october 2013 upper school trip choice form

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TASIS October Travel Week 2013
19 – 27 October
SIGN-UP INFORMATION
SPRING SIGN-UP:
Until 20 June, applications will be considered on a first-come firstserved basis for boarding and day students alike. Only complete
applications will be considered. Applications must be clearly marked
for the attention of Mrs. Gerlinde Wimmer, TRAVEL COORDINATOR in a
sealed envelope by 20 June. The time of arrival in the office is
deemed the date the application is received. Please send all e-mail to
academictravel@tasisengland.org. ALL RETURNING STUDENTS SHOULD TAKE
ADVANTAGE OF THIS PREFERENTIAL SIGN-UP PERIOD.
SUMMER SIGN-UP:
All applications received after 20 June will be considered during the
period of 15 August to 15 September, 2013 with preference given in
this order:
1. NEW BOARDING STUDENTS
2. RETURNING BOARDING STUDENTS
3. NEW DAY STUDENTS
4. RETURNING DAY STUDENTS
SIGN UP DOCUMENTATION:
To sign up for a trip you must provide the following registration
documentation:
1. Trip Choice Form and Educational Visits, “Parental Consent” signed on both
sides, as well as “Consent for Swimming” and “Student Travel Agreement”
2. Photocopies of the picture page of the passport the student will be using for this
trip and of the passport page containing the student’s UK residence permit or
visa
3. Payment for the trip if the student is a DAY STUDENT
DAY STUDENT PAYMENTS:
SENIOR HUMANITIES TRIPS: £1550
ALL OTHER DESTINATIONS: £ 1000
Payment must accompany the application, however, no accounts will be
charged nor cheques cashed before 15 August. All cheques must be made
payable to TASIS England. Payment by major credit card is possible but
will incur a 2.5% surcharge. Debit card payments are free of charge.
If you wish to pay by credit or debit card, please request the
appropriate forms from the Business Office. If you have paid for a day
student trip but then withdraw your child from TASIS prior to the new
school year, please request your refund from the Business Office.
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
DUE 20 JUNE 2013
OCTOBER 2013 UPPER SCHOOL TRIP CHOICE FORM
IF YOU NEED FORMS FOR MORE THAN ONE STUDENT, PLEASE PHOTOCOPY BEFORE COMPLETING
NAME (as in passport):_________________________ DATE OF BIRTH_________
GRADE: _________ DAY/BOARDING (please circle one)
PASSPORT INFORMATION (of the passport the student will use on this trip)
NATIONALITY
NUMBER
PLACE OF ISSUE
PLACE OF BIRTH
EXPIRY DATE
TRIP CHOICE
Please tick all applicable trips. For Grade9, 10 and 11 non-IB, please number your choices in order of preference.
Grade 9
___ Finland Activity Trip
___ Switzerland Activity
Trip
Grade 10 and 11(non-IB only)
HISTORY TRIPS
___ Poland: Kracow/Warsaw
___ Germany: Berlin
___ Normandy / France
___ Czech Republic: Prague
___ Service in Romania*
Grade 11 IB only
Grade 12
___ TOK Retreat
ITALY
___ Humanities/TOK
Class Trip to Greece
(depending on course)
*If one of the choices is the Romania service trip, the student must also write an essay about his/her
experience with Community Service and attend an interview when school opens.
Please take note of the Student Travel Agreement, which every student will sign prior to departure.
To comply with UK Regulations, you must also complete the form on the reverse and attach all required
documentation listed below to the application form.
______ The “Trip Choice” form and the “Educational Visits Form 6, “Parental Consent” on the reverse
signed on both sides
______ Photocopies of the picture page of the passport the student will be using for this trip and the
passport page containing the student’s UK residence permit or visa (If the student is moving
to the UK, the residence permit/visa copy should be sent to the Travel Coordinator as soon as it
is available).
______ Payment for the trip if the student is a DAY STUDENT (see cover letter on website for prices)
All cheques should be made payable to TASIS England. For debit or credit card payments
please request the appropriate form from the Business Office. Cheques will be cashed and
cards charged on or after 15 August, 2013
BOARDING STUDENTS’ participation in October Travel is mandatory and charges are
included in the boarding tuition.
PARENT’S OR GUARDIAN’S DECLARATION
“To the best of my knowledge, the information I have given is correct and the child named above has my
permission to engage in all the trip’s activities, unless otherwise noted and indicated in an enclosed written
doctor’s report. I accept full responsibility for any claims, losses, expenses or liabilities arising out of, or
