FIELD TRIPS
Field trips and other organized planned learning activities (PLE’s) that take place outside the classroom during
the normal school day or beyond the school day are generally recognized as a part of the curriculum. Such
activities must be related directly to the course of study or district/state standards established for one or more
subjects, or be a planned part of the extra-curricular program, and must be approved by the principal. When such
activities are planned, all students who are members of the course /section/team/grade for which the activity is
designed will be included in the activity. This includes learning support students who may have all pull-out
classes or a combination of pull-out and inclusion classes. Staff members planning trips are expected to work
closely with learning support teachers so that they have the opportunity to prepare pull-out students appropriately
for experiences they will have on field trips.
NON-SCHOOL SPONSORED TRIPS
“Non-school-sponsored trips” are trips coordinated by school district staff and attended by school district
students on a voluntary basis. These trips are not an integral part of an approved planned course, are not
endorsed or approved by the School Board and are not covered by any School Board policy. (MTSD Policy
#221)
Guidelines:
1.
Trips will be taken only during student and teacher vacation time or weekends.
2.
Any dispersal of information (itineraries, applications, etc.) will take place during non-instructional time such as, before or after the student day.
3.
Interested students, parents and adults will be informed in writing that trips are independent of the school
district.
4.
The daily bulletin may be used to inform students of school meetings.
5.
Informational meetings may be held both on and off campus after school hours.
6.
All communications, which require multiple copies, will be provided at lead teacher’s expense. School supplies may not be used for this purpose.
PLANNING A FIELD TRIP
1.
A Manheim Township School District employee who is going on the trip shall be designated as “field trip
coordinator.”
2.
Before presenting a proposed field trip to students, a Field Trip Request Form must be submitted to the
Building Principal for approval at least one month before the scheduled trip. The form should include how
this field trip will extend classroom instruction. If the field trip is not educational and not related to
curriculum, do not plan it as a school-sponsored event. Transportation, admission(s), healthcare professional
costs (for groups larger than 20 students) and meals should be considered when planning.
3.
Unless approved by the building principal a school nurse and/or health care professional will be required to
accompany field trips that include more than 20 students.
The Building Principal will review the Field Trip Request Form and approve or disapprove the trip.
PREPARING FOR THE FIELD TRIP: Contacts
Contact to Parents
 Give students and parents complete details about the field trip by sending out information as soon as
possible. Be sure to inform the students and parents when you will leave and return from the field trip as
well as provide a complete itinerary.
 Issue and collect a Field Trip Permission Slip and Medical Emergency Form for each student going on
the field trip. The disclaimer below must be included on the permission slip (and the field trip planner
must determine in advance what will happen to deposits, etc., in the event a trip must be canceled):
Forfeiture of Field Trip Deposits and Terrorist Threats
Manheim Township School District places the safety and security of every child as its highest priority. To
that end, we follow the directives and recommendations from our federal, state and local authorities. As it
pertains to terrorist attacks, MTSD follows the National Terrorism Advisory System (www.dhs.gov). If the
Department of Homeland Security raises the advisory level to an imminent threat at or near the location
our students will be traveling, we will cancel all field trips. This may mean that field trip deposits may be
forfeited. We will work with you to recover any lost deposits, but you need to be aware that your deposits
may not be refunded. Although the loss of these deposits may cause difficulty for students and parents, we
want you to know what actions we will take in the event of a an imminent threat. If you have any questions,
please contact your building principal.
 Be sure to inform students and parents how much this trip will cost each student. Collected money
should be secured (locked in the office) and will become the responsibility of those tasked with
collecting it. Since this is an educational trip, plan to cover costs for students who cannot afford to pay.
Contact to Faculty and Staff
 Initial notice of the activity will be communicated to other faculty members approximately a month in
advance. Reminders and any modification of the original plan should subsequently appear in the staff
bulletin.
 If a group plans to return within the school day, staff should be informed of this, and students should be
returned to their normal schedule at the beginning of the next period. If a group has an early return that
is unplanned, teachers in charge of the field trip are responsible for keeping these students until the end
of the day.
 Provide a copy of the student roster, bus list, and the Field Trip Office Information Form to the Nurse’s
Office. They will check on medical concerns and alert you of any issues as well as pack medical bags for
the trip.
