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1 East IrondequoitIdle School 8th Grade Trip to WcLAJLILgLTL P.C. 0 ctober 16-18, , r ^A. 1

2 201 3 F.IM5 8tk _rade Washington D.C. Trip 2 WASHINGTON D.C. FUNDILAISING To provide students the opportunity to fund the cost of the have students learn responsibility and resiliency by working towards the privilege of attending this 8 th grade event. There will he three fundraisers for next year's trip. Fundraiser #1: January rundraiser #2: march 2013 rundraiser # 5 : ma, P ease make checks pa yable to 11m5. IMPORTANT INFORMATION Just under half of the proceeds go towards financing the students' trip. This helps offset the cost of the trip for you and your child. Fundraising for the trip is optional Mrs. Petote keeps track of individual accounts so each student fundraises for his or her individual trip. X No door-to-door selling (Please sell to friends, relatives, co-workers, etc.) You collect the money when the item is ordered TO PARTICIPATr IN rundkai5ing you NEED TO: 'et Make sure all envelopes and forms are clearly printed and have both Student Name and Homeroom Students are ultimately responsible for accurate accounting. All materials MUST be handed in ON TIME

3 1 ST CHOICE EDUCATIONAL TOURS LTD. a division of First Choice Travel, Inc r=) 1111 co Specialists in Student Travel EAST IRONDEQUOIT MIDDLE SCHOOL TENTATIVE ITINERARY WASHINGTON, DC OCTOBER , 2013 WEDNESDAY, OCTOBER 16 th 6:30 A.M PASSENGER MOTOR COACHES ARRIVE AT: EAST IRONDEQUOIT MIDDLE SCHOOL 155 DENSMORE ROAD ROCHESTER, NY 7:00 A.M. DEPART FOR WASHINGTON, DC BRING A BAG LUNCH AND SNACKS FOR THE RIDE 2:30 P.M. - 5:00 P.M. 6:00 P.M. - 7:00 P.M. 7:00 P.M. - 10:00 P.M. 10:30 P.M. THURSDAY, OCTOBER 7:00 A.M. 8:00 A.M. :00 A.M. - 10:30 A.M. 11:00 A.M. - 12:00 P.M. 12:30 P.M. - 5:00 P.M. 6:00 P.M. - 7:00 P.M. 8:00 P.M. - 10:30 P.M. 11:00 P.M. VISIT MOUNT VERNON WITH LUNCH AT YOUR OWN EXPENSE DINNER AT REAGAN INTERNATIONAL TRADE CENTER - voucher provided ILLUMINATED NIGHT TOUR OF THE MONUMENTS CHECK INTO THE HOTEL: WASHINGTON SUITES 100 S. REYNOLDS STREET ALEXANDRIA, VA PRIVATE SECURITY PROVIDED EACH NIGHT 17th BREAKFAST AT THE HOTEL DEPART THE HOTEL ARLINGTON CEMETERY TROLLEY TOUR TIME FOR SOUVENIR SHOPPING EXPLORE SMITHSONIAN MUSUEMS OF YOUR CHOICE WITH LUNCH AT YOUR OWN EXPENSE TIME TO CHANGE AT THE HOTEL PIZZA DINNER/DJ DANCE AT MAGILL'S RETURN TO THE HOTEL FRIDAY, OCTOBER 18 th 8:00 A.M. BREAKFAST AT THE HOTEL :00 A.M. CHECK OUT AND DEPART THE HOTEL 10:00 A.M. - 2:00 P.M. VISIT NATIONAL ZOO - box lunch will be provided 2:00 P.M. DEPART FOR HOME FAST FOOD DINNER STOP EN ROUTE HOME AT YOUR OWN EXPENSE :30 P.M. - 10:00 P.M. ARRIVE AT EAST IRONDEQUOIT MIDDLE SCHOOL Mailing Address: Location: Phone Numbers: P. 0. Box 50 West Main Commons Phone: (585) Batavia, NY West Main Road Fax: (585) Batavia, NY 1020

