Alliance College-Ready Public Schools Field Trip Guidelines The school principal must approve all field trips and has the responsibility to maintain all records, to ensure the safety of students, and to certify the educational value of each field trip. Routine Field Trips A routine field trip is a day trip with an educational purpose occurring during school hours within the state of California. No notification to home office staff of routine field trips is necessary, but schools may contact the Director of Operations for support regarding student safety, risk management, or insurance. A permission form must be collected for all trips (p. 5). Non-Routine Field Trips Non-routine field trips are overnight OR out of state trips with an educational purpose. All non-routine trips must receive school board approval. Teachers planning non-routine trips should complete the Non-Routine Trip Approval Form (p. 9) and submit to their principal. If approved by the principal, the Form should be submitted to the Director of Operations for Risk Management assessment and the School Board President for approval. Please submit all requests according to the timeline indicated on the form. Unauthorized Trips Unauthorized trips are extracurricular trips unrelated to the instructional program or purely voluntary school club trips such as ski trips or other non- school activities. These trips should not take place during school hours (California Education Code - Section 35330), and the school assumes no responsibility whatsoever for such trips. Parents of students planning to participate in such unauthorized trips should be informed in writing that the school assumes no liability in connection with the trip. The teacher who undertakes such an activity should be informed in writing that he/she does so strictly in his/her individual capacity and not in his/her capacity as a school employee. Sample letters which may be adapted for this purpose begin on page 27. Alliance Field Trip Guidelines rev. 2012-07-13 ekb 1
Transcript
Alliance College-Ready Public Schools
Field Trip GuidelinesThe school principal must approve all field trips and has the responsibility to maintain all records, to ensure the safety of students, and to certify the educational value of each field trip.
Routine Field TripsA routine field trip is a day trip with an educational purpose occurring during school hours within the state of California. No notification to home office staff of routine field trips is necessary, but schools may contact the Director of Operations for support regarding student safety, risk management, or insurance. A permission form must be collected for all trips (p. 5).
Non-Routine Field TripsNon-routine field trips are overnight OR out of state trips with an educational purpose. All non-routine trips must receive school board approval. Teachers planning non-routine trips should complete the Non-Routine Trip Approval Form (p. 7) and submit to their principal. If approved by the principal, the Form should be submitted to the Director of Operations for Risk Management assessment and the School Board President for approval. Please submit all requests according to the timeline indicated on the form.
Unauthorized TripsUnauthorized trips are extracurricular trips unrelated to the instructional program or purely voluntary school club trips such as ski trips or other non-school activities. These trips should not take place during school hours (California Education Code - Section 35330), and the school assumes no responsibility whatsoever for such trips. Parents of students planning to participate in such unauthorized trips should be informed in writing that the school assumes no liability in connection with the trip. The teacher who undertakes such an activity should be informed in writing that he/she does so strictly in his/her individual capacity and not in his/her capacity as a school employee. Sample letters which may be adapted for this purpose begin on page 19.
Permission FormsFor all authorized trips, a permission form must be completed for each participating student.
Routine Trips: “Parent’s or Guardian’s Permission for a Field Trip and Authorization for Medical Care” (p. 5) Non-Routine Trips: “ OVERNIGHT OR OUT OF STATE FIELD TRIP PERMISSION FORM (p. 11)
The school should maintain copies of all forms in the school office, and the supervising teacher should carry a copy of each student’s form on the trip in case of an emergency.
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Transportation Charter Bus
o It is highly recommended that charter bus transportation be arranged with an approved charter transportation company whenever possible.
o All charter transportation vendors should meet the following requirements: Written and signed agreement/contract $1M general liability, $1M business auto liability, and statutory workers’ compensation
insurance limits Endorsed certificate from vendor naming school as additional insured
o The following charter bus operators have been certified by the Alliance home office to meet these requirements.