 The building cafeteria manager should be informed about the field trip and the number of students going
on the trip at least a month in advance.
 A list of students not going on the field trip should be given to the building principal at least one week
before the trip. Be certain to inform the building principal of any special arrangements or conditions that
may have been imposed on the students in relation to field trip participation.
 For all field trips involving transportation, provide a copy of the transportation roster to the Director of
Transportation at least one week prior to the trip. Indicate the name of the bus company, if not taking
school buses.
FIELD TRIP DISCIPLINE
1.
If student conduct prior to a field trip experience will bear on any decision made regarding student
participation in the trip, parameters or expectations must be shared with students and parents well in
advance of “starting the clock” with respect to using pre-trip behavior as a determiner of participation in a
field trip. All such criteria or expectations must be shared with and approved by the building principal prior
to sharing with students and parents.
2.
A student who has demonstrated a serious and continuing inability to control his/her behavior and lacks
self-restraint to a severe degree may be held out of a field trip or activity if his behavior may be a hazard to
himself or classmates, provided Step 1 has been taken.
3.
If a teacher has identified such a student, his/her behavior is a proper subject for discussion between the
teacher(s) and the principal at the time of the initial planning. The student’s records can be reviewed and
parent phone contacts must follow well in advance of the actual trip. In certain individual cases, the
school, upon conferring with the parents, may choose to decline the responsibility for the safety of that
child or his classmates because of physical, emotional, or psychological factors. At that time a teacher, or
a team of teachers, may request the parent of that child to act as a chaperone. However, field trip
participation of a child with a disability shall not be contingent upon the parent’s accompanying the child
on the trip due to behavioral or health concerns if related to the disability. Staff needs to work with
administration on arrangements to permit for trip participation in such cases.
4.
A student whose behavior during the activity is seriously disruptive or dangerous to himself or
others should be removed from the activity by those in charge.
5.
Students denied participation on a field trip must be provided with similar replacement activities by the
teacher, or team of teachers, sponsoring the trip - this includes supervision at the school.
STUDENT HEALTH CONCERNS
1.
Provide the nurse with a list of all students going on the field trip.
2.
With the nurse, determine if there is a need for a parent to accompany a child on the trip.
3.
If a nurse is not attending the field trip, designate a teacher to pick up the medical kits from the health
room.
4.
Issue and collect Field Trip Emergency Medical Information forms.
CHAPERONES
1.
Chaperones asked to accompany your class on a field trip will need clearances if they are in a position
during the trip where they are alone with a student without a staff member.
2.
Provide all field trip chaperones with a list of contacts they may need during the trip and the group of
students each will be accompanying.
3.
Provide an orientation for chaperones, which includes written and/or verbal guidelines.
4.
All adults accompanying the trip will carry their own contact information and/or specific health
information pertaining to them.
THE DAY OF THE FIELD TRIP
1.
Remember the field trip is an extension of your class and our school. Teachers are responsible for the
students on the field trip. All school rules are in effect during field trips.
2.
Take attendance before, during, and after your field trip. Be sure to report morning attendance to the
school secretary and the Director of Transportation.
3.
Appoint a teacher to pick up medical kits from the nurse and student bagged lunches from the cafeteria.
4.
A duplicate copy of all Field Trip Permission Slips and Emergency Medical Forms as well as a student bus
roster and Field Trip Office Information Form shall be provided to the building principal or his designee.
The building principal or his designee must be available during the time of the trip should contact be
necessary.
5.
The field trip coordinator shall ensure that the following information/items are taken on the trip:
• Two cell phones. The field trip coordinator should always carry one phone. One of the phones must be
kept “On” during the entire trip and the number of this phone must be left with the building principal or
his designee. Contact the office to borrow the “Field Trip Phone.”
• The school phone number and, if the trip is within Lancaster County,
Lancaster County Police Dispatch number (664-1180).
• A copy of each student’s Field Trip Permission Slip containing student emergency data. These forms
should be kept by the Field Trip Coordinator and treated as “confidential.”
EMERGENCY AND NON EMERGENCY NOTIFICATION
1.
