EWHS%2C%20Girls%20Wrestling%2C%20February%2019-21%2C%202025.pdf

Parent document: School Board Regular Business Meeting-01-28-2025.pdf

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Docusign Envelope ID: 349D921C-DD98-4763-B68B-2ABE9E7D444C

FS» P-101
a Edmonds Request for Field Trip, Excursion,
=a=== School District enn

This form is being submitted pursuant to Policies 2320 Field Trips, Excursions and Outdoor Education and related
procedures; 6622 Student Transportation and related procedures.

Instructions
Originator:
* Completes form, via DocuSign
* Submits to principal for review

DS
Principal: |
* Reviews form for compliance to policies and procedures 2320 and 6622
« Signs at bottom

When complete, principal sends to administrative assistant for elementary (mcgiek280@edmonds.wednet.edu) or secondary
(andersoni@edmonds.wednet.edu) education three weeks prior (No E ions) to the next scheduled board meeting.

Name of school/program: Edmonds-woodway Girls wrestling
Group: Girls wrestling Destination: Tacoma, WA
Date(s) of trip: Feb 19-21, 8024 20a5 Number of students: 25

Number of chaperones:
(min. of 2 chaperones, but must meet 1 per 10 ratio beyond that)

Grade level(s): 9-12 What is the cost per student: 80.00
List all funding sources for trip, including available scholarships: Is this event CTE funded:
ASB and Booster Club LyYes kJNo

Objective, curriculum and learning activities:

Wrestlers who placed at the district tournament 2 weeks before qualified for this event (the state
tournament) which is an opportunity to showcase the culmination of all their hard work. wrestlers
competing at this tournament are the best in the state.

Transportation (select all that apply):

(YY District bus kj Van

(4 Private vehicle, 3 # of drivers - all drivers must be certified through procedures as outlined in 6622)

(_] Watercraft transportation: Other than Washington State Ferry watercraft, compliance with Washington Schools Risk
Management Pool (WSRMP) requirements exist. Please contact Risk Management at riskmanagement@edmonds.wednet.edu
[_] Other (describe):

Name of staff member or adult chaperone who has current first aid and CPR card:

TreJon House, Jessalynn House, Averie Freund

Overnight accommodations:
Neighboring hotel

Are there any other organizations, sponsors, or co-sponsors involved with this field trip (e.g. travel agencies, sports
organizations, etc.) contractually or otherwise? KJNO [J YES
If YES, please provide the name(s) of the organization(s) and details of involvement:

N/A

Signatures below indicate Originator and Principal or Designee have reviewed all related policies and procedures while
planningshis field trip, and that principal or their designee approves this trip:

idomertrouse

Signature of Originator

Signature of Principal
or Designee

Ds
(ut Rev 9/23

12/28/2024
Date

17272025-0—COS—™
Date 1/2/2025