related to, my child’s participation in the trip.
I understand and accept that should my child possess or consume any drugs or alcohol, smoke, or in the
opinion of the trip’s organizers behave in a way incompatible with the trip at any time, that I may be asked to
make immediate arrangements for him/her to leave the trip at my expense and return home.”
Signed:
Date:
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
DUE 20 JUNE 2013
THE AMERICAN SCHOOL IN ENGLAND
EDUCATIONAL VISITS FORM 6
PARENTAL CONSENT FOR A SCHOOL VISIT
(to be read in conjunction with the itineraries and information published on the TASIS web site)
1. ____ To go on the Humanities or TOK Trip to Greece from 19 – 25 October 2013 (Seniors, Gr. 12)
____ To go on the Service Trip to Romania from 20 – 27 October 2013 (Sophomores, Gr. 10/Juniors, Gr. 11)
____ To go to FINLAND or SWITZERLAND from 20 – 26 October 2013 (Freshmen, Gr. 9)
____To go to ITALY from 21 – 25 October 2013 (IB Juniors, Gr. 11 only)
____To go to GERMANY – POLAND – NORMANDY - CZECH REPUBLIC from 21 – 25 October 2013
(Sophomores, Gr.10 / other Juniors, Gr. 11) Please check and circle all that apply.
I agree to (full name of child as in passport) _________________________taking part in this visit and have read
the information on the web site.
I agree to (name of child) __________________ ‘s participation in the activities described.
I acknowledge the need for (name of child) ____________________ to behave responsibly.
2. Medical information about your child
a. Any conditions requiring medical treatment, including medication? YES/NO
 If YES, please give brief details: __________________________________________
b. Please outline any special dietary requirements of your child and the type of pain/flu relief medication your
child may be given if necessary:______________________ ___________________
c. If my son/daughter is in contact with any contagious or infectious diseases or suffers from anything that
may be contagious or infectious prior to the trip, I will inform the Travel Coordinator immediately.
d. Is your son/daughter allergic to any medication? YES/NO If YES, please specify.
e. When did your son/daughter last have a tetanus injection? N/A _________________
I will inform the Group Leader as soon as possible of any changes in medical or other circumstances between
now and the commencement of the journey.
3. Declaration
I hereby give permission to the trip’s organisers (school chaperones, school staff, Travel professional accompanying
the group) to authorise, on my behalf, any emergency medical care (including surgery and blood transfusion) which,
on the recommendation of qualified medical personnel, may be deemed necessary. In such circumstances, I
understand that the trip’s organisers will seek to advise me, or the emergency contact person designated below, at the
earliest possible convenience.
I understand the extent and limitations of the insurance cover provided and I accept the cancellation policy.
Contact telephone numbers:
Work:________________ Home: _______________________ E-mail ____________________________
Home address: _________________________________________________________________________
Alternative emergency contact:
Name: __________ ___________________
Telephone number: ________________________________
Address: ______________________________________________________________________________
Name of family doctor: ______________________ Telephone number:_________________________
Signed by parent:____________________
Date: ________________________________
Full name (capitals): ________________________________________________________
PLEASE ATTACH ON A SEPARATE SHEET OTHER INFORMATION THE SCHOOL SHOULD HAVE FOR YOUR CHILD’S TRAVEL SUCH AS PRIVATE MEDICAL INSURANCE, HEALTH
ISSUES, CONTACTS, ETC. ETC. THIS FORM, OR A COPY, WILL BE TAKEN BY THE GROUP LEADER ON THE VISIT. A COPY WILL BE RETAINED BY THE SCHOOL CONTACT.
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
DUE 20 JUNE 2013
TASIS THE AMERICAN SCHOOL IN ENGLAND
EDUCATIONAL VISITS
Student Name:___________ _________________
CONSENT FORM FOR SWIMMING ACTIVITIES OR ACTIVITIES
WHERE BEING ABLE TO SWIM IS ESSENTIAL
Consent does not remove the need for group leaders to ascertain for themselves the level
of the pupil’s swimming ability.
SWIMMING ABILITY - Please answer by writing “YES” or “NO”
• Is your child able to swim 50 metres? ______ _______
• Is your child water confident in a pool? ______ _________
• Is your child confident in the sea or in open inland water? _____
• Is your child safety conscious in water? _____ ________