Global Transportation/Paradise Tours, Omar Sadek, 310-515-7008 Hummingbird Transportation
Private Vehicleso If private vehicles or volunteer drivers are used, all drivers should complete the Driver Application Form
(p. 15) and be approved by the school principal prior to the trip date. o All drivers should meet minimum insurance requirements (see application form p. 15) and be informed
that their personal insurance policy will be primary in the event of any accident or injury. Rental Vehicles
o Driver Application Forms (p. 15) should be completed for all drivers prior to the trip date.o All drivers should meet minimum insurance requirements (see application form) and be informed that
their personal insurance policy will be primary in the event of any accident or injury.o Supplemental rental insurance should be purchased as an additional protection for the driver and the
school.o AB 626 prohibits the operation of 15-passenger vehicles by schools in California (unless the driver
possesses a valid commercial driver license). It is highly recommended that the total capacity of any rental vehicle be 10 or less, including the driver.
Other Transportation Optionso Please consult with the Director of Operations for risk management considerations.
Supervision If possible, provide one certificated staff member per class as well as one adult for every 10 students. (Matches
LAUSD policy and CCSA recommendations) If possible, provide male/female supervision for male/female events. Co-Ed events must have Co-Ed supervision.
(Matches LAUSD policy)
Funding Neither students nor their parents may be charged a fee or other charge for a field trip taking place during
school hours. No child shall be excluded from a field trip because of a lack of sufficient funds. Schools may not require a “mandatory donation” as a condition to participate in a school sponsored field trip. California Education Code - Section 35330
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All expenses for field trips to any other state, the District of Columbia, or a foreign country must be paid with outside funds. No school funds may be used. Student body funds and accounts must not be used for these trips. California Education Code - Section 35330
Approval ProcessThe following flow chart summarizes the field trip approval process.
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Teacher Plans Field Trip
Routine Trip Non-Routine Trip Unauthorized Trip
Teacher submits plans to Principal
Approved Denied
Teacher collects permission forms (file in office and carry
emergency contact info.)
Teacher submits approval form to Principal
Approved Denied
Principal submits form to D.O. for recommendation
D.O. submits form with recommendation to Board
President for approval
When notified of trip, principal notifies employee and students of no school
responsibility in writing
Recommended Not Recommended
Approved Denied
PARENTS OR GUARDIANS PERMISSION FOR FIELD TRIP AND AUTHORIZATION FOR MEDICAL CARE
To the principal of _______________________________________________________ School:
_____________________________________________ has my permission to participate in the(Student’s Name)
field trip to _____________________________________on _____________________________(Date)
METHOD OF TRANSPORTATION Walking Charter bus Other: ______________________ Private Auto (Drivers must complete Driver Application form prior to trip)
WAIVER OF CLAIM: I understand that AB 766 provides that all persons making a field trip or excursion shall be deemed to have waived all claims against the Charter School for injury, illness or death occurring during or by reason of the field trip or excursion. I therefore acknowledge that as a condition of my son/daughter/ward participating in said activity, I hold harmless and waive any and all claims against the Charter School and the CCSA JPA (and their officers, employees, agents), including, but not limited to, claims arising out of any negligence of any officers or employees of the Charter School, for any injury, accident, illness, or death, or any loss or damage to personal property occurring during or by reason of the participation in said activity.
1. I understand this field trip is optional and attendance by my child is not required and that an alternative activity at Charter School will be provided if I do not give permission for my child to participate.
2. I understand that all students going on this trip will be responsible in conduct to the bus driver(s), to teachers, and, if applicable, adult sponsors at all times.
3. I understand that all field trips begin and end at the School and that all students are required to go and return from this event on the transportation provided, unless prior arrangements have been made and agreed to in writing by the principal, site administrator, or teacher.
___________________________________________________ ________________________Parent or guardian permission signature Date
(INFORMATION BELOW TO BE COMPLETED BY PARENT AND REMOVED BY TEACHER)-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
AUTHORIZATION FOR MEDICAL CAREShould it be necessary for my child to have medical care while ___________________________________________participating in this trip, I hereby give the school personnel Student’s namepermission to use their judgment in obtaining medical care for ___________________________________________the child, and I give permission to the physician selected by the Home addressschool personnel to render medical care deemed necessary and ___________________________________________appropriate to the physician. I understand that the school has no Home telephone numberinsurance covering such medical or hospital costs incurred by my ___________________________________________child and, therefore, any cost incurred for such treatment shall be Business telephone number of parent or guardianmy sole responsibility. ___________________________________________
Emergency telephone number___________________________________________Authorization signature of parent or guardian___________________________________________Date
PLEASE CHECK HERE IF INSTRUCTIONS FOR SPECIAL MEDICAL TREATMENT FOR THE STUDENT ARE ON FILE IN THE SCHOOL.
