s Junior Chef Certificate.

Trip Coordinator: Mr Ciaravivo

Student's First Name:*

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Student's Last Name:*

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Class:*

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831

832

834

Trip Date: Friday, January 17, 2025

Destination: Apple Bee's Staten Island Mall

Departure: IS 27 at 10am

Return: IS 27 at 1:30pm

Transportation: Yellow school bus

Specific Clothing/ Equipment Required for this Trip: None

This trip will include the following physical and sports activities (e.g. swimming, horseback riding, ice skating, skiing, boating): None

a) 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: (NOT APPLICABLE)

b) 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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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 criminalprosecution.

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.

Parent's First Name:*

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Parent's Last Name *

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In an emergency I can be reached at: (Day time number)*

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Additional Contact: Name:

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Additional Contact: Phone Number:

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Parent's Digital 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.

Student's Signature*

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Student's Signature Date:*

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Payment *

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$15.00

Choice of meal (all meals come with a drink and vanilla ice cream):*

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Cheeseburger & Fries

Chicken Tenders & Fries

Grilled Chicken Caesar Salad

Confirmation Email

Confirmation Email *

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