1. I would like (name) __________ _______________ to take part in the specified visit and having read the
information provided agree to him/her taking part in the activities described.
2. I consent to any emergency medical treatment required by my child during the course of the visit.
3. I confirm that my child is in good health and I consider him/her fit to participate.
Signed: ______ _____________________
Date: ________________________
Full name of parent/guardian: ___________________________
Telephone numbers:
Home: _______________________
Work: _________________________
Other: _________________________
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
DUE 20 JUNE 2013
STUDENT TRAVEL AGREEMENT
I/we have reviewed the TASIS expectations of student conduct during travel and off-campus events as
outlined overleaf.
In particular, I ______________ __________________, agree to the following:
(Name of student)
Please initial
each item
________ I will abide by and maintain the highest standard of the TASIS Code of Conduct.
________ I will be a positive ambassador of TASIS.
________ I will be honest and forthright.
________ I will not betray the trust of my chaperones.
________ I will respect personal, private, or public property and the right to peace and quiet of
other hotel guests.
________ I will cooperate with the chaperones at all times.
________ I will remain in my room after curfew.
________ I will keep the chaperones advised of my whereabouts at all times.
________ I will never go anywhere alone. Should I get separated from my group during free
time, I will immediately call my chaperones.
________ I will not hold in my possession or use any illegal or unauthorized drug, drug-related
paraphernalia or other mind-altering substance.
________ I will not buy or consume any alcoholic beverage.
________ I will not smoke.
________ I will not enter the room of students of the opposite sex without specific permission
from the lead chaperone.
________ I will not lie or be deceptive.
________ I will not operate any motorized vehicle or be a passenger on any motorcycle.
________ I understand that vandalism and/or theft may result in reporting to the local
authorities and any damage must be paid for on site.
__________________________
Name of Participating Student (please print)
____________________________
Signature of Participating Student
Date:________________________________
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
DUE 20 JUNE 2013
TASIS THE AMERICAN SCHOOL IN ENGLAND
STUDENT TRAVEL AGREEMENT
Dear Students, Parents, and Guardians:
During the upcoming Travel Week TASIS England students will participate in trips to
culturally enriching destinations. Trips are chaperoned by TASIS England faculty who
give of their time to make these educational and enjoyable trips possible. During offcampus events and travel, students are representatives of the school as well as
ambassadors for their native countries and families. The highest standards of conduct
and cooperation are expected at all times.
If a student's actions break the Code of Conduct and/or pose a danger to self, or to
others, or his/her behaviour reflects negatively on TASIS England, the student's
participation in the trip/event may be terminated, at the sole discretion of the school and
his/her parents’ expense.
Students who do not adhere to the Code of Conduct should be aware that immediate
sanctions may be applied on the trip as well as disciplinary action upon return to
campus. Furthermore, infractions during an off-campus trip or event by a student may
jeopardize participation in future events and trips.
The following rules will apply to all students on the trip:
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Students may not visit the rooms of students of the opposite gender.
Students must respect all curfews and check-ins set by the chaperones.
Students must not leave their room after the final evening check-in for any reason.
Students must report any emergency immediately to the chaperone(s).
Trip chaperones will review trip expectations with students prior to departure during pretrip meetings.
The Head Chaperone will hold students’ medical records, emergency forms, and
passports during the trip.
Faculty chaperones and the school administration are enthusiastic about the many
opportunities of the TASIS Travel Program and sincerely hope that your trip will be a
rewarding and exciting educational experience.
Sincerely,
Travel Coordinator
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
DUE 20 JUNE 2013
TRAVEL RULES for All Participants in the
October Travel Program
DO

