FIRST Tech Challenge - Olympia School District
Transcription
FIRST Tech Challenge - Olympia School District
OLYMPIA SCHOOL FIELD TRIP REQUEST I DEPARTMENT/GRADE SCHOOL I REQUESTED CHECK IF OVERNIGHT By Alex Steinkamp STEM Robotics & Automotive Club Olympia High School a DISTRICT I Randy Steele DESTINATION Oakland Convention Center, Oakland CA I DEPARTURE DAy/DATE 3/26/15 PURPOSE OF TRIP (lEARNING FIRST Tech Challenge ITINERARY OVERVIEW I TIME I RETURN DAy/DATE 3/30/15 1:15 pm TIME 10:30 am OBJECTIVES) (FTC) (ATTACH US West Super Regional DETAILS) See attached TYPE OF EVENT (PARADE, CONTEST, RETREAT, MEET. CONFERENCE, ETC.) Robotics Competition I PERSON(S) IN CHARGE GROUP (DEBATE, # ADULTS STUDENTS # TEACHER ACCOMPANYING REOUIRED: F: M: 7 ONE PER (LIST NAMES) 10 STUDENTS CELL PHONE CONTACT DAY TRIP lONE PER 6 STUDENTS OVERNIGHT (503) 747 9395 0 PHONE@DESTINATION CHAPERONES F: M: 2 (360) 259 4750 Ale)( Steinkamp, # BAND, ETC.) Diy Cow FTC Team Alex Steinkamp Randy Steele ADD'l PARENT CHAPERONES M: F: 2 Bus FERRY 0 DORM MOTEL FOOD INDIVIDUAL OTHER COSTS SPECIFY: BUILDING BUDGET ACCOUNT # STUDENT BODY ACCOUNT # - OTHER . SCHOOL HOUSING PHONE Jeanne Miller, Denise Robinsoo Con OF TRIP TRANSPORTATION CONTACT MEALS Registration PRIVATE 0 0 VEHICLE[lj PRIVATE S OTHER HOME 3,330 2,720 OTHER GROUP MEALS and S Air Substitutes (:::?/.9--d 7-&Jm CfE (staff, gnd transport, reg) s I WILL GIVE THREE (3) DAYS' WRITIEN NOTICE TO STAFF PRIOR TO TRIP. I WILL ACQUIRE A PERMISSIONSLIP FOR EACH STUDENT: LEAVE ONE COPY W 10FFICE; RETAIN ORIGINAL FOR TRIP. I HAVE HAD MY CURRENT ClASS LIST REVIEWED FOR HEAlTH CONCERNS AND HAVE ANY NEEDED EMERGENCY ACTION PLANS. I HAVE BEEN TRAINED BY THE SCHOOL NURSETO ADMINISTERMEDICATIONS. I HAVE A FIRST AID KIT FOR EVERY VEHICLE. SCHOOL NURSE IS AWMlf. OF TRIP AND WILL REVIEW STUDENT LIST FOR HEALTH CONCERNS & MEDICATIONS PRIOR TO DEPARTURE. : 'll'n~ j .. ld trip lequ£>Sl sept 20,1 don Septemb"', 20' 1 OLYMPIA SCHOOL DISTRICT Career & Technical Education (CTE) Student Travel Supervision Plan School: Olympia High School Organization/Class: ------- STEM Robotics & Auto Club Event: FTC Western U.S. Super-Regional, Location: Cost: Oakland Convention _ Center, Oakland CA $8,295 _ Permission Forms: ./ Notification of event, details, supervision ./ _ Refund Policy: plan, cost, refunds, etc. to parent(s) o Parent Meeting held, 2/9/15 o Email to parent(s) - all parents have confirmed Travel request permission form (signed by parent) o None _ and student by email 2/9/15 Date/Time/Location Date 3/26/15 3/30/15 of Travel: Location Leave OHS for SeaTac, fly to OAK Leave Oak, fly to SeaTac, drive OHS Travel: ./ Online travel request: submitted ./ ./ Leave 1: 15 pm Arrive 7:30 pm 4:00 am 10:30 am _ o Bus 0 Van • Personal Car (robot transport) Sub request # TBD Other: AlaskaAir 7 students/2 chaperones/1 teacher Day Trip / Overnight Trip # of students 7 # of advisors 4 __ _ _ _ Attached: ./ Event notification (details) given to parent(s)/student Parent Meetings held, 2/9/15 ./ Mileage map (Map Quest, etc.) - if out of area travel Attached to Field Trip Request Form ./ OSD Field Trip Request (keep copy for yourself) o Administrator sign-off Date Attached o Nurse sign-off (w/10 days notice) Date pending _ o Staff notification (e-mail w/3 days notice) Date pending _ ./ OSD Travel Request Form (keep copy for yourself) Submitted to CTE__ Date 2/12/15 _ Supervision • • • • 3/26/15 OSDStaff, Alex Steinkamp. Randy Steele Vetted Chaperones: leanne Miller. Denise Robinson Steele travels in personal vehicle with robot and gear o 5:00 am: depart Olympia o 7:00 pm: arrive hotel 7 Students. 2 chaperones and Steinkamp fly to venue o 10:15 am: depart OHSby parent transportation o 7,30 pm: arrive hotel from airport via BART o 10:00 pm: Bed Check Supervision 3/27/15 • • • OSDStaff: Alex Steinkamp. Randy Steele Vetted Chaperones: leanne Miller. Denise Robinson 7 Students. 2 chaperones and Stienkamp/Steele to competition o 7:30 am: walk to competition venue (Steele deliver robot/supplies by car) o 8:00 am - 8:00pm: 1st day of competition at venue o 8:00 pm: walk to dinner /hotel o 10:00 pm: Bed Check Supervision 3/28/15 • • • OSDStaff: Alex Steinkamp. Randy Steele Vetted Chaperones: leanne Miller. Denise Robinson 7 Students. 2 chaperones and Stienkamp/Steele to competition o 7:30 am: walk to competition venue o 8:00 am - 8:00pm: 2nd day of competition at venue o 8:00 pm: walk to dinner /hotel o 10:00 pm: Bed Check Supervision 3/29/15 • • • OSDStaff: Alex Steinkamp. Randy Steele Vetted Chaperones: leanne Miller. Denise Robinson 7 Students. 2 chaperones and Stienkamp/Steele to competition o 7:30 am: walk to competition venue o 8:00 am - 6:00pm: final day of competition at venue o 6:00 pm: Steele load up robot/supplies. depart for Olympia o 6:00 pm: walk to dinner /hotel o 9:00 pm: Bed Check Supervision 3/30/15 • • • OSDStaff: Alex Steinkamp Vetted Chaperones: leanne Miller. Denise Robinson 7 Students. 2 chaperones and Steinkamp fly home o 4:00 am: BARTto OAKairport o 6:00 am: fly to SeaTac o 9:00 am: arrive SeaTac. parent transport to OHS o 10:30 am: arrive OHS
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