permission slip 2016

Name: __________________________________ Period: _____
Lawton Chiles High School - Kennedy Space Center Field Trip
What: Two-day trip to tour Kennedy Space Center
and to Islands of Adventure
Date: (Thurs.) April 17 – (Fri.) April 18, 2014
For:
A limited number of World History Students
Cost: $315 per student (make check payable to
Chiles HS – nonrefundable after March 1st.)
You may make a $100 deposit to hold your spot
Cost includes: 4 meals, room, travel, admission, &
more. Bring money for 2 fast food meals,
snacks, and souvenirs.
Transportation: Astro Travel charter bus
Lodging: Hampton Inn
7448 International Dr. Orlando, FL 32819
Chaperones:
5 Chiles Faculty Members
Questions: e-mail Coach McNeil at [email protected]
Important Dates:
April 26, 2016 – Meeting for students @ 11:10
April 28, 2014 – Depart for KSC @ 4:30 a.m.
Emergency Contact # 850-491-5088
Itinerary
Thurs. 4/28/2016
4:30
5:00
6:15
7:00
10:45
11:00
12:00
1:00
4:00
5:00
7:00
10:00
10:30
11:30
load up bus at the Bus Ramp
depart Chiles High School
breakfast @ McDonalds in Live Oak ($6±)
depart McDonalds
arrive @ Kennedy Space Center
Exploration Station
lunch at KSC Orbit Cafe
Bus Tour
Shuttle Launch Experience
depart KSC
dinner and games @ Disney Quest ($0)
depart Disney Quest
arrive @ hotel - Hampton Inn
lights out
Fri. 4/29/2016
7:00
7:30
8:30
8:45
12:00
5:00
6:30
7:30
10:00±
wake up
breakfast @ the hotel ($0)
depart Hampton Inn
arrive @ Universal Studios: Islands of Adventure
lunch at Islands of Adventure ($0)
depart Islands of Adventure (meet at lighthouse)
dinner at Gainesville Mall ($10)
depart Gainesville Mall
arrive at Chiles High School
Parent Permission:
I, the undersigned (or by parent or guardian, if I am a minor) acknowledge that Lawton Chiles High School, it’s faculty, and chaperones
have authority to take whatever action they consider necessary to safeguard my health and safety. This authority includes (without
limitation) securing medical treatment for me at my expense and returning me to my house at my expense for such treatment they
deem necessary.
I understand that the above parties and institutions have full authority to terminate my participation in this trip and in case of my failure
to comply with their rules, standards, and instructions, I will be sent home at my expense. I will at all times remain under the
supervision of the chaperones. I will also indemnify anyone whom I injure or whose property I damage or cause to be damaged while
on this trip.
1. Use, possession, or being under the influence of tobacco, alcohol, or drugs, in any form is strictly prohibited on campus, at
school activities and on school sponsored trips.
2. The principal or his representative shall have the right to inspect the property of any student at any time, without warning.
All students and their belongings will be inspected prior to boarding the bus. Any student that is found with
alcohol, drugs, drug paraphernalia, or tobacco products OR is found outside of their hotel room without
permission may be sent home by bus at the parent’s expense, and their trip payment will NOT be refunded.
3. Male students are not to be in the female rooms at any time.
Female students are not to be in the male rooms at any time.
4. Regular school rules that apply will be in effect.
Signature of Student ___________________________________________________________ Date: ____________________
I certify that I am the parent or legal guardian of the above student, that I have read the above agreement and release and agree fully
to be bound thereby.
Signature of Parent/Guardian _____________________________________________________ Date: ____________________
*Emergency Contact Number: ______________________________________________________________________________
Coach McNeil reserves the right to deny participation to persons he feels may be a behavior problem. There are a limited
number of spots, please turn your money in early.