4 1ST CHOICE EDUCATIONAL TOURS LTD. a division of First Choice Travel, Inc T51, Specialists in Student Travel 0 EAST IRONDEQUOIT MIDDLE SCHOOL WASHINGTON, DC OCTOBER 16 18, 2013 WEDNESDAY, OCTOBER 16 th A deluxe motor coach will arrive at 6:30 a.m. for a 7:00 a.m. departure Please bring a bag lunch and snacks for the ride. Our first stop will be Mt. Vernon, the treasured estate of George and Martha Washington. Explore more than 30 acres of beautiful wooded gardens and grounds. The mansion has been restored to its appearance in the last year of his life. Dinner at the Reagan International Trade Building. A voucher will be provided. After dinner there will be a Guided Night Tour of the Lincoln, Korean, Vietnam Veterans, FDR and World War II memorials Check into our hotel THURSDAY, OCTOBER 17th Breakfast at the hotel which includes fresh fruit, fresh juices, muffins, bagels, danishes, croissants, cereal, milk, yogurt, cream cheese, butter and jam, coffee and tea. Our first stop will be a 0-minute trolley tour of Arlington Cemetery. America's largest national burial ground with more than 600 acres of landscaped hills. Among the thousands of white headstones are the graves of President John Kennedy, Supreme Court Justice Thurgood Marshall, world champion boxer Joe Louis and the Tomb of the Unknowns Next there will be time for souvenir shopping. Visit the Smithsonian Museums of your choice with lunch at your own expense Return to the hotel to change for dinner Tonight there will be a Pizza Dinner/DJ Dance at Magill's Return to the hotel FRIDAY, OCTOBER 18th Breakfast at the hotel then check out. This morning we will visit the National Zoo. See the thousands of exotic animals, including the giant panda, Hsing-Hsing. Amazonia is a re-created microcosm of the world's largest rain forest. A box lunch will be provided for lunch. We will depart for home at 2:00 p.m. with a fast food dinner stop en route home at your own expense TRIP COST: $37.00 per person based on 0+ paying persons per bus in quad occupancy DEPOSIT: $17.00 per person due January 25, 2013 FINAL PAYMENT: $ per person due May 2, 2013 PACKAGE INCLUDES: Round trip motor coach transportation, 1 s t Choice Educational Tour Manager, 2 nights hotel accommodations, late night security, 2 breakfasts, 1 box lunch, 1 dinner, 1 dinner voucher, Washington, DC trip T-shirt, all admissions and driver gratuity. Mailing Address: Location: Phone Numbers: P. 0. Box 50 West Main Commons Phone: (585) Batavia, NY West Main Road Fax: (585) Batavia, NY 1020

5 r I IV 3 s'" Grade Washington D.C. Trip 3 Pai.. Eve_mt January 1 5, Parent Information eeting januar 25, X $ 17 Dollar Deposit ue January rirst rundraising Event March Second rundraising Eyent May Niagara Chocolate fundraiser May 1, information sent home regarding remaining balance, i May 2-1-, Final aciment ue 1 June 5, J une September 1, 2015 September 1, September 1, Dcio-freh , 2073 rield Trip f'ermission Slip Due Koommate Selection Process Medication rorms due to Nur5e Mandatory rarent, Chaperone and student meeting at 650 All medications must be handed in to Nurse b y this date giiip. to WaAhiscgto-sc D.C. - Estimated Cost of Trip -$37 The FIRST deposit is a commitment to attend the trip. We use the deposit to determine how many students will be attending the trip. It is, therefore, imperative that parents make this deposit on time. Regardless of the amount of money fundraised, a deposit is still required from all families planning on attending the trip. :10, The FINAL deposit is NON-REFUNDABLE and cannot be covered by the District, as most of the travel arrangements have already been paid by this time. Cancellation of the trip due to a national or international emergency cannot be covered by the District. X No student will be permitted to attend the trip who has not completed the needed Medical Forms and permissions slips on time. Please be prompt in handing in forms to avoid jeopardizing your deposits. ir - A $75.00 booking fee is required per student and calculated into the deposit to ensure space on a contracted trip. The booking fee is non-refundable. A person unable to attend the trip is encouraged to find a school approved replacement to avoid the loss of monies paid. Participants who cancel and do not arrange for a replacement will be sent a refund after the return of the trip equal to the value of the refundable unused meals and admissions. Transportation, lodging, prepaid admissions, and all administrative booking fees are not refundable. If it is necessary for FIRST w CHOICE EDUCATIONAL TOURS to cancel a trip, a full refund will be issued to all participants. Optional cancellation insurance is available and suggested 1:f C(' 'Yz.wuw-www

