TRIP RELEASE fORM

__________________ has my permission to accompany

(student's legal name)

_______________ to on _

(school name)

(destination)

(travel dates)

I also give permission for my son/daughter to: (check if applicable) __ Swim in a pool or ocean that may not have a lifeguard __ Ride a bicycle or a horse, if available

__ Ride roller coasters or theme park rides

__ Use motorized watercraft or jetskis

__ Be involved in anything that is listed within the group's planned itinerary

IEMlERGlElrnCY COIi\llTACT IlNIfORMATION

Student's Name ---- Home Phone _

Parent's Name Office Phone

--------

Students Social Security # _

(soc # is optional but it may be needed)

Students Birthdate'--- _

Home address _

If unable to contact parents, please contact:

Name Phone _

Physician's Name Office Phone, _

Insurance Company _

Policy Number __ ~ _

MEDICAL INfORMATION

Student is allergic to: (check if applicab!e)

__ bee / wasp stings hard shell fish

___ peanuts / peanut oil __ other foods (please specify)

__ milk products

___ egg products

Student is allergic to the following medication: (check if applicable)

Penicillin __ other medication (please specify)

__ Aspirin

Sulfa

Student is subject to: (check if applicable)

__ frequent fainting __ heart condition / high blood pressure

__ sleep walking I disorder __ other (please specify)

__ epileptic seizures

__ headaches / body pain

MEDICATION RELEASE

I, r hereby give permission for to

administer the following medications if necessary: (check if applicable)

__ Tylenol __ senacrvl

__ Antacid/Pepto Bismol __ Ibuprofen/Motrfn

__ Aspirin

__ Cold/Sinus Medication

Please list any medications that your child will need to take while on the trip. All medications must be sent in their original containers and properly labeled with the students name, medication name, dosage amount, and administration time. Students will be allowed to self-administer asthma relief/control inhalers and eye medications. Remember to also list any non prescription items such as vitamins or herbal supplements:

Medication Name

Dosage

Administration Time

Student received their last tetanus shot

----

Month Year

MEPICAl TREATMENT I DISIPUNARY RELEASE

If the parents and authorized physician named cannot be reached at the time of an emergency and if immediate observation or treatment is urgent in the perception of school authorities, I authorize that my son/daughter be taken to the hospital for emergency medical treatment. I agree to reimburse the school for any medical costs that might be incurred by my son/daughter while on the trip.

I also understand that in the event that my son/daughter does not comply by the rules given to them or by the rules of the school, they may lose privileges on the trip and may be required to be chaperoned at all times. Consequences may be handled upon return to school or they may also be flown home at my expense and will not receive a refund of any kind. Major violations include but are not limited to:

Possessing illegal drugs, cigarettes, or alcohol Conducting oneself in an inappropriate manner Causing harm to another person

Causing damage to property

-----------------------------------------/-------

Date

----------------------------------------_1-------

Parent/Guardian Signature

Notary (if international travel)

Date

II 12/06 - CSR I 2Trlprelease

SPECIAL NEEDS REQUEST fORM

PLEASE INFORM YOUR EDUCATIONAL TOURS INC. CUSTOMER SERVICE REPRESENTATIVE OF ANY SPECIAL NEEDS YOUR STUDENTS OR CHAPERONES MAY HAVE. BY DOING THIS WE WILL BE ABLE TO ENSURE THAT EVERYONE ON YOUR TRIP IS ACCOMMODATED APPROPRIATELY.