In the event of an emergency, the Field Trip Coordinator shall make notification to 911.
Examples of incidents justifying a 911 call include:
• Accident involving one or more of the buses
• Passenger on the bus becomes ill to the extent that medical attention is required immediately.
• A child is lost or otherwise unaccounted for.
2.
In the event of a non-emergency incident, notification to the building principal or his designee
shall be made as soon as practical. Examples of non-emergency incidents include:
• A child suffers an injury that does not require medical attention beyond basic first aid (and the
child is emotionally stable).
• The trip has fallen behind schedule and will return at a time significantly different from the
original return time, especially if parents will need to be alerted.
FIELD TRIP FOLLOW- UP
1.
Inform the building administration about any problems experienced during the field trip as soon as possible
after return from the trip.
2.
Return all field trip emergency kits and student medication to the nurse immediately upon your return from
the field trip. If you return after school hours, please return the medical kits to the health room first thing
the following day.
3.
Return the field trip phone to the office.
4.
Review the highlights of the field trip in class the following day. A lecture, discussion, question and
answer period, student projects, reports and quizzes are appropriate follow-up activities for a field trip.
FIELD TRIP FORMS
MANHEIM TOWNSHIP SCHOOL DISTRICT
Field Trip Checklist
The following list is to be completed by the team or teacher organizing the field trip.
2 Months or More Before Trip:
_____ 1.
____ 2.
Determine if chaperones requiring clearances are necessary for your trip.
If “Yes”:
A. Determine how many chaperones are needed.
B. Distribute Act 114 FBI Fingerprint check and Act 151 Child Abuse Background check
C. Notify chaperones that they must submit their forms to the Human Resources
Department at the District Office in person.
Determine if you will need to submit a purchase order or request a check for payment. Work
with the building secretary to determine a time line for submission of the purchase requisition or
the money for a check.
One Month or More Before Trip:
_____ 1.
Submit “Field Trip Request Form” and receive administrative approval.
_____ 2.
Submit “Nurse Request Form” to school nurse and receive administrative approval.
_____ 3.
Create and distribute to all students:
A. Field Trip Permission Slip
B. Field Trip Emergency Medical Information
C. Bagged Lunch Form (collect only from interested students)
_____ 4.
Inform Faculty & Staff of Field Trip
A. Teachers
B. Nurses
C. Cafeteria Manager
_____ 5.
Secure Transportation
3 Weeks Before Trip:
_____ 1.
Collect and secure money (Office has a lockable area that is available for use.)
_____ 2.
Collect from all students:
A. Field Trip Permission Slip
B. Field Trip Emergency Medical Information
C. Bagged Lunch Form (collect only from interested student)
2 Weeks Before Trip:
_____ 1.
Submit field trip funds to office (include deposit slip, check list, and a copy of the transportation
forms) and the office will submit everything to the district office.
_____ 2.
Submit Purchase Order Requisition to building secretary for the field trip
_____ 3.
If using school buses, complete the “Requisition for Transportation Form” to reserve
buses.
_____ 4.
Submit “Bagged Lunch Forms” to the cafeteria
1 Week Before Trip:
_____ 1.
Provide a copy of the student roster, bus list, and the Field Trip Office Information Form to the
Nurse’s Office
_____ 2.
Prepare detailed itinerary, rules, and objectives of trip for chaperones
_____ 3.
Contact security regarding parking for chaperones
_____ 4.
Check bus reservations
_____ 5.
Provide the director of transportation with a detailed bus assignment list including the first and
last name of the student and the bus they will be assigned to. (Do this whether using school
buses or charter buses.)
_____ 6.
Provide the building principal with a list of students not going on the trip & alternate
arrangements for these students
Prior to Departure:
_____ 1.
Provide the office with the following before departure:
A. Duplicate set of Field Trip Permission Slips
B. Student bus Roster
C. Field Trip Office Information Form
_____ 2.
Arrange to pick up medical bags from Nurse’s Office
_____ 3.
Arrange to pick up bagged lunches from the cafeteria
_____ 4.
Hold pre-trip chaperone meeting
_____ 5.
Report morning attendance to the school secretary and the director of transportation
Field Trip Follow Up:
_____ 1.
Return all medical kits to the nurse’s office immediately upon returning. (If after school hours,
return first thing the following morning.)
