Senior Trip Packet & Permission Forms

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Senior Class Trip
2016
MAY 2th, 2016 to MAY 6th, 2016
DISNEY’S ALL STAR SPORTS RESORT
*Tour package prices according to room occupancy are as follows:
$1699.00 (single)
$1489.00 (double)
$1409.00 (triple)
$1369.00 (quad)
*Package includes:
A. Charter bus transfers between BCIT and Philadelphia Airport.
B. Round trip air and hotel stay (4 nights).
C. Four breakfasts at the hotel ($10 Disney Dining Card per day).
D. Four meal coupons (three Disney / one Universal Studios).
E. One Medieval Times Dinner and Show.
F. One Blue Man Group Show.
G. One pizza and soda at hotel.
H. One four day Disney Passport, which includes four days of park hopping admission to
the Magic Kingdom, EPCOT, Disney’s Hollywood Studios, the Animal Kingdom, Disney
Quest and Blizzard Beach.
I. One park hopping admission to Universal Studios and Universal’s Islands of Adventure.
Payment Schedule
The first payment of $450.00 for the Senior Class is due no later than October 9, 2015 (all permission
forms are due at this time) the second payment of $450.00 is due no later than December 1, 2015.
The final payment of $469.00 is due by February 1, 2016. Please note that payments may be made
prior to the due dates. However, we will be unable to take late payments. Your trip may be canceled
without refund (please refer to cancellation policy). Payments can be made by debit/credit card, check or
money order. Credit/Debit card payment is the easiest and fastest way to make a payment
Credit/Debit cards payments can be made on the Class of 2016 webpage or with Ms. Irizarry in Mr.
Murtagh’ s office. Make checks payable to B.C.I.T. All check must be in-state checks and must have an
updated address and phone number printed on the check.
*** An initial payment totaling $450 must be made to secure your seat for the trip***
***Please a note the final payment amount will change if you choose to have a single, double, or
triple room occupancy. *****
RULES & REGULATIONS
1.
ALCOHOLIC BEVERAGESE/DRUGS:
A.
Possession, distribution, purchase, and/or consumption of alcoholic beverages or drugs not registered with
the school nurse, are prohibited and will be cause for terminating the trip for the person(s) involved. The parents/guardians
and/or student(s) will assume all legal and financial expenses for the trip home. If necessary, the local authorities will be
contacted.
B.
Any Student who is sent home will be referred for an administrative hearing and may be suspended out of
school for a maximum of five school days upon his/her return and will also forfeit all rights as a member of his/her class.
He/she will not be permitted to attend any school functions, nor will such students be permitted to participate in graduation
exercises. The parents/guardians and/or student(s) will assume all legal and financial expenses for the trip home.
2.
CHAPERONES: The administration has the authority to search persons, personal belongings, and accommodations
based upon reasonable suspicion. Room checks will be held nightly. In the event of any problems, students should make every
effort to see one of the chaperones.
3.
PROPERTY DAMAGE: Rooms will be inspected by the chaperones and students immediately upon arrival at the
hotel. Students and chaperones will complete a sign-off form after the room has been inspected. The occupants of each room
will be financially responsible for any property damage. All rooms should be inspected upon arrival. Report any item to the
chaperones that may have been damaged prior to arrival.
4.
STUDENTS: students are responsible for their phone and any other charges (not included in senior trip package) ,
if applicable
5.
CURFEWS: Curfew times will be announced daily and will be strictly adhered to by the students. All students must stay
in their assigned rooms between curfew and 6:00 A.M. No outside visitors are allowed in rooms.
6.
VIOLATIONS: of any school trip policies, school rules or establishment, or other public laws and regulations, local and
Florida state laws, will be dealt with accordingly.
7.
PARENTS/GUARDIANS: Parents/guardians and students will be required to attend a meeting and affix their signatures
to the above rules and policies prior to the trip. MEETING DATE: TUESDAY, APRIL 21, 2016 AT 6:30 PM
8.
