JUNIPERO SERRA HIGH SCHOOL - PDF Free Download

JUNIPERO SERRA HIGH SCHOOL Juniper Serra High Schl believes that students f all faiths and backgrunds deserve an academically challenging, spiritually enriching Cathlic cllege preparatry educatin that frms them t becme generus, respnsible citizens Dear Junir Parent/Guardian, Yur sn/daughter has the pprtunity t attend their Junir class vernight retreat. There are tw pprtunities thrughut the schl year fr yur child t attend the event. The dates fr this retreat are Octber 19-20, 2017 and February 22-23, 2018. The retreat is an ptinal vernight activity fr yur child and is nt mandatry, but highly recmmended. We nly take a maximum f 60 students n this retreat s please fill ur and return the attached permissin slip if they wuld like t jin. Sign-ups fr the junir retreat are n a first cme, first served basis and will nly be cllected if the permissin frm is cmplete and returned t yur child s junir religin teacher. The retreat theme is The Great I AM and will prvide and pprtunity fr the students t examine the persn they have becme, t develp a better understanding and appreciatin f the gift that Gd made them t be, and cntinue t grw and develp their relatinship with Gd and with thers in their class. Please review the brief agenda belw. Departure Date 7:30am All students register and drp ff luggage fr retreat in rm 405 8:45am Students and chapernes depart Serra n buses 9:30am Arrive at The Oaks Camp and Cnference Center fr vernight retreat *Overnight retreat - (see packing list attached) Friday 1:00pm 3:30pm Students leave retreat site Students arrive back t Serra Fr emergency purpses nly, belw is the retreat site address and emergency phne numbers. The Oaks Camp and Cnference Center 18651 Pine Canyn Rad, Lake Hughes, CA 93532 Camp Phne Number: (661) 724-1018 Serra Campus Ministry Emergency Number: (619) 566-6076 Please cmplete the attached permissin frms and return t Ms. Ty NO LATER than Octber 11 th, 2017. All frms were received in junir religin classes and are dwnladable n the Juniper Serra High Schl website at www.la-serrahs.rg under the Student Life/Campus Ministry/Retreats tab. In rder t prepare yur sn/daughter fr this retreat a list f packing items that he/she might need is included. Please see the packing list n the back f this letter and pack lightly and apprpriately. Remember the student is respnsible fr carrying all baggage t and frm the cabins and buses. Als please nte that NO cell phnes r electrnic devices may be used n this retreat. If a cell phne r ther electrnic device is fund in use with a student during the retreat, it will be cnfiscated and the parent must pick it up frm the main ffice fr a fine f $25. If yur sn/daughter has any medicatins, please put it in a clear plastic bag marked with his/her name and dsage infrmatin n it and turn it int a faculty member during registratin. 14830 S. Van Ness Ave. Gardena, CA 90249 Tel: (310) 324-6675 Fax: (310) 352-4953 www.la-serrahs.rg