_____ 2.
Inform the building administration about any problems experienced during the field trip as soon
as possible after return from the trip.
MANHEIM TOWNSHIP SCHOOL DISTRICT
Field Trip Request Form
Submitted by: __________________________________________ Date: ______________
Field Trip Data
1. Destination: _______________________________________________________________
2. Date of Trip: _______________________________________________________________
3. Students Involved: __________________________________________________________
4. Number of Students: ________________ Number of Chaperones: _________________
*** Student / Chaperone Ratio: _____________________ ***
5. Teacher Chaperones (list): ___________________________________________________
6. Total Cost of the Trip: _______________________________________________________
a) Activity Fund Balance: ______________________________________ (if applicable)
b) Activity Balance used for the trip: _____________________________ (if applicable)
c) Cost for School Nurse/Healthcare Professional :
$20 per hour
(if applicable)
d) Cost per Student: ________________________________________________________
e) Cost per Parent Chaperone: _______________________________________________
f) Way to cover cost for students who cannot pay: _______________________________
g) Additional sources of funding for trip: ______________________________________
7. Times:
Departure from School - ___________ Arrival at Destination - __________
Departure from Destination - ___________ Arrival at School - __________
8. Emergency contact cell phone number (for office use): ___________________________
9. Transportation Provider: ___________________________________________________
10. Lunches provided by the cafeteria? ___________ yes
____________ no
11. Plans for students not attending trip (if applicable) - place on back of this sheet
Purpose of the Trip
Learning Objectives:
a) _______________________________________________________
b) _______________________________________________________
c) _______________________________________________________
Curriculum Connections:
a) _______________________________________________________
b)________________________________________________________
c) ________________________________________________________
OFFICE USE ONLY
Account Number:____________
Signature of Building Principal:_________________________________
Date:________
MANHEIM TOWNSHIP SCHOOL DISTRICT
Nurse Request Form
Submitted by: __________________________________________ Date: ______________
Field Trip Data
1. Team/Grade/Class: ___________________________________________________________
2. Date of Trip:
___________________________________________________________
3. Destination:
___________________________________________________________
4. Times:
Departure from School-
___________ Arrival at Destination-
Departure from Destination- ___________ Arrival at School-
__________
__________
List Students Requiring Daily Medication (or attach a list)
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
List Students Requiring Emergency Medication (or attach a list)
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
OFFICE/HEALTH SERVICES USE ONLY
Healthcare Professional Responsible for Covering Trip: ____________________________________
Signature of Building Principal: ____________________________
Date:________
MANHEIM TOWNSHIP SCHOOL DISTRICT
Field Trip Permission Slip
This is to acknowledge that my son/daughter _______________________________________
Child’s Name
has permission to participate in a field trip to _________________________________
Destination
with __________________________ . The group will depart from ______________
Class/Course
Location
at _________ on __________ and will return to school at __________ on____________ .
Time
Date
Time
Date
______________________________
Parent/Guardian’s Signature
Forfeiture of Field Trip Deposits and Terrorist Threats
Manheim Township School District places the safety and security of every child as its highest priority. To that end,
we follow the directives and recommendations from our federal, state and local authorities. As it pertains to
terrorist attacks, MTSD follows the Homeland Security Advisory System (www.dhs.gov). If the Department of
Homeland Security raises the advisory level to SEVERE (red) at or near the location our students will be traveling,
we will cancel all field trips. This may mean that field trip deposits may be forfeited. We will work with you to
recover any lost deposits, but you need to be aware that your deposits may not be refunded. Although the loss of
these deposits may cause difficulty for students and parents, we want you to know what actions we will take in the
event of a severe (red) threat level. If you have any questions, please contact your building principal.
FIELD TRIP EMERGENCY MEDICAL INFORMATION
Parents and guardians of students who are participating in any district field trip are required to provide the
following information as it applies on the day of the trip. This information is necessary to facilitate any
emergency medical treatment that may be necessary while your child participates in the field trip.
Thank you for your cooperation.
