January 19, Dear High School Families,

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1 Dear High School Families, January 19, 2017 You are receiving this letter because your student has expressed interest in Campbell Hall s service learning backpack trip to Yosemite National Park, which is a two-part experience. We will begin with an overnight training camp out on February 10-12, 2017, at Malibu Creek State Park and take our trip to Yosemite National Park, April 2-8, Campbell Hall s High School Director of Community Service and Bishop s Chair for Spiritual Ecology, Jonny Rogers, will lead both trips, which will be chaperoned by faculty, all of whom are certified in CPR and first aid. The February training camp out, where we will be in tents at Malibu Creek State Park, gives us all an opportunity to hone our gear, fitness, and wilderness skills. We will provide bus transportation from Campbell Hall departing on Friday, February 10, at 4:00 p.m. and returning February 12 at 7:00 p.m. Because this training serves as preparation for our backcountry trip, we will carry all gear, and students will need to log at least 30 miles in their hiking boots before beginning the Yosemite trip. At Yosemite, we plan to camp at Upper Pines and engage in survival training such as fire making, shelter building, plant and animal identification; in addition we will take long day hikes and study basic geology, earth science, astronomy, and Native American history. We will depart from Campbell Hall via bus Sunday, April 2, at 8:00 a.m. and return Saturday, April 8, at 8:00 p.m. We d like to underscore that this will be an advanced service learning trip, which requires planning, physical fitness, and teamwork. We encourage students to practice hiking with a full pack and boots so they know they are ready for the excitement and the challenge of hiking significant elevation (3,000-6,000 feet). Though we will not have access to cell phones in Yosemite, we will carry an emergency satellite phone. We will hold a parent meeting Tuesday, January 31, at 6:30 p.m. in room 7208 where we will provide an overview of the trip and answer any questions you might have. In the meantime, please feel free to contact Mr. Rodgers at rodgerj@campbellhall.org. Enclosed, please find the following materials, some of which are due to the High School office by February 3, 2017(*): 1. *CH Authorization and Release Form 2. *Prescription Medication Form (if applicable) 3. *CH Policies and Procedures Agreement 4. Equipment Packing List All necessary paper forms and non-refundable payment are due to the High School office by February 3, If the trip is canceled due to inclement weather, all families will be reimbursed in full. The trip cost is $850 per student, and checks should be written to Campbell Hall. To apply for partial scholarships, students may send Mr. Rodgers (rodgerj@campbellhall.org) a 250-word paragraph describing their interest in service learning and what they hope to contribute to the trip. The firm deadline for scholarship applications is February 3, We look forward to this adventure! Sincerely, Jonny Rodgers Carolyn LaGaly High School Director of Community Service High School Principal & Bishop s Chair for Spiritual Ecology

2 CAMPBELL HALL Dear Parents or Guardians: The following Authorization and Release must be filled out and returned to the high school office or your child will not be permitted to engage in the activity indicated below: AUTHORIZATION AND RELEASE The Undersigned, as the parent(s) having legal custody or as the legal guardian(s) of, do hereby give permission, consent and authorization for such minor to participate in the Urban Stewards field trip to Yosemite National Park (Upper Pines Campground) at 9024 Southside Dr., Yosemite National Park, CA 95389, on Sunday, April 2, 2017, from 8:00am returning Sunday, April 8, 2017 at 7:00pm. Subject to the exceptions set forth below, the undersigned (i) assume all risk associated with participation in the above Program, including transportation to and from the Program; (ii) agree to indemnify, defend, and hold harmless Campbell Hall (Episcopal), its agents, employees, officers, directors, successors and assigns, including the driver of any vehicle in which the above child may be riding while engaged in the Program and fully and forever release and discharge such parties from any and all claims, demands, actions, causes of actions, suits, controversies, obligations and liabilities of any kind and nature whatsoever (collectively referred to as Claims ) relating to personal injury or property damage sustained, incurred, or caused by said minor afore described program or any other events and occurrences while said minor is engaged in the Program or any activity related thereto. The foregoing assumption of risk, agreement to indemnify and release shall be inapplicable to and of no force and effect for any Claims to the extent and amount such Claims are covered under any insurance policies procured and maintained by Campbell Hall. In the absence of such coverage or to the extent any Claims exceed the amount of coverage under said insurance policies, the foregoing assumption of risk, agreement to indemnify and release shall be applicable and remain in full force and effect. Nothing contained herein shall be construed as a warranty or representation by Campbell Hall that the coverage under such insurance policy will extend to any specific Claims. During participation in the Program, Campbell Hall shall procure and maintain in full force and effect a general liability policy in an amount of $1,000, per single occurrence with an annual aggregate of $1,000, and an umbrella policy in the amount of $15,000, per any single occurrence with an annual aggregate of $15,000, The foregoing assumption of risk, agreement to indemnify and release shall further be inapplicable to and of no force and effect for any and all Claims asserted against any third party independent contractor performing services for compensation in connection with the Program, except to the extent and amount that such third party independent contractor has a valid right, and claim for contribution, reimbursement or indemnity which is not covered by the above described insurance and is asserted against Campbell Hall, its agents, employees, officers, directors, successors and assigns. X TRANSPORTATION PROVIDED BY CHARTERED BUS Date Signature of Parent or Guardian Print Name Telephone number(s) where Parent(s)/Guardian(s) may be reached during activity I understand that the Program is made available through my enrollment as a student of Campbell Hall and that the regulations in the High School Handbook apply to my behavior. I understand and acknowledge that my violation of such regulations may be cause for my dismissal from Campbell Hall. Date Signature of Student

