Dear Parents/Guardians and Students: Heritage Middle School 4005 Poplar Springs Road Ringgold, Georgia, 30736 October 17, 2013 We are planning a five-day educational trip across Georgia for the 8 th grade from May 12-16, 2014 (Monday through Friday). Travel by Air, Land, and Sea will be our tour director for this year s trip. Students will be involved in educational activities each day of our trip. These activities will include tours of historic sites such as the Little White House, Andersonville Historic Site, Wormsloe Plantation and the amazing city of Savannah. We will spend one day exploring Cumberland Island and another touring various historic and educational sites in and around Savannah. We will go on a dolphin tour, hear some of Savannah s famous ghost stories on a ghost tour of the city and (time permitting) spend a few hours shopping on River Street. The trip will be chaperoned by Heritage teachers and a school nurse. We have made few exciting changes to the first two days of this year s trip: The first night we will end our day at Kolomoki Mounds State Park where we will tour the Indian Mounds and spend the night. On the second day we will be visiting the Okefenokee Swamp and wind up our day at Laura S. Walker state park. Georgia has some wonderful state parks and we are pleased that our students will have an opportunity to explore these two. Unfortunately, we will not be able to stay in tents but will have to make do with group cabins. (Please do a quick search on the internet to review details of both parks.) The cost of the trip will be $675.00, which includes all admission charges, meals, hotel accommodations, deluxe motor coaches, cost of substitute teachers and nighttime security. Requirements for participation: No OSS for this school year. No ISS after the date of this letter No more than 5 behavior reports resulting in detentions, office write-ups resulting in detentions or Saturday School in a nine week grading period from the date of this letter, Must be passing the 8 th grade (an average of D or above in three of the four academic classes) at the end of the first semester TO REGISTER: Complete the student Registration form and the attached Medical Authorization and Health History form. Return both forms and a copy of your medical insurance card (private or Medicaid) in a sealed envelope with your $175.00 deposit by November 10, 2013. Students will not be allowed to register after this date. Your check should be made payable to Heritage Middle School. Please be advised that we can guarantee a spot for the first 45 students that sign up for this year s trip. After that, we will need to have a minimum of 40 more students to cover the expense of another bus. A third bus can be added in this manner if enough students wish to go.
Every payment should be in a sealed envelope and include the following information: Student Name Homeroom Amount of payment Check Number PLEASE MAKE SURE THERE IS A PHONE NUMBER ON EVERY CHECK! (Please note that our check acceptance policy has changed. We no longer can take checks written for more than $300.00. What this means is if you wish to pay in full, you must send in 3 checks; two checks for $300.00 and one for $75.00. ) Payment coupons have been attached for your convenience. Registration and deposit should be turned in to Mr. Holliday in room 811 no later than November 10 th, 2013. The rest of the payments should be turned in to the Georgia Studies teacher on your team (Culpepper, Nichols or Parham). PAYMENT SCHEDULE: (Payments are due on or before the 10 th of each month) $175.00 deposit November 10, 2013 $100.00 installment December 10, 2013 $100.00 installment January 10, 2014 $100.00 installment February 10, 2014 $100.00 installment March 10, 2014 $100.00 installment April 10, 2014 There will be a $25.00 service charge for any check returned by your bank for any reason. Attached to this letter are payment coupons. Please attach these coupons to your payment. This will be your receipt for your payment. Before January 15, 2014, refunds for medical, academic, or behavior reasons will have a $50.00 surcharge. Refunds for any other reason will have a $100.00 surcharge. After January 15 th, there will be no refunds unless the student withdraws from school or if there is a valid, documented medical reason. This trip is not required. It is a strictly voluntary learning activity and will not affect the grade of anyone attending. Students not attending will have classes as usual during this five-day period from May 12-16, 2014. The trip may be cancelled if we do not have enough registrants, so please register early. Sincerely, Chris Lusk, Principal Jeff Holliday, Trip Coordinator Meloday Nichols, Representative Cheryl Parham, Representative
November 10, 2013 Deposit December 10, 2013 Payment January 10, 2014 Payment February 10, 2014 Payment March 10, 2014 Payment April 10, 2014 Payment Student Signature Teacher Signature
Student Registration Form Georgia Trip 2014 PLEASE PRINT CLEARLY Homeroom Parent/Guardian Name Address City/State/Zip Code _ Please list any Food Allergies: What is the best phone number to reach a parent/guardian during the day? What is the best phone number to reach a parent/guardian in the evening? Emergency Contact : Emergency Contact Phone Number has my permission to go on the 8 th grade (Student Name) trip across Georgia on May 12 through 16, 2014. I have read and understand the Rules for Participation and the Refund policy. Parent/Guardian Signature Date Check list: Did you include Registration form? Medical Authorization and Release form? Proof of medical insurance (copy of insurance card)? Deposit? MEDICAL AUTHORIZATION AND RELEASE
Child s Name:Age Today s Date Address Homeroom teacher: NON-PRESCRIPTION MEDICATIONS: The school staff has my permission to administer the following medications to my child while on the 8 th grade trip to Savannah in May, 2014. (PLEASE INITIAL) Tylenol 500mg. / 1 or 2 every four hours as needed Ibuprofen 200mg. / 2 every four hours as needed Pepto-Bismol / 1 or 2 chewables as needed Tums / 1 or 2 as needed Benedryl 25mg. to 50mg. as needed PRESCRIPTION MEDICATIONS: The school staff has my permission to administer the following prescription medications while on the trip. (Prescription medications must be provided to the school nurse in the original container by Friday, May 09, 2014.) Medication Dosage Medicat ion Dosage Allergies: Comments / Health Concerns / Special Instructions: Health Insurance Information: Insuring Company ID Number Expiration Date Mother s Name: Home Phone Cell Phone Work Phone Father s Name: Home Phone Cell Phone Work phone Emergency Contact in case parents cannot be reached: Name RelationshipPhone Name RelationshipPhone The undersigned hereby releases and agrees to hold harmless and indemnify the Catoosa County Board of Education and any employee of the Board from any liability whatsoever occasioned by the administration or non administration of the above described medication to our child for the period beginning May 12 th and ending May 16 th, 2014 in accordance with the above instructions. The undersigned also authorizes the school to seek emergency medical treatment for our child when necessary and appropriate.