___________________________________________________________________________________
Student’s Last Name
First Name
Middle Initial
________________________________________________
Home Address
________________________
Phone Number
________________________________________
First Contact Person
______________
Home Phone
______________
Cell Phone
________________________________________
Second Contact Person
______________
Home Phone
______________
Cell Phone
__________________________________________________________________________________
Pertinent Health Information (medications, allergies, etc.)
__________________________________________________________________________________
Student’s physician and phone number
Student’s dentist and phone number
__________________________________________________________________________________
Hospital preference (if possible)
Insurance Company: Policy Number/Group Number
AUTHORIZATION FOR EMERGENCY TRANSPORTATION AND TREATMENT
I HEREBY AUTHORIZE SCHOOL PERSONNEL TO TRANSPORT MY SON/DAUGHTER TO A PHYSICIAN’S OFFICE AND/OR
HOSPITAL FOR TREATMENT IN THE EVENT EMERGENCY CARE IS NEEDED. FURTHER, I AUTHORIZE THE DESIGNATED
PHYSICIAN AND HOSPITAL PROFESSIONAL STAFF TO TREAT MY SON/DAUGHTER AS THEY DEEM NECESSARY IN AN
EMERGENCY SITUATION.
________________________________________
Parent/Guardian Signature
________________________
Date
MANHEIM TOWNSHIP SCHOOL DISTRICT
Field Trip Office Form
Bus # or Bus Company (if not Brightbill): ___________________________________
Date of Trip:
___________________________________________________
Grade and Team: ___________________________________________________
Person in Charge: ___________________________________________________
Phone Number:
___________________________________________________
Destination:
___________________________________________________
Departure Time:
___________________________________________________
Time of Return:
___________________________________________________
Chaperone List:
(by bus)
Bus # _____________
_________________________ ______________________
_________________________ ______________________
Bus # _____________
_________________________ ______________________
_________________________ ______________________
Bus # _____________
_________________________ ______________________
_________________________ ______________________
NOTE:
Attach roster of students attending trip (preferably arranged by bus roster).
Attach copy of Field Trip Permission Slip for all students attending the trip.
MANHEIM TOWNSHIP SCHOOL DISTRICT
Bag Lunches Form
To order a bag lunch for your child or yourself, please complete the form below. The order form
and your payment should be sealed in an envelope marked, “Field Trip Bag Lunch.” The
envelope must be returned to the cafeteria Site Leader two weeks prior to the field trip.
Checks should be made payable to: Manheim Township School District
Bag Lunches for field trips include a choice of:
Turkey and Cheese on a Whole Grain Roll
Or
Peanut Butter & Jelly on Whole Grain Bread
Raw Veggies, Fresh Fruit, Snack, and ½ Pint Drink are all included.
Cost for lunches: Elementary: $1.80 Secondary: $2.05 Adult : $3.10
Payment: Cash, Check or Lunchbox
Student Name _______________________
Date of Field Trip __________________
Teacher Name________________________
Adult Name _______________________
Indicate number of lunches needed:
Payment Enclosed:
Turkey ______
Cash Amount __________
PB&J ______
Check Amount__________
If paying via Lunchbox please indicate student’s POS ID # ___________Amount__________
MANHEIM TOWNSHIP SCHOOL DISTRICT
Van Requisition Form
2013 – 2014
If you are requesting the use of a district van for a field trip, you must complete the field trip request
forms in addition to the van requisition form. A limited number of vans are available for use in the
transportation of small groups. Vans are reserved on a first come, first reserved basis. The vans are designed to hold ten passengers, which includes the driver. The driver must be a MTSD employee with a
valid operator’s license who is comfortable driving a window van. At this time, there is no charge for
the use of the van. The vans are parked at the bus garage adjacent to the fuel pumps. Keys are kept in
Bette Oberle’s office at the District Office and by the Athletic Office at the High School. Prior arrangements should be made to obtain the keys. The keys must be returned to the office from where they were
received. Vans should be picked up at the bus garage and the driver should do a walk around visual
check for any obvious problems. Fueling of the van is the responsibility of the driver. There is a small
vending machine type key on the key ring. This corresponds to a key position on the unleaded fuel
pump (the same number as the number on the van). The pump panel door is opened, the key inserted
and fueling begins. The other small key on the ring is to gain access through the locked gates. The key
opens the lock securing the chain. Please leave the gates in the same condition you found them. If
locked, please re-lock behind you. Vans should be returned to the bus garage parking area at the conclusion of the trip. The vans should be cleared of trash and backed into a parking spot and should not
be locked. Beginning and ending mileages should be recorded and submitted with the keys at the conclusion of the trip. Van registration and insurance information is either in a blue plastic binder in the
glove box or door compartment. In order to reserve a van please complete the following information,
have an administrator authorize and submit to Bette Oberle. She will sign and return a copy of the request, which you should have with you for the trip and resubmit with the mileages at the conclusion.
