VR%20Overnight.pdf

Parent document: Regular Board Meeting, 5_00 pm-03-07-2024.pdf

Text

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Today’s Date: 2/7/ZY

BREMERTON SCHOOL DISTRICT

FIELD TRIPS AND EXCURSIONS REQUEST FORM

4

NAME OF scHOOL: View Ridge Elementary Art odenn
NAME OF TEACHER(S):_ SDaveer, Somay Baumgarten

DATE(S)OF TR: _ Ap-il 8 — Aori\ 1

TIME LEAVING SCHOOL: 1024 Nem TIME OF RETURN TO SCHOOL: |: 30, M)

DESTINATION: 2 slandwood (On BainBeidge Leland )

PURPOSE: (clearly define, add relationship to Essential Lea ings) ,
Stodents Will pactweipete vre Stvence , oot cloor
education and Reld Stockes. Trey wi \\ be

Cequired to wo@ek Coopera wry,

PARTICIPANTS: (class/grade, group. specify who and how many)

A\ 54K g rade classes (77 students, 3 +eachers
and Pperent Cha eerones)

ADULT SUPERVISORS: (List adult supervisors, staff, and/or volunteers)

* All adult supervisors, staff, and/or volunteers must adhere to Bremerton School District policies

during the entire trip/excursion. heonne Chorch
Le Se a“ And ae Paren’ omryenes (sil
RT , Cimgaree —_— Celtteting volunteers )

POTENTIAL RISK OR DANGER: (Example: Water, mountains, woods, etc.)
Identify risk factors surrounding this excursion.
Telandwoed 7% Gr Cvotdoar educational Camp, SO normal
eisk Cactors associated Le / Wiking end ovrtdoe- education
wovid he <\oe cred.

SAFETY ASSURANCE: Describe strategies and plans for safety assurance of the above-
mentioned potential risks or dangers. “Toland weed is an educetional
Cam voith safety plans Jececedures ond a
trained sraff,
STUDENT COST FOR THE TRIP: q runt has provid ed Lands n5
SUBSTITUTE NEEDED? If so, for whom and for which people?
Kate Sprag Ot (+enches dfs) F Leanne Cherch an a

pessibly One More G@& Fo a
+o Wee Say With Sth graders

Rada. nh ae aes al
CP CE GOL LAG IF PIL

Nok atten ding .



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ARRANGEMENTS: The recommended mode of transportation for field trips should be the
school district vehicles or vehicles belonging to a commercial carrier contracted by the district.
If a private vehicle is used for transportation on a field trip, the owner of said vehicle must sign a
transportation Letter of Awareness form. Field trip arrangements will be made at the building
level by the building administrator. A request for transportation must be sent to the
transportation supervisor two weeks prior to out-of-town trips and one (1) week prior to in-town
trips.

Mode of Transportation Bo S

Transportation request sent to

(Name) (Date)

include the itinerary, housing plans and District/student costs and how trip is being funded.
Board approval is required. Requests should be sent to the Superintendent at least two (2) weeks
prior to the Board meeting before departure. (Board approval required before funds are solicited
for any trip/excursion).

Lodging: [| Hotel Name:
[| Private Homes

M1 Other: Ts\an a WwW payed

How is trip funded? [lass Account [ | Field trip account
[| Co-curricular [| Federal grant
[ [Private monies [\H Other
WA School Peincipals Education

PARENT APPROVAL: Participating students must have written parental permission for each
field trip and be under the direction of a certificated or professional District employee.

Permission slip sent to parent(s) 2 / 13/24

(Date)

Cun + - Outdoor Bchools

BUILDING ADMINISTRATOR APPROVAL:



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BOARD APPROVAL: (For out of state or overnight trips)

Gdye— RW 5 (4/24

(Signature)

STUDENT TRAVEL EXPENDITURES AND REVENUES
Expense Category Amount (list budget account if Comments/Remarks
applicable)
Transportation (e.g.,
bus, van, ferry,
airplane)

Registrations/
entry fees

mp

Other (specify)
hae as

Total out of pocket cost to individual student: D

Please check all that apply:

Waivers/scholarships are provided for students who cannot afford the student portion of
this travel

All chaperones/drivers have valid driver’s license

[ | All chaperones/drivers have valid vehicle insurance coverage