ADDITIONAL INFORMATION: While at Disney Theme Parks, Blizzard Beach, the Disney Resort, Universal Studios or
anywhere else, students may not leave the authorized areas. Students who depart from the authorized areas will be
suspended and subject to being sent home at the expense of their parent/guardian. Students are to use transports provided
by the travel agency. Disney transportation may not be used unless directed by chaperones.
9. ADDITIONAL REASONS FOR BEING SENT HOME: Stealing, fighting, breaking curfew, shoplifting or other actions which
impact upon the orderly process of this trip. Infractions will be evaluated on an individual bases by the administrator in
charge of the trip.
10.
STUDENTS: ALL students must participate in all planned activities.
11.
ADDITIONAL INFORMATION: No video cameras are permitted. Students may only bring disposable cameras.
BURLINGTON COUNTY INSTITUTE of TECHNOLOGY
__X_____ Westampton campus
_______Medford campus
PERMISSION SLIP FOR SCHOOL SPONSORED TRIP
Date: ____9/29/2015_____________
My son/daughter ______________________________________________________________________________
has my permission to attend _______Senior Class Trip to Disney in Orlando, Florida____________________
from _____May 2, 2016_______________________________ to _____May 6, 2016________________________________
I understand that transportation will be by ____World Class Vacations__________________________________________
And that the teacher(s) and in charge will be ___Kieshea Fitzgerald & Karen Gill______________________
I realize that the school cannot be held responsible in the event of an accident.
___________________________________________________
Parent/Guardian Signature
06-D-18(7/97)
BURLINGTON COUNTY INSTITUTE OF TECHNOLOGY
PARENTAL AUTHORIZED/PERMISSION SLIP FOR SCHOOL SPONSORED TRIP
We hereby agree to the arrangements, rules, and regulations as presented to
each participant and to abide by all the regulations and all the directions given by
the chaperones while our son/daughter __________________________________ is attending the
___Senior Class Trip to Disney in Orlando, Florida________________________________________ trip
on ___ ___________________________ May 2-8 2016_______________________________________. I also
understand that if I fail to abide by the rules and regulations that my parents will be
required to provide transportation for me to be returned home from the event. I
realize that the school cannot be held responsible in the event of an accident. I have
read and understand all items in the enclosed district field trip policy #2340.
_________________________________________________
STUDENT SIGNATURE
_________________________________________________
PARENT/GUARDIAN NAME
_________________________________________________
PARENT/GUARDIAN SIGNATURE**
DATE______________________
**MUST BE SIGNED BY PARENT/GUARDIAN EVEN If STUDENT is 18 year old or over.**
BURLINGTON COUNTY INSTITUTE OF TECHNOLOGY
STUDENT’S MEDICAL AUTHORIZATION CONSENT FORM
In accordance with accepted guidelines for field trip programs, it is necessary that ALL students have
adequate provision for the possibility of a medical emergency arising during their attendance on a field
trip. The information that you provide for us below will assist the school district in helping it’s students
secure medical care should it become necessary.
THIS INFORMATION IS REQUIRED!
INSURANCE: If covered by medical insurance, please indicate below.
NAME OF INSURANCE COMPANY_________________________________________ POLICY NUMBER__________________
NAME AND ADDRESS OF FAMILY PHYSICIAN:
PHYSICIAN’S NAME_________________________________________________TELEPHONE NUMBER_____________________
ADDRESS, CITY, STATE & ZIP CODE______________________________________________________________________________
STUDENT DRUG SENSITIVITIES: The student is known to react unfavorably or is allergic to:
FOODS (if any)_______________________________________DRUGS (if any)____________________________________________
ANY OTHER MEDICAL PROBLEMS___________________________________________________
Please state the name of any prescription(s) that your child may be bringing on the trip and the reason for the prescription(s).
PRESCRIPTION (S)____________________________________________REASON_____________________________________
______________________________________________________________________________________________________
MEDICAL CONSENT/AUTHORIZATION: It is the understanding of this student and respective parent(s)/guardian(s)
that in the event a medical emergency should arise requiring medical care to be administered immediately, the student and
respective parent(s)/guardian(s) authorize that such emergency medical treatment shall be given and consent to such
treatment at a hospital or other health care provider.