Attach a copy of the driver’s operator’s license with this form. A driver must also submit a MVR
form. A roster of riders should be faxed to 560-3101 on the day of the trip. Thank you.
Requested by:
Group:
Destination:
Date(s)/Time van needed:
Administrator Signature:
Attach copy of operator’s license and submit to Bette Oberle & call X3092 to confirm availability.
Beginning Mileage:
Any damage or problems:
_______________________
Ending Mileage:
Return to Bette Oberle
If a van needs to be cleaned of trash after a trip, you will be billed $35.00
MANHEIM TOWNSHIP SCHOOL DISTRICT
Transportation Requisition Form
2013 – 2014
Contractors who provide bus service bill the district for the costs. Field trip costs are then billed to the
group who requested the service unless money was collected and forwarded to the District Office. This
form must be submitted to authorize the scheduling of those services and to provide for the payment at
its conclusion. The form must be signed by a building administrator and submitted to Bette Oberle,
Transportation Coordinator 10 days prior to trip. An estimate (final billing will come from the district
office) is returned to the building and serves as confirmation of the order. Please notify the
transportation office of any changes that may occur prior to the trip. School buses are available
between 9:00 and 2:15 on schooldays. Special requests outside of those times may not always be
honored and require more advance notice. Buses comfortably seat 48 passengers at two students per
seat. Very small children can ride three per seat for a total of 72 passengers. Trips are generally
scheduled through Brightbill Transportation; however other contractors may be contacted directly if so
desired. Trip costs are calculated to and from the bus parking area. The current charge is $1.95 a mile
and $19.29 per hour. The minimum charge is $61.13. Please provide the following information and
also fax a bus roster to 560-3101 the day of the trip. If the bus is not cancelled 5 hours prior, you will be
responsible for a minimum charge.
Date submitted:
Requested by:
Group:
Total number of passengers:
Number of Buses requested: _____________
School: __________________________________
Date & day of trip: __________________________ Loading location: __________________________
Destination:_________________________________________________________________________
Address: ___________________________________________________________________________
******Please note any special circumstances on backside of form********
Loading time at school:
Loading time for return:
Paid for by:
Expected arrival time back at school:
PTO
Adults in charge of group:
District ASN
Students
Other (specify)
Please email Bette Oberle, 2 days prior to trip, to confirm request.
Administrator approving trip: ___________________________________________________________
District Office Use:
Transportation Coordinator:
Estimate of costs
Date returned
hrs x $19.29 =
miles x $1.95 =
X ____#Buses
TOTAL:
Manheim
Township
School
District
Deposit
Recap
ASN
________________________
Item
Number
Total Amount
$100
bills
$
$50
bills
$
$20
bills
$
$10
bills
$
$5
bills
$
$2
bills
$
$1
bills
$
Total
Currency $
Checks
(please
list
on
reverse
side
or
separate
sheet)
$
Other
$
Coins
(please
wrap
when
applicable)
$
Total
Deposit $
Activity/Event/Fundraiser
Date
sent
to
DO
Processed
by
Please complete for each deposit made for the fieldtrip
Name on Check
Student's name
Check
#
Amount
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Checks
total
$
Please complete this form unless you are using the electronic version
MANHEIM TOWNSHIP SCHOOL DISTRICT
Overnight Field Trip Agreement
If the trip is an overnight trip, you must host a parent meeting to explain the details of the trip.