Overnight Retreat Plicies Luggage: Since space n the bus is very limited yu may bring ONLY ONE piece f luggage. Serra H.S. staff reserves the right t inspect all persnal belngings prir t lading bags nt the bus. Students shuld bring items t Rm 405 befre schl n the mrning f departure n later than 7:30am befre schl. Electrnic Devices: Radis, ipds, laptps, tablets, phnes, and ther electrnic devices may be used n the bus, BUT WILL BE COLLECTED upn arrival t ur destinatin. If an electrnic device is nt turned in and fund n retreat, it will be cnfiscated and turned int the main ffice fr a return fee with parent retrieval fr $25. Drugs, alchl, tbacc prducts: A participant fund with alchl, drugs, lighters, tbacc prducts, etc. any such prhibited prducts will be subject t legal and disciplinary actin accrding t the guidelines set frth by Juniper Serra High Schl and the Archdicese f Ls Angeles and the plice department f that lcatin. Public Displays f Affectin (PDA): It is ur hpe that all participants are attending t develp a clser and deeper relatinship with Gd thrugh the church and ALL f its peple. Relatinships are a blessing frm Gd, but in rder t create an inclusive cmmunity, ALL public displays f affectin (hugging, kissing, cuddling, sitting n laps, etc.) are prhibited. As mature yung peple yu are expected t uphld ur schl and retreat plicies at all times. D nt chse t make unwise decisins that may suspend/expel yu frm Serra HS. Respect the rules set by the event and retreat staff as well as thse set by the Juniper Serra High Schl leaders and staff. If in case the rules are brken r there are behavir issues, a parent r guardian is required t pick up the student upn ntificatin frm the campsite. Any mistake yu make can have a negative impact n ur schl and ultimately n yur class. Let Christ guide yu as we jurney t make this experience truly spiritually enriching. Thank yu fr chsing t pen yur heart t the lve f Christ and remaining fcused n His example. Overnight Retreat Rules 1. Alchl cnsumptin, smking r pssessin f tbacc r ther drug paraphernalia during this trip is punishable by remval frm trip at yur expense and immediate expulsin frm schl as well as legal prsecutin. 2. Respect all adults, chapernes, each ther, and yurselves. 3. All participants are assigned t a small grup. Yu must meet up with this grup during small grup time. 4. Please be prmpt t meal times and drms fr check in. Yu shuld check in with yur small grup leader at these times. 5. We are nly allwed t administer medicatin that is listed n yur permissin frms. Please nte if yu are unable t take any ver the cunter medicatin and any/all allergies that may exist. Faculty leader must be infrmed f any prescriptin medicatins n permissin frm with dsage infrmatin. These will be checked in at the beginning f the event. Leave all medicatin in riginal bttles. 6. When hiking r explring the surrundings always remain in grups f 3 r mre. 7. All scheduled prgram activities are bligatry. If yu are sick, and therefre unable t attend, yu must infrm the grup leader as sn as pssible. 8. Respect all camp prperty. Thse respnsible fr any damage dne t the facilities will be individually billed and held respnsible. 9. Shplifting will result in autmatic dismissal frm the event and the participant will face cnsequences as utlined in the Serra High Schl parent/student handbk. 10. All hands and feet are t be kept t yur self. Yu are t respect the persnal space f thers. 11. Dry snacks are allwed in the drms, but MUST be enclsed in a plastic bag r ther cntainer at all times. 12. N flames, candles, lighters, matches etc. f any kind allwed. Called and Chsen Overnight Retreat Packing List *Please be sure all persnal items are labeled with yur first and last name.* 4 days f apprpriate summer casual clthing Apprpriate pajamas t sleep in arund ther rmmates Warm jacket r sweatshirt, lng pants (cld night weather) Walking (clsed ted) shes Flashlight

Tiletries including twels (bath and pl) Sleeping bag and pillw Swim suit (mdest and apprpriate nly) fr pl access please write n permissin slip if yu d nt knw hw t swim. Sandals fr shwer/pl Refillable water bttle Sunscreen/Hat Yuth Bible and pen Dry re-sealable snacks (ptinal) Any necessary medicatins-check in medicatin at arrival & write medical inf n permissin slip Mney fr ne lunch stp (all ther meals are cvered) Nte: All ipds, cell phnes and electrnic devices are NOT t be used during this retreat. If yu plan t take pictures, please bring a camera nly. YOU ARE REQUIRED TO READ THE INFO IN THIS PACKET BEFORE SIGNING As a student f Juniper Serra High Schl, I understand that I am required t read and abide by the vernight retreat rules and vernight retreat plicies cntained in this bklet. If I dn t understand smething in this bklet, I will ask Ms Trres fr clarificatin befre signing belw. I understand that in additin t this bklet all plicies set frth in the Serra H.S. parent/student handbk will be fully enfrced. Failure t cmply with the rules will result in lss f student privileges and/r status, bth individually and as a class. My signature belw acknwledges that I read, I understand, and I agree with what is expected f me as utlined in this bklet. Signature Date Juniper Serra HS Print Name Retreat Rules & Plicies