PHYSICAllY CHALLENGED I HANDICAPPED:

STUDENT NAME(S) _

SPECIAL DIETARY REQUESTS:

STUDENT NAME(S) _

SPECIAL MEDICAL PROBLEMS OR MEDICATION NEEDS:

STUDENT NAME(S) _

" ,

OTHER SPECIAL NEEDS:

STUDENT NAME(S). _

08(04 I CSR 12Specialneeds

TRAVEL &. PACKING TIPS fOR STUDENT GROUPS

UJJGGAGIE & PACKING

You are allowed one suitcase and one small carry-on bag. Performers are also allowed a garment bag for their uniform and an instrument case with any necessary equipment, All of these items are your responsibility through the duration of the trip. You will need to be sure that your items are placed in the correct loading area so it gets placed on the bus. Each bag and instrument case should be clearly marked with your name for easy identification. Remember, what you pack is what you have to carry! Also, please remember to bring the keys if you lock your luggage or instrument.

Be sure to pack your carry-on bag with a sweater, hairbrush, toothbrush, toothpaste, medications, eye care, and wallet. If your itinerary calls for your first destination to require a bathing suit, beach towel, sun block, or beach shoes, please place them in your carry-on too. You will not be allowed to get to the items under the bus until it is time to check into the hotel.

Please dress comfortably for you may be sitting, walking, or standing for long periods of time. You are also expected to dress appropriately which means no t-shirts with questionable wording, short-shorts, mini skirts, or half-shirts. The school's dress code will be in effect during this trip.

INDIVIDUAL EQUIPMENT AND WARDROBE CHECKLIST

UNIFORM:

_ Black shoes (polished) .

_ Black or White T-shirt (plain) Black socks

Hair Ties

_ Gloves, Gauntlets! Hat and Plume Full Uniform

_ Coat or Cape

_ Raincoat/poncho

Don't forget your lyre. musk; tolk» valve oil reeds, strings, rostn, cork grease, polish, or a/I that apply!

DRESS-UP: (Suitable for eating at a dinner theater or nice restaurant) _ Shirt / Sweater / Blouse (no logos or writing)

_ Dressy Slacks / Khakis / Skirt

_ Dressy Shoes with socks or nylons

CASUAL WEAR:

_ Blue jeans, slacks, or shorts Shirts

Jacket

Socks

Comfortable Shoes Hat

Hint: Coordinate your colors and combinations to minimize your wardrobe.

PERSONAL WEAR:

_ Pajamas Underwear

_ Sunglasses _ Slippers for shower, pool, or beach

_ Swimsuit (must comply with school dress policy)

NECESSARY ITEMS:

Alarm Clock * _Shampoo * Watch

Sun block

_ Hairbrush/Comb _Up Balm

_ Hair Dryer *

Deodorant

_ Toothbrush/Toothpaste . _ Camera w/film

_ Eye care for contact lenses

_ Large Plastic Bag for Dirty Clothes

* Items can be shored. check with your roommates

BUS INSTRUCTIONS

Be sure to check with the chaperones to find out the next departure time. Frequently, we may be on a tight schedule and it will be necessary to get everyone together without delay so don't be late! At all times, show courtesy and consideration for others traveling with you. All music players must be used with headphones and any uneaten food or food wrappers must be disposed of properly. Please keep the bus clean of trash by bringing it forward to the trash bags. Everyone is expected to sit down while the bus is moving and keep noise to a minimum so the drivers can concentrate on driving. You cannot use cologne, perfume, hairspray, or nail polish while on the bus. Do not bring glass containers or squirt guns with you on the bus. You can bring (school-approved) movies or games to help pass the time. You may want to consider bringing some things to help make the ride more comfortable such as a small pillow. No instrument playing on the bus!

HOTEL INSTRUCTIONS

Phones will only be available to use room to room. All long distance, calling card, and local phone calls must be made from a pay phone. A credit card is necessary to activate the room phone, movies, or games. PLEASE DO NOT LEAVE MONEY OR VALUABLES IN YOUR HOTEL ROOM OR ON THE BUS! You can put them in a safe, keep them with you, or give them to a chaperone. If something is extremely valuable, please leave it at home.

Please be courteous to other hotel guests by keeping the noise down and conducting yourself appropriately. At no time will you be allowed to enter the room of a member of the opposite sex or someone not with the group. During "lights out" time, you are expected to be in your assigned room with the lights off, please get ready for bed before this time. Security will be checking to be sure that your lights are off at the appointed time. Keep your door locked at all times and verify who is at the door before opening it. Also, be sure that to collect all of your belongings from the hotel during check out for once we [eave you might not be able to retrieve them.

Remember •••

Watch your sun exposure! Use a high SPF sun block if necessary. You do not want to spend your whole trip in agony from being sunburned. Tell your director or a chaperone if you are having a problem or fee! sick, they are there to help you.

Plan on creating a daily budget so you don't spend all of your money. Plan to spend $8.00 - $10.00 for each meal that is not provided with the trip. Remember that you will need money for the trip home

• ' •. .,', I , ..

and please be wise when bUYing souvenirs.

6(06 - CSR f 2Packingtips

THE TOUR ESCORTS ROLE IN YOUR TRIP EXPERIENCE

» THEY ARE THERE TO MAKE SURE THE TRAVEL ARRANGEMENTS RUN SMOOTHLY, SO CHAPERONES AND DIRECTORS MAY CONCENTRATE ON THE STUDENTS AND THE PERFORMANCES. ESCORTS WILL BE WITH THE GROUP UNTIL THEY DEPART FOR HOME.

» THEY ARE NOT CHAPERONES, BUS DRIVER GUIDES, OR TOUR GUIDES WHO GIVE SIGHTSEEING COMMENTARY BUT FUNCTION AS A LIAISON BETWEEN YOUR GROUP AND VARIOUS VENDORS WHOSE SERVICES HAVE BEEN CONTRACTED ON BEHALF OJ;·THE GROUP.

» THEY WILL MEET YOUR GROUP WHERE SPECIFIED ON THE ITINERARY AND WILL THEN NEED A SEAT NEAR THE BUS DRIVER FOR THE DURATION OF THE TRIP. THEY WILL FACILITATE COMMUNICATION WITH THE DrRECTOR AND THE BUS DRIVER IF THERE ARE ADDITIONAL ESCORTS, THEY WILL RIDE ON OTHER BUSES IF APPLICABLE.

);> THEY WILL HAVE A SHORT MEETING WITH DIRECTORS UPON ARRIVAL TO DISCUSS THE ITINERARY AND ANY LAST MINUTE NEEDED QUESTIONS AND fUR CHANGES,

» THEY WILL PAY ALL BILLS FOR ITEMS NOT ALREADY PREPAID ON THE ITINERARY. THEY WILL ALSO PROVIDE TICKETS AND CASH BACKS TO ALL EVENTS INCLUDED ON THE ITINERARY AS CONTRACTED. THESE ITEMS WILL BE PRESENTED TO THE DIRECTOR ON THE DAY THAT THEY WILL BE USED.

>- THEY WILL BE OF ASSISTANCE IN EMERGENCY SITUATIONS BY BEING AWARE OF EMERGENCY MEDICAL FACILITIES AVAILABLE AT YOUR TRAVEL DESTINATION,

>- THEY MAY SUGGEST SOME CHANGES IN THE ITINERARY TO COMPENSATE FOR EXISTING CONDITIONS SUCH AS WEATHER, TRAFFIC, DELAY IN ARRIVAL TIME, ETC. THEY ARE INSTRUCTED TO BE FLEXIBLE WITH THE ITINERARY ACCORDING TO THE DIRECTOR'S CHOICES AND KEEPING WITHIN SAFETY DRIVING HOURS FOR THE BUS DRIVER.

>- THEY WILL HAVE CHECKED THEIR ESCORT KIT AS THE LAST STEP IN QUALITY CONTROL AND RECONFIRMED ALL ARRANGEMENTS PRIOR TO ARRIVAL OF THE GROUP, INCLUDING OPENING AND CLOSING TIMES OF ALL PLACES.

08/04/ CSR / 2Escortrole