The undersigned have read the above and declare and affirm that they consent to the contents herein stated .
________________________________________________________________________________(STUDENT NAME – PLEASE PRINT)
_____________________________________________________________________
Parent(s)/Guardian(s) Signature
__________________________________________________________
Work Telephone Number (required)
_____________________________________________________________________
Student’s Signature
__________________________________________________________
Home Telephone Number (required)
_____________________________________________________________________
Student’s Social Security Number (required)
__________________________________________________________
Cell Phone Number
__________________________________________
Today’s Date
Cancellation Policy
Please be aware of the following cancellation policy for the 2016 Senior
Class Trip to Orlando, Florida.
**If an individual cancels before October 9, 2015 there will be a
$50.00 per-person penalty
***If an individual cancels between December 5, 2015 and
February 19, 2016, there will be a $350.00 per-person penalty.
** If an individual cancels between February 20, 2016 and departure
date they will forfeit all monies paid.
Travel Insurance is HIGHLY RECOMMENDED. Travel Insurance
can be purchased at www.travelguard.com/wcv for $39-$82. Travel
insurance must be booked online by October 23, 2015.
By signing below you are agreeing that you have received, read, and
understand the information provided in the above policy and have
received information for optional travel protection plan.
*** Please note that if a student accrues 16 or more points prior to
the trip or violates the drug/alcohol policy he/she will be unable to
attend. Students will only be eligible for a refund if they have
purchases CFAR Travel Insurance***
_________________________________ (Parent/Guardian Signature)
_________________________________ (Students Name Printed)
BCSSSD/BCIT Board of Education
District Policy
2340- FIELD TRIPS
Section: Program
Date Created: October, 2013
Date Edited: October, 2013
The Board recognizes that field trips are a most effective and worth-while means of learning. Trips of an
educational nature are encouraged and approved by the Board, provided they supplement the teaching
program, are well planned, and are carried out in a constructive manner.
The following guidelines are set to implement the planning of field trips:
1.
All trips and trip arrangements must have the approval of the Board of Education.
2.
All out-of-State trips and any overnight trips must have the advance approval of the
Superintendent and the Board.
3.
All high school students must submit a signed parental permission slip for the specific
trip. Students over eighteen years of age may sign their own permission slips.
4.
Trips must be within budgetary allotments for such purpose.
5.
Suitable instructional arrangements must be made for students in the group who do not take the
trip and for classes whose teacher is making the trip with another group.
6.
Enough supervision must be provided so that discipline on the trip is effective.
7.
Usually private transportation will not be permitted.
8.
Each trip will be evaluated by the teacher and the administration.
Club and activity trips must be paid by the club, activity, or student.
A student who violates rules or disregards the authority of supervisors on a field trip significantly
endangers the safety of other students and may be summarily dismissed from the trip. The teaching staff
member in charge will make arrangements for the dismissed student's transportation to home or school
as appropriate. The cost of any such transportation will be borne by the parent(s) or legal guardian(s) of
the student. The Board reserves the right to take further disciplinary measures in accordance with Policy
No. 5600.
The Superintendent shall prepare regulations for the operation of field trips that ensure that the safety
and well-being of students shall be protected at all times; that parental permission is sought and obtained
before any student may be removed from the school for a field trip; that each field trip is properly
planned, integrated with the curriculum, and followed up by appropriate activities that enhance its
usefulness; that the effectiveness of field trip activities are monitored and continually evaluated; that
teachers are allowed a considerable degree of flexibility and innovation in planning field trips; that no
field trip will be approved unless it contributes to the achievement of specified instructional objectives;
and that teachers are not permitted to make on-site alterations to a trip itinerary, except where the
health, safety or welfare of students is imperiled or where changes or substitutions beyond the control of
the teacher have frustrated the purpose of the trip.
The Board does not endorse, support, or assume liability in any way for any staff member of this district
who takes students on trips not approved by the Board. No staff member may solicit students of this
district for such trips within the facilities or on the school grounds of this district without Board
permission.
N.J.S.A. 18A:36-21 et seq.; 18A:53-2
Adopted: 31 October 2013
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