In order to be eligible to participate in a school or school organization sponsored trip, students and parents are required to become familiar with and agree in writing to the following:
1. During field trips and other school or school-sponsored trips, all school guidelines and policies remain in effect.
2. Policy 227 (see copy attached) that deals with drugs, alcohol and other controlled substances, is one
of these policies. Any violation of this policy will result in expulsion from school and charges by
appropriate law enforcement agencies.
3. Policy 218.4 (see copy attached) that deals with drugs, alcohol and other substances, as well as acts
of violence, is also in effect and any violation of this policy will result in a suspension from all student privileges and participation in any school-related activities.
4. School employees and other identified adult chaperones are in charge of all trips and have the right
to conduct searches of personal belongings.
5. Parents will provide phone numbers, including emergency phone numbers, where they can be
reached at any time during the trip in the event of an emergency.
6. In the event that it becomes necessary to remove a student from a trip itinerary, parents agree to pay
the necessary transportation costs and to meet the student at the point of arrival upon his/her return.
I have read and agree to the above statements. I further understand that failure to abide by the above
provisions will disqualify my son/daughter from taking part on the trip and that any costs which result
from disqualification will become the responsibility of the parent. Manheim Township School District
is not financially responsible for any fees, deposits or other losses.
_____________________________________/__________
Signature of Student
Date
_____________________________________/__________
Signature of Parent
Date
____________________________________/___________
Signature of Teacher
Date
MANHEIM TOWNSHIP SCHOOL DISTRICT
BOARD POLICY 218.4.
EXTRACURRICULAR, CO-CURRICULAR,
AND INTERSCHOLASTIC SPORTS AND SCHOOL PRIVILEGES
Purpose-
This policy shall supplement and not replace Board Policy 227 regarding controlled
substances and suspension and expulsion.
Definition-
For purposes of this policy, controlled substances shall be defined in accordance with
Board policy.
Guidelines
Covered Students
This policy applies to all students of Manheim Township in grades 6 through 12.
Parental permission to use, consume or possess any substance described herein does not
negate the application of this policy by the district.
A student can be found guilty of violating this policy if there is an official police report,
or if a parent/guardian notifies the administration, or if the student admits to
participating, or if a professional staff member witnesses the violation.
Voluntary Admissions/Treatment
Any student who recognizes s/he has a controlled substance abuse problem and who
voluntarily commits to a treatment program will not be subject to this policy’s first
offense penalty provisions provided that:
1. The admission by the student occurs based on the student seeking help and not as a
result of an investigation initiated by the district or a law enforcement agency.
2. Any student who voluntarily admits to controlled substance use, abuse or
dependency to any district staff member will temporarily forfeit participation in any
school-sponsored club, activity, privilege or athletic team until a recommendation
can be made by the Student Assistance Team. This recommendation shall be made
within ten school days of the date of the student
Prohibited Acts
1. Drug and Alcohol Violations – A student who possesses, uses, transmits, is under the
influence of, or knowingly is at a location or in a vehicle where others are illegally
possessing, using, transmitting, or under the influence of any controlled substance,
violates this policy if the activities occur within the coverage described below.
2. Acts of Violence – A student who commits an act of violence violates this policy if
the activity occurs within the coverage described below. An act of violence may
include, but shall not be limited to, actions that if prosecuted criminally might
constitute aggravated assault, sexual assault, simple assault, or other actions
involving physical injury or abuse of other persons.
Consequences
1. First Offense –
Suspension from participating in interscholastic sports, extracurricular activities, and
loss of other school privileges, including parking privileges, for sixty calendar days
from the date of the determination that a violation has occurred. If, at the expense of
the student, the student successfully completes a drug and alcohol program that is
acceptable to the district, the period of suspension for a drug or alcohol violation may
be reduced to forty days.
2. Second Offense –
The same consequences as recited above under First Offense apply, except the
suspension will be for three hundred sixty-five calendar days.
3. Third Offense –
The student will be permanently prohibited from participating in any interscholastic
sport or extracurricular activity at Manheim Township School District, and from
receiving any school privileges, including parking privileges.
A student who has been suspended or prohibited from participating in any
extracurricular, co-curricular, or interscholastic sport activities under this policy shall be:
1. Ineligible for any awards or recognition for the activity from which the student has
been suspended or removed if the student is under suspension when the regular season
ends.