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CONSENTIMIENTO DEL PADRE O TUTOR PARA EXCURSION ESCOLARY AUTORIZACION MEDICA
Al Director de la Escuela _________________________________________________________
____________________________________ tiene el consentimiento para participar en la (Nombre del Estudiante)
excursion escolar a _______________________________________ el ____________________ (Fecha)
Maestro/a que supervisara la excursion ______________________________________________
Artículos estudiante debe traer (si procede):
METODO DE TRANSPORTACION Caminando Autobus Auto Particular Otro Metodo _____________
RENUNCIA A LA DEMANDA: Entiendo que la ley AB 766 establece que todas las personas que realicen un viaje o excursión, se considerará que ha renunciado a todos los reclamos en contra de la Escuela Charter de lesión, enfermedad o muerte que ocurra durante o con motivo de la excursión o paseo. Por lo tanto, reconocer que como una condición de mi hijo / hija / pupilo participar en dicha actividad, que eximir de toda responsabilidad y renuncia a cualquier reclamación en contra de la Escuela Charter y el CCSA JPA (y sus funcionarios, empleados, agentes), incluyendo, pero no se limitan a, las reclamaciones derivadas de cualquier negligencia de los funcionarios o empleados de la Escuela Charter, por cualquier lesión, accidente, enfermedad o muerte, o pérdida o daños a cualquier propiedad personal que ocurra durante o con motivo de la participación en dicha actividad.
1. Entiendo que esta excursión es opcional y la asistencia de mi hijo no es necesaria y que una actividad alternativa en la Escuela Charter se hará si no le doy permiso a mi hijo a participar.2. Yo entiendo que todos los estudiantes que en este viaje será el responsable de la conducta del conductor del autobús, a los maestros, y, si procede, los patrocinadores de adultos en todo momento.3. Entiendo que todas las excursiones comienzan y terminan en la escuela y que todos los estudiantes están obligados a ir y volver de este evento en el transporte proporcionado, a menos que antes se han hecho arreglos y acordado por escrito por el director, administrador del sitio, o el maestro .
_____________________________________________ __________________Firma de Consentimiento del Padre o Tutor Fecha
(El supervisor de esta actividad debe de cortar aqui.)-----------------------------------------------------------------------------------------------------------------------------------------------------------
AUTHORIZACION PARA TRATAMIENTO MEDICOSi mi hijo/a necesita tratamiento medico mientras _______________________________________participa en esta excursion, yo autorizo al personal Nombre del Alumnode la escuela para que hagan lo que juzguen coneveniente _______________________________________en obtener servicio medico para me hijo/a y tambien Domicilioautorizo al medico selecionando por el personal de la _______________________________________escuela que use el tratamiento medico necesario y Telefono de hogarapropiado. Tengo entendido que la escuela no tiene seguro _______________________________________para cubrir los costos de medico y hospital contraidos por Telefono del trabajo del padre o tutormi hijo/a y por lo tanto cualquier costo contraido por _______________________________________dicho tratamiento sera mi responsabilidad. Telefono de emergencia
_______________________________________ Firma de autoricizion del padre o tutor _______________________________________ Fecha
FAVOR MARQUE AQUI SI HAY INSTRUCCIONES ESPECIALES CON RESPECTO A TRATAMIENTO MEDICO ARCHIVADAS EN LA ESCUELA
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FIELD TRIP REQUEST FORM FOR BOARD APPROVAL OF OVERNIGHT, OUT-OF-STATE, OR FOREIGN COUNTRY TRAVEL
1. OVERNIGHT WITHIN CALIFORNIA: submit request forms with principal’s signature to the Director of Operations a minimum of three (3) weeks prior to the date of the trip. There will be no exceptions to the time line.
2. OVERNIGHT OUTSIDE OF CALIFORNIA-submit forms with principal’s signature to the Director of Operations a minimum of five (5) weeks prior to the date of the trip. There will be no exceptions to the time line.
