Texas HOSA Leadership Development Institute August 6-9, 2017
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1 Texas HOSA Leadership Development Institute August 6-9, 2017 TO: HOSA, TA State Officers, Area Officers, Advisors, Area, State and Fall Conference Chairs, and Board Members FROM: Janet Villarreal, Executive Director Kelly Cowan, Texas Officer Coordinator DATE: March 31, 2017 SUBJECT: Texas HOSA Leadership Development Institute The Texas Leadership Development Institute (LDI). The LDI meeting will be held On August 6-9, 2017 at Hyatt Lost Pines Resort 575 Hyatt Lost Pines Road Cedar Creek, TX (512) The following are expected to attend: All area and state officers Officer advisors Fall, spring and state conference chairs All members of the HOSA, TA board of directors The purpose of this meeting is to enable the new student officers to plan their ensuing year. Officers will participate in leadership training, conference planning, and formulate a program of work. There will also be training for area, state and fall leadership conference chairs, where they will receive training regarding the planning and organizing of their conferences. Arrival Times Area/State Officers and their Advisors are expected to arrive at the Hyatt Lost Pines no later than 12:00 noon, Sunday, August 6, Lunch will be provided. All conference chairs are expected to arrive at the Hyatt Lost Pines no later than 12:00pm on Sunday, August 6, Lunch will be provided. Board Members are expected to arrive at the Hyatt Lost Pines no later than 4:00pm on Monday, August 7, Departure Times Tuesday, August 8, following the Closing Session Dinner, at approximately 8:00pm OR Wednesday, August 9, checkout by 11:00am. Those departing on August 9 will have the option to attend a continental breakfast. The breakfast option must be checked on the registration form. 1
2 Registration Registration will begin March 31, 2017 at the State Leadership Conference for those in attendance. Those not attending the State Leadership Conference can register via the Texas HOSA website, Registration is DUE by June 30, Conference Fees The conference fees include registration, LDI t-shirt, conference materials, lodging and meals. Conference Fee is $ per person Make all registration fees checks payable to HOSA, TA. No PO s will be accepted. Send registration fees to Smith and Rives, PC P.O. Box 640 Monahans, TX Please DO NOT make your checks payable to the Hyatt Lost Pines Resort. Fees and/or assistance letters must be received by June 30, If your school district is unable to pay all or partial registration fees, please send a letter from your school administrator to the Texas HOSA Officer Coordinator, Kelly Cowan, Kelly.cowan@texashosa.org stating what financial assistance is requested (travel, lodging, meals). Names of those receiving the assistance must be included in the letter. Conference Fee is $ per person. Invoices will be send to the listed on the Registration Form. Self-parking at the hotel is complementary. Valet parking is approximately $18.00 per day and will not be reimbursed by HOSA,T.A. 2
3 Each participant is required to bring: HOSA Code of Conduct Form Medical Liability Form Water Activity Waiver Form Lower Colorado River Authority (LCRA) Release From Liability Form Advisor Code of Conduct Officers: At least one laptop per area Conference chairs and Board Members: laptop What to bring /wear: Appropriate casual attire to include shorts of appropriate length, khakis, jeans HOSA t-shirts Sturdy tennis shoes/socks Cameras Avoid flip flops and sandals Officers HOSA uniform for pictures Advisors, conference chairs and board of directors business attire for pictures Transportation from Airport to Hotel: Those in need of transportation to and from the airport, please to Aldo Mena, the following information: Airline Flight arrival and departure times Number of people in your group Cell phone number 3
4 Texas HOSA Leadership Development Institute Hyatt Regency Lost Pines Resort Registration Form & INVOICE August 6-9, 2017 Please complete this form and return to Kelly Cowan (Officer Leadership Academy) or Janet Villarreal (Tabulations) prior to departure from the State Leadership Conference. Name of School Advisor Arrival Date (check one) Area August 6, 2017 by 12:00pm: All Officers, Officer Advisors and Conference Chairs August 7, 2017 by 4:00pm: HOSA, TA Board Members Departure Date (check one) August 8, 2017 (8:00pm following closing dinner) August 9, 2017 (check out by 11:00am.) Please indicate if you will be attending the Continental Breakfast prior to departure. Yes No Name of Attendee Gender Status: AD(advisor) O (Officer) CC(Chair) CH(Chaperone) T- Shirt Size Attendee s Cell Phone # Amount Total Payment Option 1: Payment Option 2: My school will submit a check to HOSA, TA in the amount above for registration fees. Advisors only: I request a single room. yes no Share a room with: Officers: Officers will share rooms as appropriate. My school will require assistance with registration fees. yes no (A letter must be submitted by school administration requesting assistance. Attendees requiring financial assistance from HOSA, TA will not be provided a single room. Advisors only: Share a room with: No preference Please list any special diets or needs requests, by name, on the back of this form:
5 HOSA CODE OF CONDUCT A good reputation enables members to take pride in their organization. HOSA members have an excellent reputation. Your conduct at any HOSA function should make a positive contribution to the reputation that has been established. HOSA Conference participants are AWARE THAT: 1. HOSA follows the UIL rules and regulations established for secondary high schools. 2. STUDENT behavior should at all times be a positive reflection of your school and Texas HOSA. 3. Student conduct is the responsibility of the student and their advisor. 4. STUDENTS will abide by the HOSA Conference Attire Policy at all business sessions, general sessions, competitive events, and other conference activities. HOSA conference name badges shall be worn at all times when participating in HOSA conference activities. 5. STUDENTS are expected to attend all general sessions and other scheduled conference activities. Please be prompt and show respect to those in the audience and on stage. 6. STUDENTS shall keep their advisors informed of their activities and whereabouts at all times. 7. STUDENTS who disregard the rules will be subject to disciplinary action and will be sent home at their own expense. Parents will be notified. 8. STUDENTS may not purchase, consume, or be under the influence of alcohol or drugs at any time. Smoking or using tobacco products at a school-related or school-sanctioned activity on or off school property is prohibited at any time. 9. STUDENTS are to report any incidents, injuries or illness to their local or state advisor immediately. 10. STUDENTS are expected to observe the designated curfew. (Curfew is defined as being quietly in your own assigned room by the designated hour.) 11. The student and his/her parents will be expected to pay for any and all damages relating to student behavior which results in loss or damage to property. 12. Students and/or parents will be responsible for any long distance phone calls, charges to the room, etc. 13. I have read the above Code of Conduct for HOSA Conferences and agree to abide by the rules. I,, hereby grant Texas HOSA permission to make photographs, videotapes, broadcasts, and/or sound recordings, separately or in combination, of me and permission to use the said photographs, videotapes, broadcasts, and/or sound recordings for educational and promotional purposes on any delivery system. Printed Name of Parent / Guardian Parent / Guardian Signature Date Printed Name of Student Student s Signature Date
6 HOSA, TA Advisor s and Chaperone s CODE OF ETHICS HOSA ADVISORS AND CHAPERONES ARE EXPECTED TO: 1. Project a positive and professional image of Texas HOSA to all those with whom they interact. 2. Promote HOSA as a positive student experience; therefore, will act as a positive role model for students in dress, voice, attitude, actions, and demeanor. 3. Be accountable to and for their students in all HOSA-related activities. 4. Understand and follow established processes within the HOSA organization that protect the rights of all members. 5. PERFORM all assigned duties. Failure of an advisor to perform their duties may result in their chapter being disqualified from conference activities by the Board of Directors. HOSA advisors are proud of the standard of excellence they maintain for themselves and their students. Attendance at any HOSA function implies acceptance and practice of these standards. I have read the above Code of Ethics for HOSA Advisors/Chaperones and agree to accept and practice these standards. Signature Chapter number Date Please check one Advisor Chaperone ******************************************************************************** Plan of Action: For failure to follow the Advisor/Chaperones Code of Ethics. Conference with the Board of Directors. Consequences to be determined by the Board of Directors, up to notification sent to the appropriate administrators. I,, hereby grant Texas HOSA permission to make photographs, videotapes, broadcasts, and/or sound recording, separately or in combination, of me and permission to use the said photographs, videotapes, broadcasts, and /or sound recordings for educational and promotional purposes on any delivery system Advisor Signature/Date
7 MEDICAL LIABILITY RELEASE FORM DIRECTIONS: Due to legal restrictions, it is necessary that all delegates, Chaperons, guest and HOSA advisors complete this form as a prerequisite for eligibility to attend any HOSA Leadership Conference. The HOSA chapter advisor should keep the original copy for Area and State Conferences. For National Conference, the original forms are sent to the State Advisor who forwards them to National HOSA. PLEASE TYPE OR PRINT ALL INFORMATION Delegate s Name: Parent/Guardian s Name: Home Address: Parent/Guardian Telephone: Home: Delegate s Physician: Physician s Address: Alternate Contact: Telephone Number: Home: Work: Phone Number: Work: Local Advisor: School Name: Student is covered by group or medical insurance? Yes No If yes, complete the following information: Name of insured: Insurance Company: Group #: Policy#: Please completely describe any medical condition which may recur or be a factor in medical treatment: a. Allegry: b. Physical Handicap: c. Convulsions: d. Medicine Reactions: e. Blackouts: f. Disease of any kind: g. Heart or Lung problems: h. Other(be specific): If currently taking medication, please provide the following information: * Name of medication: * Prescribing Physician and Phone Number: LIABILITY RELEASE: I certify that the information described above is accurate and complete to the best of my knowledge. I understand that each individual is responsible for his/her own insurance coverage during this trip. I hereby release the National HOSA Board of Directors, the National Staff, State and Local HOSA Associations, and any designated individual in charge of the HOSA group or specific activity from any legal or financial responsibility with respect to my personal or my student/child s participation in or contact with any known element associated with an activity including competitive events. PARENT/GUARDIAN: Please check one of the following and sign your name. I give my permission for immediate medical treatment as required in the judgment of the attending physician. Notify me and/or any persons listed above as soon as possible. I do not give permission for medical treatment until I have been contacted. Parent/Guardian s Signature Date (The above line must be signed by the parent or legal guardian, regardless of applicant s age with the exception of post-secondary applicants.) Delegate s Signature Date