6 q,'risr 1 Y 20 1 LI \A5 8 tk Cracle Waskington D.C. Trip SICVIDENT CONIYUCT.5tudents will be allowed to use their cell phones to make phone calls home. irresponsible use of the phone will result in them being taken away. 2.5tudents are expected to follow all school rules during the trip. 5.5tudents are expected to obtain assignments from their teachers for the classes that will be missed. 5tudents are expected to remain on hotel grounds during free time. 5.0nly students assigned to a room will be allowed in the room. 6.All stua -ents are expected to follow the plans organized b y the chaperone for meals. 7.5tudents are not allowed to distribute over-the-counter or prescription medication to another student. 5tudents recluiring medication should be referred to the designated chaperone. 8.5tudents may not leave their rooms after night cur-few or before morning wake up (time ma y vary per day and students will be advised of the time).0. Excessive noise and horsepla y in the rooms or hotel corridors will not be allowed. i O. 5tudents are not permitted to smoke or use drugs/alcohol. i i. No use of hotel phones No room service, pa y -TV, or honor bars are allowed. 13. The East Irondeuoit Central 5chool District is not responsible for the loss of any personal property or broken items. 1 Any student who violates the student conduct and needs to be sent home, will be sent home at the parents expense.

7 201 5 r-. 1 M5 8 1 Grade Washington D -C Trip 5 Clothes and Packing 1. Find a spot in your room or house to start gathering your belongings 2. Choose clothes that you will be comfortable in, especially shoes (no heels or flip flops) 3. Wear comfortable clothing Try to bring an extra outfit and pair of shoes 5. Very important to pack large plastic bags for dirty clothes and wet shoes 6. Put toiletries in Ziploc plastic bags - so they don't spill or leak in your bag 7. Carry necessities with you (money, camera, lunch, etc.). You will not be able to get in your suitcase until the end of the day (no exceptions). 8. Label all clothing and packages. Chaperones are NOT responsible for lost or stolen articles.. Camera: Know ahead of time how to operate your camera and bring extra batteries. Students are allowed 1 suitcase and 1 small carry on bag. You will need clothes for 3 days and an extra change of clothes. Pants Comb/brush Tee shirts/ Sweat Shirt Deodorant,, Light Jacket Hair Dryer/ Curling Iron Comfortable shoes (2 pairs) Socks and Underwear Coins for vending machines Pajamas Laundry bag for dirty clothes Shampoo/Conditioner Umbrella or Rain coat Suggested for a small carry-on bag for easy accessibility on the bus Sunglasses Deck of Cards lunch,,,, Pen Pack of Kleenex snacks Camera Watch bottled water mp3 player with headphones Gum/Candy/Snacks DVD's to watch on the bus Books/Magazines cell phone );=' tt DO NOT BRING VALUABLES EICSD is not responsbile for lost or stolen items..

8 1.`f -;,-,..-): c' ): 2015 rims st" Gracie Washington D.C. Trip 6 FIELD TRIF FERMISSION SLIF Dear Parent/ Guardian, If you would like your child to particpate in the activity below, please complete, sign, and return the following statement of consent to Mrs. Paquin by June 1, th Grade Trip to Washington D.C. from Ocotober 16-18, 2013 I give permission for my child, to participate in the 8 th grade trip to Washinton D.C. I understand that the acitivty will take place away from school 7,f, property and that my child will be under the supervision of the designated East lrondequoit Central School District employee on Ocotober 16, 2013 through October 18, I s understand that my child is subject to all East lrondequoit School District rules and regulations with. respect to misconduct, the use of illegal substances, or any other violation of the school's Code of Conduct. I consent to these conditions, including the method of transportation for this field trip. I understand that classes missed by attending this field trip (although legal) will count toward the total days of absences with regard to the Attendance policy. I understand that an alternate assignment can take the place of this trip for academic purposes in the class. Print Name of Parent/ Guardian Signature Home Telephone number Emergency Telephone number Cell Number Mrs. Paquin and Mr. Boaday Trip Organizers