2. Removed from any office held in a school organization for the remainder of the
school year and shall forfeit any awards or recognition for that activity.
Determination
For students participating in interscholastic sports or extracurricular activities, their
senior advisor/head coach and the principal shall determine whether the student violated
the provisions of this policy and shall impose the appropriate consequences within the
terms of the policy. For all other students, their principal shall make the necessary
determination and impose the appropriate consequences.
A student may request a review of the decision by submitting a written request for
review to the principal within seven days of the decision to impose consequences.
Upon receipt of a request for review, the principal will meet with the student, his/her
parent(s)/guardian(s), advisor, coach, or others as deemed appropriate, to discuss the
offense and imposition of the consequences. The decision of the principal shall be final.
Notification
Advisors and athletic coaches of interscholastic sports and extracurricular activities shall
implement this policy with a written agreement to be signed by the student and his/her
parent(s)/guardian(s), before the student may participate in the activities.
MANHEIM TOWNSHIP SCHOOL DISTRICT
BOARD POLICY 227
CONTROLLED SUBSTANCES
DefinitionFor purposes of this policy, controlled substances shall include all:
1. Controlled substances prohibited by law.
2. Look-alike drugs.
3. Alcoholic beverages.
4. Anabolic steroids.
5. Drug paraphernalia.
6. Any volatile solvents or inhalants, such as but not limited to glue and aerosol
products.
7. Prescription or over-the-counter drugs, such as aspirin, Motrin, Advil, cough syrup,
etc., except those for which permission for use in school has been granted pursuant to
Board policy.
AuthorityThe Board prohibits students from using, possessing, distributing, and being under the
influence of any controlled substances during school hours, at any time while on school
property, at any school-sponsored activity, and during the time spent traveling to and
from school and school-sponsored activities.
The Board may require a student who has violated this policy to participate in drug
counseling, rehabilitation, testing or other programs as a condition of reinstatement into
the school's educational, extracurricular or athletic programs.
Delegation of ResponsibilityThe Superintendent or designee shall prepare rules for the identification, and control of
substance abuse in the schools which:
1. Establish procedures to deal with students suspected of using, possessing, being under the influence, or distributing controlled substances in school, up to and including
expulsion and referral for prosecution.
2. Disseminate to students, parents/guardians and staff the Board policy and district
procedures governing student abuse of controlled substances.
3. Provide education concerning the dangers of abusing controlled substances.
4. Establish procedures for education and readmission to school of students convicted
of offenses involving controlled substances.
Incidents of possession, use and sale of controlled substances by any person on school
property shall be reported to the Office of Safe Schools on the required form at least
once each year.
GuidelinesNo student may be admitted to a program that seeks to identify and rehabilitate the potential abuser without the intelligent, voluntary and aware consent of the student and parent/guardian.
Anabolic Steroids
The use of anabolic steroids by students involved in school-related athletics is prohibited, except for a valid medical purpose. Bodybuilding and muscle enhancement of athletic ability are not valid medical purposes. Human Growth Hormone (HGH) shall not
be considered an anabolic steroid for purposes of this policy.
Students shall be made aware of the dangers of steroid use; that anabolic steroids are
classified as controlled substances; and that their use, unauthorized possession, purchase,
or sale could subject students to suspension, expulsion and/or criminal prosecution.
The following minimum penalties are prescribed for any student athlete found in violation of the prohibited use of anabolic steroids:
1. For a first violation, suspension from school athletics for the remainder of the season.
2. For a second violation, suspension from school athletics for the remainder of the season and for the following season.
3. For a third violation, permanent suspension from school athletics.
No student shall be eligible to resume participation in school athletics unless a medical
determination has been submitted, verifying that no residual evidence of steroids exists.
Reasonable Suspicion/Testing
If, based on the student’s behavior, medical symptoms, vital signs or other observable
factors, the building principal has reasonable suspicion that the student is under the influence of a controlled substance, the student may be required to submit to drug or alcohol testing. The testing may include but is not limited to the analysis of blood, urine,
saliva, or the administration of a Breathalyzer test.