8 LCRA RELEASE FROM LIABILITY Activity: Date of activity: Participant name: (please print) I, the undersigned Participant or Parent or Legal Guardian of Participant, fully understand and agree that participation in the above Activity associated with the Lower Colorado River Authority (LCRA) and/or the Hyatt Regency Lost Pines Resort and Spa, or other activities, such as riding in an LCRA vehicle, getting in and out of an LCRA vehicle, rafting, kayaking, canoeing, swimming, participating in low and high elements on the challenge course or using LCRA equipment or my own personal equipment, may result in accidental or other physical injury or property damage. I assume all the foregoing risks and accept personal responsibility for the damages following such injury or damage. I, for myself, my heirs, legal representatives, and assigns agree to assume the risk of such injury or damage and do hereby RELEASE, ACQUIT, and FOREVER DISCHARGE LCRA and their respective successors, assigns, directors, agents, and employees (collectively referred to herein as "Released Parties"), from any and all manner of causes of action, lawsuits, claims, demands, judgments, and damages of every kind and character, known or unanticipated, including, but not limited to, claims of Released Parties negligence or the condition or use of the property of any of the Released Parties, that I have or could have against the Released Parties or any of them, resulting from or arising out of participation in the Activity. The Released Parties shall not be liable or responsible for, and shall be saved and held harmless by me from and against any and all claims and damages of every kind, including reasonable and necessary costs and attorneys' fees, for injury to or death of any person and for damage to or loss of property, which I, or my heirs or assigns, have or may have arising out of or associated with, directly or indirectly, the Activity or the condition of property owned or controlled by the Released Parties. LCRA shall not be responsible for any lost or stolen items of personal property. To the extent that LCRA sponsored activities occur on property owned by Marjorie A Leach, this release shall also apply to all accidental or physical injury or property damage occurring on the Leach Property and shall, in addition, release Marjorie A Leach and her respective heirs, executors and assigns on the same terms and to the same extent as the release in favor of LCRA in the paragraph above. First aid will be available and medical and/or hospital care will be provided in case of serious illness or injury. I understand that if serious illness or injury occurs to my child, I (the undersigned legal parent or guardian) will be notified. I give permission for the participant to receive emergency treatment or surgery as recommended by the attending physician. By signing this release, I state and declare that I have read it carefully, that I understand all of its terms, and that I voluntarily execute it with full knowledge of its legal consequences. Participant's Signature: Date Signed: Signature of Parent or Guardian: Witnessed: (If participant is a minor) (Signature of witness) Aug. 2014
9 Name: School: (Print last name) (Print first name) HOSA, TA WATER ACTIVITIES Student Liability Waiver Form To be completed for every student delegate registered for the HOSA, TA Leadership Development Institute (LDI), held at the Hyatt Lost Pines Resort, August 6-9, Parent(s) or legal guardian(s) of students participating in water activities during HOSA, TA LDI must read and sign this document and return the completed form upon on-site registration at the Leadership Development Institute. Your signature below indicates that you understand and agree to the terms of this waiver. If this has not been received at time of on-site registration, your son/daughter will not be allowed to participate in any water activities offered at the Hyatt Lost Pines Resort. In consideration of any and all privileges made available to my son/daughter,, (print son/daughter s name) by the Hyatt Lost Pines Resort and HOSA, TA, I agree to assume all risks associated with participation in any form of recreational water activity during the conference. I acknowledge that use of the resort water recreational facilities is done at the participants own risk, and a life guard will not be on duty. I hold the Hyatt Lost Pines Resort, HOSA, TA and the officers, employees, and agents of each of these organizations, harmless against all liability and civil litigation in connection with this activity, regardless of cause. I understand the contents of this Liability Waiver form and agree to see that my son/daughter adheres to the facility s rules regarding use of the water recreational facilities. Parent or guardian name (print): Parent or guardian signature: Date
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