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Junir Retreat Overnight Retreat Packing List *Please be sure all persnal items are labeled with yur first and last name.*! 2 days f apprpriate casual clthing! Apprpriate pajamas t sleep in arund ther rmmates! Warm jacket r sweatshirt, lng pants (cld night weather)! Walking (clsed ted) shes! Flashlight! Tiletries including twels (bath and pl)! Sleeping bag and pillw! Sandals fr shwer/pl! Refillable water bttle! Sunscreen/Hat! Yuth Bible and pen! Dry re-sealable snacks (ptinal)! Any necessary medicatins-check in medicatin at arrival & write medical inf n permissin slip Nte: All ipds, cell phnes and electrnic devices are NOT t be used during this retreat. If yu plan t take pictures, please bring a camera nly. Rules and Regulatins: Please be careful nt t make any unwise decisins that may result in yu nt participating with this grup r negative utlks n schl as a whle. Remember that yu are ding this because yu want t grw in yur relatinship with Christ thrugh each ther. Let Christ guide yu as we jurney t make this experience a truly spiritually enriching ne. Be respectful f the rules that are set by Serra High Schl, chapernes and retreat center. Yu are invited t attend because yu have been called and chsen t be a leader. Therefre, we challenge yu t challenge yurself in ding things yu may nt be used t r cmfrtable ding. Getting ut f ur cmfrt zne can help us grw. Gd has chsen yu and has yu here fr a reasn. Be fully pen t different prayer experiences. If yu re attending with a girlfriend/byfriend/best friend, it is best that yu separate n this retreat and stand n yur wn with Christ. N public displays f affectin are permitted. Be willing t meet new peple and share yur gifts. All rules accrding t the Juniper Serra High Schl Parent/Student Handbk apply and if any rules are brken, yu may be asked t leave and must have a parent pick yu up frm the retreat site. Any illegal r inapprpriate substances fund n this retreat will be dealt with the Gardena Plice Department r the Plice Department in the cunty f the retreat site and schl disciplinary actin will be taken.

Juniper Serra High Schl Field Trip Student Permissin Frm Activity: The Great I AM Junir Class Overnight Retreat Date(s): Octber 19-20, 2017 Descriptin/Purpse: Junir Class Spiritual Enrichment Address: 18651 Pine Canyn Rad, Lake Hughes, CA 93532 Lcatin: The Oaks Camp and Cnference Center Supervising Administratr/Faculty: Mr. Murphy Departure Time: Thursday, 10/19/17 @ 7:30am Departure Lcatin: Serra High Schl Rm 405 Return Time: Friday, 10/20/17 @ 3:30pm (apprx.) Return Lcatin: Serra High Schl student parking lt Transprtatin: Bus! Van! Walk! Chaperne Vehicles List: Cst: Included in tuitin Dress Cde:! Schl Unifrm! Frmal Unifrm Special Dress Other: See packing list Necessary Equipment / Supplies: See packing list fr what t bring. Dn t frget a refillable water bttle. Student s Name: Gender: M F Grade: 9 10 11 12 Age: Emergency Name: Emergency Cntact #: Health Insurance: Dietary Restrictins: Current Medicatin(s): Dsage: Plicy Number: Physical Limitatin(s): Allergies & Medical Cnditins (Check All That Apply):! Nne! Penicillin! Tylenl! Ibuprfen/Advil! Sulfa! Bee Sting! Hay Fever! Pisn Ivy! Asthma! Diabetes! Other allergies/medical Cnditins: Nte: Students are respnsible fr submitting their medicatin t the supervising administratr/faculty member at the beginning f the event. All prescriptin and nn-prescriptin medicatins required during this event must be reprted n this frm with prper dsage infrmatin. 1 request that my child be permitted t participate in the abve activity. My child has n medical cnditin that wuld render it inapprpriate fr him/ her t participate in this activity. I have returned the Medicatin Authrizatin and Permissin Frm t the schl/parish. I agree t direct my child t cperate and cnfrm t directins and instructins f the parish, schl r Archdicesan persnnel respnsible fr this activity. As a cnditin f participating in this activity, l hereby release and discharge The Rman Cathlic Archbishp f Ls Angeles, a crpratin sle, Archdicese f Ls Angeles Educatin & Welfare Crpratin and the schl and parish, their respective emplyees and any parent/vlunteer/ chaperne, frm any and all claims fr persnal injuries, wrngful death r prperty damage that my child may suffer as a result f participatin in the activity described abve, whether r nt such injuries r damage are caused by the negligence (active r passive) f the Archdicese, the parish, the schl r their emplyees r chapernes. Shuld it be necessary fr my child t have medical treatment while participating in this activity, I hereby give the respnsible persnnel r chapernes permissin t use their judgment in btaining medical service, and 1 give permissin t the physician selected by the schl persnnel r chaperne t render medical treatment deemed necessary and apprpriate by the physician. I agree t relieve the schl and ther participating adults frm any liability in cnnectin with this request. I understand that the insurance benefits thrugh the schl r parish, if any, may have limited applicatin, and that I am entirely respnsible fr the cst f all medical treatment prvided t my child. I agree t indemnify and hld the schl harmless frm the cst f any medical treatment and related expense and cst incurred. My student understands that all schl plicies and rules f Juniper Serra High Schl must be adhered t in the participatin f this activity and that any vilatin will result in disciplinary actin being taken. Parent/Guardian Name: Date : Parent/Guardian Signature: Date : Supervising Administratr/Faculty Signature: Date : 14830 Suth Van Ness Avenue Gardena, CA. 90249 Phne (310)324-6675 Fax (310)352-4953