3 CAMPBELL HALL Dear Parents or Guardians: The following Authorization and Release must be filled out and returned to the high school office or your child will not be permitted to engage in the activity indicated below: AUTHORIZATION AND RELEASE The Undersigned, as the parent(s) having legal custody or as the legal guardian(s) of, do hereby give permission, consent and authorization for such minor to participate in the Urban Stewards field trip to Malibu Creek State Park Campground at 1925 Las Virgenes Rd., Calabasas, CA 91302, on Friday, February 10, 2017, from 4:00pm returning Sunday, February 12, 2017 at 7:00pm. Subject to the exceptions set forth below, the undersigned (i) assume all risk associated with participation in the above Program, including transportation to and from the Program; (ii) agree to indemnify, defend, and hold harmless Campbell Hall (Episcopal), its agents, employees, officers, directors, successors and assigns, including the driver of any vehicle in which the above child may be riding while engaged in the Program and fully and forever release and discharge such parties from any and all claims, demands, actions, causes of actions, suits, controversies, obligations and liabilities of any kind and nature whatsoever (collectively referred to as Claims ) relating to personal injury or property damage sustained, incurred, or caused by said minor afore described program or any other events and occurrences while said minor is engaged in the Program or any activity related thereto. The foregoing assumption of risk, agreement to indemnify and release shall be inapplicable to and of no force and effect for any Claims to the extent and amount such Claims are covered under any insurance policies procured and maintained by Campbell Hall. In the absence of such coverage or to the extent any Claims exceed the amount of coverage under said insurance policies, the foregoing assumption of risk, agreement to indemnify and release shall be applicable and remain in full force and effect. Nothing contained herein shall be construed as a warranty or representation by Campbell Hall that the coverage under such insurance policy will extend to any specific Claims. During participation in the Program, Campbell Hall shall procure and maintain in full force and effect a general liability policy in an amount of $1,000, per single occurrence with an annual aggregate of $1,000, and an umbrella policy in the amount of $15,000, per any single occurrence with an annual aggregate of $15,000, The foregoing assumption of risk, agreement to indemnify and release shall further be inapplicable to and of no force and effect for any and all Claims asserted against any third party independent contractor performing services for compensation in connection with the Program, except to the extent and amount that such third party independent contractor has a valid right, and claim for contribution, reimbursement or indemnity which is not covered by the above described insurance and is asserted against Campbell Hall, its agents, employees, officers, directors, successors and assigns. X TRANSPORTATION PROVIDED BY CHARTERED BUS Date Signature of Parent or Guardian Print Name Telephone number(s) where Parent(s)/Guardian(s) may be reached during activity I understand that the Program is made available through my enrollment as a student of Campbell Hall and that the regulations in the High School Handbook apply to my behavior. I understand and acknowledge that my violation of such regulations may be cause for my dismissal from Campbell Hall. Date Signature of Student