3. Upon approval from school board president (Judy Burton), signed Parent Permission form must be turned into the site principal five (5) days prior to the date of the trip and kept on file with the principal.
4. Without taking sick days, teachers must arrange for internal coverage for school days missed.
5. No student shall be prevented from participating on field trips due to any disabilities or lack of sufficient funds.
6. It is recommended that bus transportation is used whenever possible. However, if a private passenger vehicle is used to transport students, all driver policies and procedures as adopted by the charter school must be followed.
7. If a chartered bus is used, a transportation contract will be in place with an Alliance-approved transportation vendor. Indicate students with physical disabilities requiring a special bus, or other accommodations.
Supervising Teacher’s Signature Date
Principal’s Signature of Approval Date
Director of Operations Signature of Recommendation Date
School Board President Signature of Approval Date
SCHOOL:___________________________________
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I. EDUCATIONAL PURPOSE / RATIONALE OF TRIP (Describe the purpose of the trip.)
II. ITINERARY OF ENTIRE FIELD TRIP FROM BEGINNING TO ENDDescribe the trip on a day-to-day basis for the entire length of travel. Include dates, time, and destinations. Attach a separate sheet if necessary.
III. CONTACT NAMES AND NUMBERS DURING FIELD TRIPProvide a list of all-possible contacts and numbers including lodging information.
IV. TRANSPORTATIONDescribe the mode(s) of travel. Indicate all that apply.__ Charter Bus. Vendor: _____________________________________________________________
__ Volunteer Drivers. Please attach driver application forms and supporting documents.
__ Air Travel. Carrier and Flight Number: ________________________________________________
NOTE: IF THE TRIP’S DESTINATION IS OUT-OF-COUNTRY, A PROVISION FOR MEDICAL INSURANCE COVERAGE WHILE TRAVELING OUTSIDE OF THE USA MUST BE INCLUDED.
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IF PARENTS ACTING AS SUPERVISING CHAPERONES PROVIDE TRANSPORTATION IN PRIVATE OR RENTED AUTOMOBILES, A STATEMENT ON DRIVER APPLICATION FORM MUST BE SIGNED TO INDICATE THAT CHARTER SCHOOL DOES NOT CARRY LIABILITY INSURANCE ON THOSE AUTOMOBILES.
V. PARTICIPANTSProvide a complete list of students (indicate grade level), certificated staff, and chaperones. Update any changes with division office. Attach separate sheets as needed.
STUDENTS & GRADE LEVELS
TEACHERS PARAPROFESSIONALS AND OTHER SUPPORT
STAFF
OTHER CHAPERONES
VI. FUNDING DATADescribe the total cost of the trip and how it will be financed.
VII. CLASS COVERAGE PLAN OF PARTICIPATING TEACHER(S)Explain how coverage will be provided for teachers who will participate on the field trip.
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OVERNIGHT OR OUT OF STATE FIELD TRIP PERMISSION FORMACKNOWLEDGEMENT AND ASSUMPTION OF RISK
AND WAIVER OF CLAIMS
Please read this document carefully before signing. It contains important information and advises of certain risks. Participant and family are asked to acknowledge and assume risks and waive claims they might have in the event of injury or other loss. This document must be signed by the Participant (student) and by at least one parent or legally appointed Guardian. If the Participant (student) is over the age of 18, s/he can sign on behalf of him/her self.
Education Code Section 35330 authorizes the governing board of any school to conduct field trips or excursions for students in connection with course instruction or school related social, educational, cultural, athletic or school band activities to and from places in the state, out of state, or a foreign country. Field trips or excursions, which may include overnight travel, may be connected with such courses and instruction or such school activities that further the student’s education.
Name of Field Trip:
Location(s) of Field Trip:
Departure Date, Time and Location:
Return Date, Time and Location:
List Trip Activities: (i.e.) hiking, swimming, rafting, camping, climbing, etc.