Participate in all planned meals and activities. Your presence is mandatory.

Arrive on time for all activities and meetings, it is not fair to make everyone else wait for
you.

Retire to your assigned room at curfew time. Keep hotel doors locked.

Take care of your personal belongings, especially your money and valuables.

Carry your own luggage at all times. If you cannot carry it, you packed too much.

Show respect and consideration for other hotel guests, hotel and restaurant personnel, etc.

Adhere to the established dress code as defined by your chaperones.

Dress smart casual or in school uniform for air travel.

Contact your chaperones immediately if for any reason you get separated from your group.

LET YOUR CHAPERONES KNOW WHERE YOU ARE AT ALL TIMES.
DON’T

Change your assigned hotel room or leave it after curfew.

Entertain members of the opposite sex in your hotel room without specific permission from
the lead chaperone.

Engage in inappropriate hotel behavior (i.e. talking above a whisper in hallways, slamming
doors, running in the halls, making loud noises, etc.).

Damage or misappropriate hotel property.

Forget that you are in a house of worship when entering a church or cathedral.

Go out at night except accompanied by a chaperone.

Drink alcohol or engage in drug-related activities – this does not only contravene TASIS
rules but could also constitute breaking the law and result in immediate arrest and
imprisonment.

Engage in abusive or sarcastic language, which threatens others.

LEAVE THE GROUP FOR ANY REASON AT ANY TIME.
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
DUE 20 JUNE 2013
SERVICE TRIP APPLICATION
If your first, second, or third choice is the service trip to
Romania, you should write an essay answering these
questions.
This trip will affect many lives, including your own. Before you apply for this trip,
please give it a lot of deep thought. The projects require a physically and emotionally
strong person who is willing to work hard, to be compassionate, and to have a positive
attitude. It will not be an easy week, but the payoff will be incredible and long lasting.
There is an expectation that each student going on a service trip will raise money for
the charity sponsoring the trip. As this would be difficult for students who apply to
this trip only six weeks before departure, we have included a £250 donation in the trip
fee. Look at it as an advance from your parents. You should raise this money and pay
your parents back.
Although we would wish to accommodate absolutely everyone who wants to go,
service projects on our October trips can only be effective with a limited in number of
participants, and sometimes the demand from our students is so high that we must
select the students best suited to the project and those whom we serve.
Please write an essay about your previous experience with Community Service and try
to answer any of the following questions that seem of importance to you, as well.
Write on a separate sheet and attach it to your registration papers or e-mail it to
uta@tasisengland.org.
1.
2.
3.
4.
5.
6.
7.
8.
9.
What is your name and grade?
Why do you want to go on a service trip?
When was the last time you helped someone in need? Give an example.
What was the last manual job you did? Describe.
What is the effect of a smile?
What kinds of things do you do that the disadvantaged might not do?
What contribution do you think you could make to strengthen the team?
What ideas do you have for fundraising for this trip?
Have you been on a service trip before? If so, describe your experience.
PLEASE BE AWARE THAT YOU HAVE TO ATTEND AN INTERVIEW BEFORE A
DECISION ON YOUR PARTICIPATION CAN BE MADE.
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
DUE 20 JUNE 2013
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Schedule
 TASIS Insurance Cover for School Trips
Section and benefit descriptions
(These apply separately for each insured person)
Section A
Personal Accident
Item 1
Item 2
Item 3a
Item 3b
Item 3c
Item
Item
Item
Item
Item
4a
4b
5
6
7
o
o

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


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Section B
Illness
Item
Item
Item
Item
Section C
Travel
C1
1
2
3
4
C2
o
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

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C3
C4
C5
C6
C7
Death
£50,000
Loss of one eye or one limb
£50,000
Loss of both eyes or two or more
limbs, or loss one one eye and one limb £50,000
Loss of speech
£50,000
Loss of hearing
1 in both ears
£50,000
2 in one ear
25% of 3cl
Permanent total disability
£50,000
Continental Scale
Not Covered
Temporary total disability
Not Covered
Temporary partial disability
Not Covered
Medical expenses arising in connection Accumulation
limit £1,000,000 with a valid claim under items 5 or 6.
Any one life limit £50,000
Loss of both eyes
Not Covered
Permanent total disability
Not Covered
Temporary total disability
Not Covered
Medical Expenses arising in connection with a valid
claim under item 3
Not Covered
Medical, Emergency Travel and rescue
Expenses
£250,000
Cancelling or cutting short a trip, travel delay and
replacement
£3,000
Personal Liability
Not Covered
Personal property
£1,000
Money
£1,000
Legal Expenses
Not Covered
Hijack
Not Covered
Please request a full schedule to read endorsements to this policy.
TASIS Cancellation Policy for Day Students
1. If a trip for which a student has signed up is cancelled by the organisers because
it is undersubscribed, parents and student will be informed as soon as the
decision is made and they will have the choice of another trip or a full refund.
2. If the family cancels the student’s participation in the trip, the following
cancellation charges are applicable:
a. Cancellation before school opens: 0%
b. Cancellation after day 1 of the school year but before 15 September: 50%
c. Cancellation between 16 September and departure: 100%
TASIS Cancellation Policy for Boarding Students
As the October trips are part of the boarding tuition package and are paid for in advance
by TASIS, other than in medical emergencies, no refund can be made should a student
not participate in his/her trip. In the case of medical emergencies full medical information
must be provided for the insurance claim.
IF YOU SEND YOUR SIGNED DOCUMENTS ELECTRONICALLY, PLEASE E-MAIL TO
academictravel@tasisengland.org
DUE 20 JUNE 2013
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