4 Campbell Hall High School Policies and Procedures Student name: Outdoor Service Learning Trip Yosemite National Park April 2-8, 2017 Students are required to sign the following statement at the bottom of the permission slip for any school trip: I understand that the Program is made available through my enrollment as a student of Campbell Hall and that the regulations in the Campbell Hall High School Handbook (available online) apply to my behavior. I understand and acknowledge that my violation of such regulations is likely to be cause for my dismissal from Campbell Hall. At no time are students to possess or use the following: alcohol, cigarettes, e-cigarettes, vaporizers, or drugs of any type, knives, or any other type of weapon. Those drugs listed on a student s prescription medical form will be dispensed by a Campbell Hall employee. On an experiential trip, students are expected Experiential Trip Policies To comply with ALL the safety and emergency procedures of the contracted outfitter. To give ALL medication to the Health Office by March 23 for the nurse to process in time for the trip. Medications must be in their original container, from the dispensing pharmacy, with the student s full name, proper dosage, and doctor s order (label) on the container in order to authorize the Health Office RN to administer the medication. By law, expired medication cannot be administered and will not be accepted by the Health Office. In addition, each medication requires a separate consent form to be filled out by parents or guardians. This form is available for download in the medical registration database following the submission of your student s online forms. Medications must be delivered by a parent or guardian to the Health Office, as students are not allowed to have medications on their person at any time. To participate in all activities required by the contracted outfitter and/or the school. (Exceptions will be made for students who may be ill or incapacitated in some way, rendering it impossible for them to participate in a given activity.) To be in their dorm/cabin/tent at the time of evening curfew and not to leave (except to visit restrooms) until the designated wake-up time the following morning. NOT to bring snack foods, especially chewing gum, on any trip. All of these items are potential environmental hazards. NOT to use personal electronic devices during the program s scheduled activities. Parent/guardian signature: Student signature:

5 YOSEMITE PACKING LIST This is the list of gear that you will need to bring with you on both backpacking trips. We want you to have practice of carrying all the weight including the weight of your snow gear. If you are buying new gear and would like advice, please contact Mr. Rodgers and he ll be able to provide info on which items are best suited for what we re doing. Items Back Pack (with water proof pack cover for rain/snow) Hard Plastic or Metal Water Bottle (32 oz.) Hydration Bladder (2 or 3 liter) Tent Sleeping Bag Sleeping Pad Pillow Yak Tracks or Crampons Dishes, Bowls, and Utensils Headlamp Clothing: Warm Weather Wicking T-Shirt (synthetic or wool) Wicking Underwear (synthetic or wool) Quick-drying pants or shorts Light long-sleeve shirt (for sun, bugs) Sun-Shielding Hat Bandana or Buff Clothing: Cold Weather Wicking-Long Sleeve Shirt Wicking Long Underwear (shirt and Description Not just a school day pack, but a larger hiking pack, preferably hydration compatible (meaning you can put a hydration bladder in it). The pack cover should cover the entire pack. So important to stay hydrated. Bring 2 if you can. Having the capacity to sip while you hike is super important. If you just have a water bottle, dehydration is much more likely. You will be grateful to have a hydration bladder. The school will provide tents to those who do not have their own. Functioning rainfly is necessary. Rated for 20 degrees or lower. This is important. If you aren t warm enough at night, you will be miserable! Very important. Inflatable ones work best. The lighter weight, and the thicker, the better. It will keep you insulated from the cold ground and also keep you comfortable at night. Inflatable backpacking pillow is best, but an airplane pillow will do. Otherwise just bring a pillow case to fill with extra clothing at night. For hiking on icy/snowy trails. It keeps you from slipping, so they are necessary. The more lightweight the better. One bowl, one cup/mug, one set of silverware or chopsticks should do (wood or aluminum or plastic nothing heavy) Please get headlamp rather than a flashlight. It s so important to have both hands free at night. Bring no more than 2 or 3 of each item. Packing light is important. Bring 1 of each item. Long underwear is very important, as are all these items. If your winter parka is waterproof and you d rather bring just that,