No. of students expected to participate:
Names of supervising teacher(s), program staff, chaperone(s):
Mode(s) of Transportation (List in detail transportation mode and description for each segment of the educational trip):
If traveling by automobile, name(s) of approved driver(s):
*Note: Volunteer drivers must complete Driver Application Form prior to trip
What the Participant should bring for the trip:
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Acknowledgements and Agreements of Participant and Parent
I, Participant and Parent/Legal Guardian (hereinafter “parent”) of minor Participant, for myself and on behalf of a minor Participant for whom I sign acknowledge and agree as follows:
1. Participation is Voluntary. I acknowledge that this field trip is voluntary and attendance by the Participant is not required and that an alternative educational activity will be provided if the parent/Legal Guardian does not give permission for him/her to participate.
2. Waiver of Claims Against CHARTER SCHOOL. I understand that California Education Code Section 35330 (d) provides that all persons participating in a field trip or excursion shall be deemed to have waived all claims against the CHARTER SCHOOL, California Charter School Association JPA, or the State of California for injury, illness or death occurring during or by reason of a field trip or excursion.
3. Release and Discharge. I RELEASE AND DISCHARGE (agreeing to make no claim, and not to sue) the State of California, California Charter School Association JPA, or CHARTER SCHOOL (its Board of Directors, officials, employees, agents) (“Released Parties) from all claims of injury or loss which I, or the minor Participant for whom I sign, may suffer, arising in whole or in part from the Participant’s enrollment or participation in the activity, including but not limited to any injury, accident, illness, or death, or any loss or damage to personal property occurring during or by reason of the participation in said activity.
4. Acknowledgment of Risks. I acknowledge and understand that the activities involved in this trip (as detailed in list of trip activities on page 1) may be dangerous and include risks, which are inherent and cannot be reasonably avoided without changing the nature of the activity. I acknowledge that participation in the activities can cause personal injury, including emotional trauma and even death.
5. Assumption of Risks. I acknowledge and expressly assume all risks and dangers associated with all field trip activities, whether described above, known or unknown, and inherent or otherwise. I take full responsibility for any injury or loss, including death, which Participant may suffer, arising in whole or in part from the enrollment and participation of the minor Participant for whom I sign, in the activities of the trip. For Wilderness Trips: Trips in the wilderness will be without ready access to emergency rescue or medical aid. As on all wilderness trips, the terrain, the weather (including the possibility of unexpected storms), potential encounters with wildlife, and travel to and from the trailheads in motor vehicles all subject the participants to risk of accident, injury, and even death. While all trip activities will be supervised by qualified and experienced personnel, and while safety will be our primary concern, it is impossible to guarantee that accidents will not happen.
6. Participant Conduct and Capability to Participate: It is understood that the Participant will follow direction from the bus driver(s), teacher(s), chaperone(s) and, if applicable, adult sponsors, at all times. I acknowledge that the Participant is to abide by all rules and regulations governing conduct during the trip. I certify that the Participant is fully capable of participating in these activities, without causing harm to him/herself or others.
7. Dismissal of Participant. I acknowledge that the CHARTER SCHOOL reserves the right to dismiss any participant from a trip or program that staff believes, in their discretion, presents a safety concern or medical risk, is disruptive, and/or otherwise conducts him/herself in a manner detrimental to the CHARTER SCHOOL. Use of illegal drugs, tobacco products or alcohol, or disregarding instructions, rules or regulations are examples of conduct that the CHARTER SCHOOL considers detrimental to its program, and that can lead to early dismissal. If Participant is dismissed or departs for any reason, Participant (and his/her parent/Legal Guardian) are responsible for all costs of early departure, whether for medical reasons, dismissal, personal emergencies or otherwise. These costs include, but are not limited to, medical evacuation and costs, travel, and compensation and expenses for staff accompanying Participant.
8. Indemnification for Injury Caused by Participant. Parent of minor Participant may be held liable and responsible for any injury or death to another person or injury to property of another caused by the minor Participant, as required by law. I hereby AGREE TO INDEMNIFY (meaning to defend, and to satisfy by payment or reimbursement, including costs and attorneys’ fees) AND HOLD HARMLESS the CHARTER SCHOOL (its officers, employees, agents), with respect to any claims of injury, death or other loss or damage to person or property suffered by any person arising in whole or in part from the conduct of the minor Participant while enrolled or participating in the trip activity.
9. Transportation. I acknowledge that each participant is required to go and return from an excursion/field trip by means of the transportation provided, arranged or agreed to by the CHARTER SCHOOL.