Juniper Serra High Schl Field Trip Student Permissin Frm Activity: The Great I AM Junir Class Overnight Retreat Date(s): February 22-23, 2018 Descriptin/Purpse: Junir Class Spiritual Enrichment Address: 18651 Pine Canyn Rad, Lake Hughes, CA 93532 Lcatin: The Oaks Camp and Cnference Center Supervising Administratr/Faculty: Mr. Murphy Departure Time: Thursday, 10/19/17 @ 7:30am Departure Lcatin: Serra High Schl Rm 405 Return Time: Friday, 10/20/17 @ 3:30pm (apprx.) Return Lcatin: Serra High Schl student parking lt Transprtatin: Bus! Van! Walk! Chaperne Vehicles List: Cst: Included in tuitin Dress Cde:! Schl Unifrm! Frmal Unifrm Special Dress Other: See packing list Necessary Equipment / Supplies: See packing list fr what t bring. Dn t frget a refillable water bttle. Student s Name: Gender: M F Grade: 9 10 11 12 Age: Emergency Name: Emergency Cntact #: Health Insurance: Dietary Restrictins: Current Medicatin(s): Dsage: Plicy Number: Physical Limitatin(s): Allergies & Medical Cnditins (Check All That Apply):! Nne! Penicillin! Tylenl! Ibuprfen/Advil! Sulfa! Bee Sting! Hay Fever! Pisn Ivy! Asthma! Diabetes! Other allergies/medical Cnditins: Nte: Students are respnsible fr submitting their medicatin t the supervising administratr/faculty member at the beginning f the event. All prescriptin and nn-prescriptin medicatins required during this event must be reprted n this frm with prper dsage infrmatin. 1 request that my child be permitted t participate in the abve activity. My child has n medical cnditin that wuld render it inapprpriate fr him/ her t participate in this activity. I have returned the Medicatin Authrizatin and Permissin Frm t the schl/parish. I agree t direct my child t cperate and cnfrm t directins and instructins f the parish, schl r Archdicesan persnnel respnsible fr this activity. As a cnditin f participating in this activity, l hereby release and discharge The Rman Cathlic Archbishp f Ls Angeles, a crpratin sle, Archdicese f Ls Angeles Educatin & Welfare Crpratin and the schl and parish, their respective emplyees and any parent/vlunteer/ chaperne, frm any and all claims fr persnal injuries, wrngful death r prperty damage that my child may suffer as a result f participatin in the activity described abve, whether r nt such injuries r damage are caused by the negligence (active r passive) f the Archdicese, the parish, the schl r their emplyees r chapernes. Shuld it be necessary fr my child t have medical treatment while participating in this activity, I hereby give the respnsible persnnel r chapernes permissin t use their judgment in btaining medical service, and 1 give permissin t the physician selected by the schl persnnel r chaperne t render medical treatment deemed necessary and apprpriate by the physician. I agree t relieve the schl and ther participating adults frm any liability in cnnectin with this request. I understand that the insurance benefits thrugh the schl r parish, if any, may have limited applicatin, and that I am entirely respnsible fr the cst f all medical treatment prvided t my child. I agree t indemnify and hld the schl harmless frm the cst f any medical treatment and related expense and cst incurred. My student understands that all schl plicies and rules f Juniper Serra High Schl must be adhered t in the participatin f this activity and that any vilatin will result in disciplinary actin being taken. Parent/Guardian Name: Date : Parent/Guardian Signature: Date : Supervising Administratr/Faculty Signature: Date : 14830 Suth Van Ness Avenue Gardena, CA. 90249 Phne (310)324-6675 Fax (310)352-4953

Juniper Serra High Schl Field Trip Student Permissin Frm Prescriptin Tracking On Field Trip (T be cmpleted by nurse at event) Student Name: Age: Weight: Name(s) f Prescribed Medicatin(s): 1. 2. 3. 4. 5. Medicatin # Abve Date Administered Time Administered (Circle ne) Mg. per Dse Administered By Ntes: 14830 Suth Van Ness Avenue Gardena, CA. 90249 Phne (310)324-6675 Fax (310)352-4953