9 -z -,`,-I'.:-r ---).si-,=??.? ', LI NA5 S ill Gracie Washington D-C Trip 7, y, EIMS 8th Grade Washington DC Trip 2013 Scholarship Application The Washington DC Scholarship Fund was created in the Fall 2011 to help students who cannot afford to attend the - th.5 Grade Class trip to Washington, D.C. Our goal is that through this scholarship, students who could not attend previously due to financial constraints will now be able to take advantage of this great learning opportunity. The Scholarship Fund will award $150 to the student's trip, with the balance being paid through fundraising and by their parents/guardians... Student Name: Grade: 7th Parent/Guardian Employer: Home Phone: Work Phone: Cell Phone: Parent/Guardian #2 Name: Parent/Guardian #2 Address: Parent/Guardian Employer: Home Phone: Work Phone: Cell Phone: Eligibility Requirements: Parents/Guardians are expected to begin a payment plan in January 2013 of $7. The remaining $150 balance will be due in May Students are expected to participate in a fundraiser at some level to help offset the cost of their trip Parents/Guardians must attend the Washington DC Parent Meeting in September 2013 The student must have no behavior concerns. Student promises to cooperate fully with chaperones, teachers and all other administrative officials on. the trip. s' Students are expected to volunteer at the following year's fundraising event The balance of the trip is expected to be paid in full by June 2013 or the student will be unable to attend the trip and forfeit the scholarship. : Application must be submitted to Mrs. Costello by: April 10, wxwwuww

10 An ftr :"':', ',t- ';': - -s:r.a.):. )'-('. 3 -'.. -.Or Net. ' -',',-.,,c -,^If A ii c I 5 r 1NA5 8 t urade Waskington D.C. Trip 8 Please have the students write a summary, I would like to attend the 8 th Grade Washington DC trip with my class because A- 8..s.. 'a.

11 PARENT CHAPERONE APPLICATION Parent Name: Student Name: Address: Home Phone# Work Phone# Describe, if any, medical background or experience: Describe, if any, EMT background or experience: Are you certified in CPR or other Life Saving Certificate Programs? (Parent Signature) (Date) Please understand that there are a limited number of chaperones who can attend and parents may NOT be needed. s>. Chaperones are selected based on medical background experience. Please understand that an application to become a chaperone is a commitment to the dates of the trip as well as the parent meeting. The cost of the trip is covered for any chaperones selected to attend the trip. If Chaperones will be needed you will be notified in July 2013.

12 Washinaton D.C. Trip Medication Infcrmation 1. Please complete, sign and return all forms by September 1, 2013 to the nurse with the medications. 2. If your child will NEED medication (prescription or over the counter medication) on the trip the form must be filled out and signed by their doctor. 3. All medication and forms must be brought by a PARENT to the nurses office no later than September 1, NO STUDENT MAY CARRY MEDICATIONS TO SCHOOL. The ONLY medications accepted after September 1, 2013 will be new prescriptions for new health conditions (such as antibiotics for an infection) and these must be discussed with the Nurse. 5. Please administer the morning dose of medications to your child the morning of the trip. 8._ A ''tz Mug OF, EA g[kan 27 fin 1@j1E 1,c)E7 A 2J0 i, g No 'Ali ENIEg,,, ii...,,,,

13 EAST IRONDEQUOIT CENTRAL SCHOOL DISTRICT MEDICATION PERMISSION FOR OVERNIGHT FIELD TRIP PHYSICIAN FT-C If it is necessary for a student to take medication on an overnight trip, this form must be completed by the student's physician and the student's parent/guardian. This applies to both prescription and non-prescription medications (including Tylenol, Advil, etc.). Return this completed form to the School Nurse. There are no exceptions to this procedure. For any questions, contact the school nurse. Prescription medications must be in a properly labeled pharmacy container. Over-thecounter/nonprescription items must be in the original manufacturer's container. It is important to send only the quantity that will be required for the duration of the trip. TO BE COMPLETED BY THE STUDENT'S PHYSICIAN the following medication during overnight field trips. is under my care and requires Diagnosis Name of Medication Dosage Frequency Possible Side Effects The student has been instructed in the proper use of this medication and possible side effects and should be permitted to carry the medication(s) as I consider him/her responsible. He/she has been instructed in, and understands, the purpose and appropriate method and frequency of use for the above medication(s). Physician's Signature Date Physician's Name and Title (please print) TO BE COMPLETED BY THE STUDENT'S PARENTS I hereby request that my child be allowed to carry and administer the above medication(s) as prescribed by his/her physician. He/she has been instructed in the proper use of the medication and I consider him/her responsible. Parent/Guardian Signature Date This permission covers only overnight field trips for school activities and must be renewed each school year.