10. Medical Treatment/Emergencies. In the event that I, or other parent/Legal Guardian, cannot be reached in an emergency, I give school staff the authority to obtain immediate medical attention for Participant. I do hereby consent to whatever x-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care are considered necessary in the best judgment of the attending physician, surgeon or dentist and performed by or under the supervision of the medical staff of the hospital or facility furnishing medical or dental services.
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PARENT/LEGAL GUARDIAN SECTION: MUST BE COMPLETED
Student’s Name:
Parent/Legal Guardian Phone Contact During Time of Trip:
Name:
Work Phone: Cell Phone: Home:
Name:
Work Phone: Cell Phone: Home:
Other Emergency Contact: (not used to authorize medical treatment)
Name:
Work Phone: Cell Phone: Home:
Physician and Insurance Information:
Name:
Physician Phone:
Medical Insurance Provider and Policy Number:
Student Medical Needs for Trip (Allergies/Medical Conditions/Physical Limitations/Medications):
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IF PARTICIPANT IS A MINOR:
I acknowledge that I have carefully read this document and understand the information herein. I agree to each of the terms and acknowledgments above, and agree to permit my child to participate in the trip described above.
_______________________________________________ Date:_________________Signature of Participant (Student under age 18)
_______________________________________________Date:_________________Signature of Parent/Legal Guardian (in individual capacity and on behalf of Participant)
_______________________________________________Parent/Legal Guardian Name (Please Print)
IF PARTICIPANT IS AN ADULT OVER 18:
I acknowledge that I have carefully read this document and understand the information herein. I agree to each of the terms and acknowledgments above, and sign this document on behalf of myself, so that I may participate in the trip described above.
_______________________________________________Date:_________________Signature of Participant (Student over age 18)
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DRIVER APPLICATION FORM The purpose of this form is to reduce the liability of the school and our volunteer drivers by being proactive in our selection of drivers for student transportation. If you are interested in helping with such needs during the school year, please fill out this form and return it to the school office along with copies of your valid California driver’s license, current auto registration, and a copy of the Declaration page for your current vehicle insurance coverage. A new Driver Application Form must be filled out each school year. Insurance minimums are as follows:
Public Liability/Bodily Injury $100,000/$300,000 per occurrenceProperty Damage $50,000 per occurrenceMedical $5,000 per occurrence
_____YES _____NO Have you ever had your license suspended for moving violations, hit and run, eluding an officer, reckless or negligent operation of a vehicle, or driving while under suspension or revocation?
SECTION III – Requirements for Drivers
I certify that:1. I possess a valid California driver’s license. 2. I will contact my insurance agent to ascertain if there are any liability policy limits or exclusions regarding
transporting other students or faculty members of a field trip that might affect my ability to meet the qualifications for a driver.
3. I will maintain the minimum insurance coverage required by the charter school for vehicles for the vehicle(s) listed in Section I and only volunteer to drive when such insurance policies and coverage is in force.
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4. I understand that in case of any type of accident, injury, or vehicle damage, Charter School’s liability insurance policy DOES NOT provide primary or direct insurance on my vehicle. Charter School’s insurance will take effect only after my personal auto insurance limits are exhausted. I will advise Charter School of any change in information provided on this form, including, but not limited to, involvement in a car accident in which I am cited, any citations for moving violations, non-renewal of license, termination of license, change of insurance company, change in amounts of insurance coverage, termination of insurance, or change in vehicle.
5. The number of individuals riding in my vehicle(s) will not exceed the number of passengers the vehicle is designed to carry or the number of working seat belts.
6. Students will be in their own seats and secured with individual working seat belts. (No double belting of children is permitted)
7. No children under the age of 12 will ride in the front passenger seat.8. Students will not be left unattended in the vehicle.9. I will maintain my vehicle(s) in safe operating conditions (brakes, tires, etc.)10. I will operate my vehicle(s) in a safe manner, including NOT using a cell phone while driving.11. I will read and follow the instructions for driving and chaperoning students provided by the sponsoring teacher of the
field trip.12. I will notify school personnel if I no longer wish to drive or if I wish to be removed from the Approved Driver List.13. I will comply with school volunteer requirements including but not limited to fingerprinting, Livescan, Megan’s Law
Database and TB Tests.14. I will undertake any necessary training, including SafeSchools on-line training, to comply with charter school safety
requirements including but not limited to defensive driver training.
SECTION IV – Declaration and Signature
I affirm that I will carefully transport students under my care, including obeying all traffic laws. The information given on this form is true and correct to the best of my knowledge and belief.
YOU MUST SUBMIT COPIES OF YOUR CURRENT DRIVER’S LICENSE, AUTO REGISTRATION, AND INSURANCE DECLARATION PAGE (Front Pages of Policy) WITH THIS FORM.
__________________________________________ _________________________Signature Date
SECTION V – School Administration Approval
_______ Approved for placement on the Charter School’s Approved Driver List
_______ Denied placement on the Charter School’s Approved Driver List
________________________________________ _________________________Signature of Principal/Designee Date
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SAMPLE LETTER TO PARENTS FOR AN UNAUTHORIZED TRIP (EN)
Mr./Ms. J. Smith 123 Main Street Anytown, USA, 12345
Dear Mr./Ms. Smith:
It has come to my attention that your daughter/son may be participating in a privately sponsored trip scheduled for the week of ___.
Please be advised that this tour has not been approved by the CHARTER SCHOOL and is not a school-sponsored activity. Your son’s/daughter’s participation in such a tour is a private matter between your family and the tour company. Students who are absent from school during the time regular school is in session will have their attendance cards marked with an “unexcused absence” for the day(s) missed. Any chaperones who provide supervision for minors on this tour do so as private citizens, and are in no way authorized to perform such supervision as school CHARTER SCHOOL employees.
______________ School is not responsible for the education, supervision, or welfare of your son/daughter during this trip and therefore, neither will compensate, insure or indemnify you or your son/daughter for any incident, loss of property, illness or injury that may occur during the tour.
Sincerely,
Principal
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SAMPLE LETTER TO PARENTS FOR AN UNAUTHORIZED TRIP (SP)
Sr. /Sra. J. Smith 123 Main Street Cualquier ciudad (Anytown), USA, 12345
Estimados señores Smith:
Se me ha hecho saber que su hijo(a) podría participar en un viaje patrocinado por el sector privado, y programado para la semana de______________.
Por favor, tenga(n) por sabido que esta excursión no la ha patrocinado la Escuela y que no es una actividad patrocinada por la escuela. La participación de su hijo(a) en tal excursión es un asunto privado entre la familia de usted(es) y la compañía de excursiones. A los alumnos que estén ausentes durante las horas en que la escuela regular esté en sesión se les marcarán sus tarjetas de asistencia con una << ausencia no válida>> por el día o los días que hayan faltado. Cualesquiera ‘acompañantes’ (chaperones) que supervisen a los menores de edad durante la excursión lo hacen en calidad de ciudadanos privados y no están facultados en forma alguna para llevar a cabo tal supervisión en calidad de empleados de la escuela.
La Escuela no es responsable de la educación, supervisión o bienestar de su hijo(a) durante este viaje, y, por consiguiente, no compensará, asegurará o indemnizará a usted(es) y a su hijo(a) por cualquier incidente, pérdida de propiedad, enfermedad o lesión que pudieran ocurrir durante la excursión.
Atentamente,
Principal
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SAMPLE LETTER TO PARTICIPATING EMPLOYEES FOR AN UNAUTHORIZED TRIP
Ms./Mr. School Employee 123 Main Street Anytown, USA, 12345
Dear Ms./Mr. Employee:
It has come to my attention that you will be a participant in a privately sponsored student trip scheduled for the week of _____.
Please be advised that this tour has not been approved by the CHARTER SCHOOL and is not a school-sponsored activity. Your participation is not authorized or approved by the school. You have no authority to act as a representative or agent of _____________ School. If you attend this trip, you will be acting in your individual capacity and not as an employee of CHARTER SCHOOL. Any arrangement you may have made with a tour company is a private matter between you and that company.
This activity is outside the scope of your employment. Therefore, you will not be insured, compensated or indemnified by the school or by CHARTER SCHOOL for any incident, loss of property, illness or injury that may occur during your excursion. Furthermore, your absence from work during regular school hours will be considered unpaid leave time. Sincerely,
Principal
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