Dear Parents/Guardians:
On Thursday March 4-5, 2010 the AP US Government and Politics class with be departing from St. Francis
Prep at 6am for Washington DC- we have a fun-filled packed two days.
We will be staying at the: DULLES HILTON,
703/478-2900
13869 PARK CENTER ROAD, HERNDON, VA
Overnight security will be provided at the hotel on the floor where the rooms will be located.
The only money that your son/daughter will need will be for lunch and souvenirs.
We will be returning to St. Francis Prep by approximately 11:00 pm Friday night- I will ensure
that your son/daughter will be in touch with you for an exact time of arrival. I ask that someone
be present to pick up your son/daughter.
I along with Mr. Matthew Corrado will be the chaperones on the trip- I am providing you with my
cell number if you have any questions or need to get in touch with us- 516-521-6039.
I ask that you fill out the Emergency Contact Information sheet and have your son/daughter
bring it to me on Thursday.
Thank- you!
Sincerely,
Suzanne Camus
Matthew Corrado
EMERGENCY CONTACT FORM:
STUDENTS NAME:______________________________________________________
ADDRESS: _____________________________________________________________
HOME PHONE: _________________________________________________________
AGE: ___________________________________________
DATE OF BIRTH: ________________________________________________________
DOES YOR CHILD HAVE ANY ALLERGIES? __________
IF YES WHAT TYPE?
_______________________________________________________________________________________
_______________________________________________________________________________________
__________________________________________
IS YOUR CHILD CURRENTLY TAKING ANY MEDICATION? ____________
IF YES WHAT TYPE/DOSAGE:
_______________________________________________________________________________________
_________________________________________________________
-----------------------------------------------------------------------------------------------------------PARENT/GUARDIAN INFORMATION:
PARENT/GUARDIAN NAME: _____________________________________________
HOME PHONE: ____________________________ CELL: ______________________
WORK: __________________________________
EMERGENCY CONTACT IF PARENT/GUARDIAN IS NOT AVAILABLE:
NAME: ______________________________________________________________
HOME PHONE: _____________________________ CELL: ___________________
WORK: ____________________________________
PHYSICIANS NAME: _________________________________ PHONE: _________________________
DO YOU GIVE CHAPERONES PERMISSION TO ADMINISTER: (CHECK ALL THAT APPLY)
TYLENOL ______ MOTRIN _______ ADVIL _____ BENADRYL ______
DOES YOUR CHILD HAVE PERMISSION TO GO SWIMMING AT THE HOTEL: ___________________
WHO WILL BE PICKING UP YOUR SON/DAUGHTER ON FRIDAY MARCH 5,2010 WHEN WE RETURN FROM
WASHINGTON DC? IF YOUR SON/DAUGHTER WILL BE GOING HOME ON THEIR OWN, PLEASE INDICATE.
_______________________________________________________________________________________________