14 FT-B EAST IRONDEQUOIT CENTRAL SCHOOL DISTRICT MEDICAL PERMISSION FOR OVERNIGHT FIELD TRIP PARENT/GUARDIAN Dear Parent/Guardian: Your child is eligible to participate in a school-sponsored field trip that will take place at a location away from the school. The activity will include an overnight stay. According to the New York State Education Depai tnient Guidelines, all medications that are to be taken in school or on a school-sponsored activity require documentation from the student's physician and parent/guardian. Documentation is necessary for both prescription and over-the-counter/nonprescription medications. Prescription medications must be in a properly labeled pharmacy container. Over-thecounter/nonprescription items must be in the original manufacturer's container. It is important to send only the quantity that will be required for the duration of the trip. Attached is the MEDICATION PERMISSION FOR OVERNIGHT FIELD TRIP form that must be completed by your son or daughter's physician. This form, and the bottom portion below (to be filled out by you), need to be completed to allow the student to carry medications with him/her during this activity. Medication forms must be returned to the school nurse for review prior to the activity. ALL students MUST return the section below AND the necessary medication forms to be allowed to participate in the activity. MEDICATION PERMISSION FOR OVERNIGHT FIELD TRIP (PLEASE PRINT) Complete the information below and return to the School Nurse by Student Name Date of Birth School Grade Trip Organizer Activity Location My child WILL NOT require any medication during this activity. Date My child WILL require medication during this activity. (Please attach physician completed MEDICATION PERMISSION FOR OVERNIGHT FIELD TRIP form.) Medication form already on file. Name of medication(s): Parent Name Parent Signature Date

15 FT-A Dear Parent/Guardian: EAST IRONDEQUOIT CENTRAL SCHOOL DISTRICT FIELD TRIP MEDICAL WAIVER As you are well aware, there are inherent dangers in any school activity. In the case that your child does sustain an injury that requires medical attention, we wish to make every effort to reach you to obtain your opinion as to what should be done for your child. Please list below telephone numbers where you can be reached during your child's trip. However, if after our best efforts we fail to contact you, we request that you sign the medical release below to allow emergency treatment for your child. I give my permission for my child emergency medical care in the event that he/she is injured or taken ill while on to receive Name of Event: Wch G ca,\2, -17cy Dates of Event: Name of School: --iro (Oct:06N Nn -ic\a\ c scilota Signature of Parent/Guardian: Home Telephone Number: ( ) area code Cell Number: ( ) area code Work Number: ( ) area code Family Physician's Name and Telephone Number ( ) area code Emergency Contact Name and Telephone Number ( ) area code Medical Insurance Carrier: and ID Number: Special Health Concerns/Allergies:

16 ,;',-.,, rim5 8 th Grade Washington D.C. Trip 10.A..,:r EAST IR.ONDESTJOIT MIDDLE SCHOOL, tith GRADE WASHINGTON D.C. TRIV, (Final Remaining Balance Due May 25, 2013),..,,, Please fill out the following information below and return this form with y our check to the main office. X Checks should be made out to East Ironcleuoit Middle 5chool X Mease write students first and last name on the memo line of the check y ou submit a% jf y ou do not make these pay ments on time, then that indicates to us that the student has chosen not to attend the trip to Washington D.C. and y ou are planning on stay ing behind Student Name Check Number Check Amount Make sure you submit your Emergency Medical Form 20, 2013 on or before September 2012 EAST IIIONDESITOIT MIDDLE SCHOOL STII GRADE WASHINGTON D.C. TILIF (Deposit Due January 25, 2013) X Please fill out the following inf. ormation below and return this form with y our check to the main office. X Checks should be made out to East Irondecluoit Middle 5chool X Please write students first and last name on the memo line of the check you submit -A-,,,,, oe, If y ou do not make these pay ments on time, then that indicates to us that the student has chosen not to attend the trip to Washington D.C. and y o u are planning on stay ing behind Student Name Check Number Check Amount: $ :r).r tr(-tf-

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