6 pants) Hat/Beanie Balaclava or Buff Snow Gloves or mittens Rainwear (jacket, pants) Base layer long sleeve shirt Fleece jacket Winter Parka/Puffy Jacket it can stand in for a rain jacket, but please make sure you have water proof layers for both top and bottom. Water proof Hiking Boots Socks (x3 pairs) (synthetic, wool) Trekking Poles (optional) Sunscreen SPF Lip Balm Sunglasses Sandals (Chacos, Tevas, etc.) While these are optional, they will improve your hiking experience immensely, and keep you safer on trail. Bring plenty for both face and body Don t let your lips get burnt! It s going to be bright if the sun is out. For any river crossing and for walking around in camp in case your feet need a break from your footprisons. These must have a heel strap (no flip flops). Gaiters (optional) Camera (optional) Binoculars (optional) Outdoor Journal and Pencil Insect Repellant Biodegradable Soap Small Quick-dry Towel (micro-fiber is best)

7 Medications at School Consent Forms Medication to be administered during a school event requires a Consent to Administer Medication form that is signed and dated by a parent or guardian. Prescription medication also requires a physician signature and stamp. Each medication requires its own consent form. The consent form is valid for the school year. If a consent form for a medication has been previously submitted to Magnus Health or to the Campbell Hall Health Office, an additional copy is not required. Medication forms are available for download on the Health Office webpage at or in the Health Office. Prescription Medications Prescription medication must be in the original container and delivered to the Health Office by a parent. Medication is not permitted to be with the student (with the exception of emergency medication; please see below). Please do not put medication in the student s bag. The original container must have the pharmacy label containing: the student s name, doctor s name, the name of the medication, and details regarding the method, dosage, and time schedule by which the medication is to be administered. A medication consent form signed by a parent and the physician is also required for each prescription medication (see above consent form section). Medication that is not in the original container or is expired is not accepted. If the medication is required for a school field trip or event, please send only the doses of medication to be administered during the school event and keep additional doses at home. Non-Prescription Medications (Over the Counter) Non-prescription medication, such as Dramamine, must be in its original container with the student s name on it. A medication consent form that is signed by the parent is also required for each medication (see above consent form section). Please do not leave medication with the student. Ibuprofen, Acetaminophen, Benadryl, Claritin, cough drops, throat lozenges, decongestant, and cough medications are sent on field trips by the Health Office and do not require a separate consent form. *Parent consent for these medications has been previously obtained in Magnus Health during health registration. Emergency Medications Students who require emergency medications, such as EpiPens, inhalers, Glucagon, Diastat, etc., must have a supply stored in the Health Office at all times. The Health Office will send the emergency medication on field trips and retreats. Students are advised to self-carry or provide an additional supply for coaches/chaperones during any other extracurricular activities such as sports. If the student carries the emergency medication with him/her, the Health Office must be advised in writing. Only prescribed emergency medication is permitted to be with the students. Please deliver medications and consent forms to the Health Office at least one week prior to field trips or retreats. Questions? Contact the Campbell Hall Health Office at Healthoffice@campbellhall.org or /16

8 CAMPBELL HALL CONSENT TO ADMINISTER MEDICATION COMPLETED BY PARENT/GUARDIAN SIGNED BY PHYSICIAN Campbell Hall Medication Policy: This form must be filled out for any prescription or any specific overthe-counter medication to be administered during school hours or on a school-sponsored trip. All medications must be delivered to the Health Office in their original containers and accompanied by a completed and signed Consent to Administer Medication. EACH MEDICATION REQUIRES ITS OWN FORM. In the case of a prescription medication, the doctor must also sign and stamp the bottom of the page. **Parents are responsible for updating all medications in the health office. Name: DOB: Age: Grade: Student s Last Student s First Name of medication: Dose: Form (tablet, liquid, etc.): Purpose of medication: If Epi-Pen, indicate specific allergy: Length of time this medication is to be administered: e Morning (7am-11am) e Afternoon (11am-3pm) e Evening (3pm-7pm) e Bedtime (7pm-11pm) e As Needed e Emergency Medication: Self Carry? e Yes e No Special instructions, precautions, possible side effects, storage instructions, and/or other comments: Staff Only: Please initial when dose is given I, the student s parent or guardian, request that my student be administered the above medication during school hours or on a school-spronsored trip. I request that designated school personnel assist my student in taking the medication prescribed in accordance with the instructions provided above. Should a change in any of the above information occur, I understand that a revised, written physician s statement and parent authorization must be submitted. Parent/Guardian Signature: Date: Cell Phone: MUST PLACE PHYSICIAN STAMP HERE I, the student s physician, verify the accuracy of the information in the above form as completed by the parent or guardian. DOCTOR S SIGNATURE: SIGNATURE DATE: