JSA Spring State 2023

We are excited to embark on the final JSA field trip for the school year. Below you can find general
information about the event, as well as other helpful information regarding the trip. There is a chance this will
not get approved for overnight in which case we will bus to and from lssaquah High School both Saturday
and Sunday. lf it is not approved for overnight, Ms. Early will send home a second permission slip for
Sunday.

Dates: AprilL-2,2023
o Leave IHS around 7:30am on April l and
return around 5pm on April 2
Cost 5200 plus money for two lunches and one dinner

Location: Hilton Seattle Airport

17 620 I nternationa I Blvd
Seattle, WA 98188
Lead chaperone: Kelsey Early
42s-22L-9026
earlyk@issaquah.wednet.ed u

Steps to sign up
1. Turn in a permission slip to Ms. Early in Portable 5 or ask the office to put it in Ms. Early's mailbox
2. Make an account on JSA Connect if you have not already attended a field trip
3. Pay for your trip through IHS
4. Sign the permission slip for JSA (will be provided at a later date)
5. Take the bus from schoolSaturday morning and have fun!

Payment info:

a All payments should be made through the IHS bookkeeper. Do not pay any money to JSA. The district
requires us to handle all money through the school.
o ONCE A STUDENT HANDS IN A PERMISSION FORM, THEY ARE REQUIRED TO PAY, EVEN IF THEY DO NOT
END UP ATTENDING THE EVENT

At the event:

o An itinerary from last year is attached in this packet. The convention is held at the same hotel we are
sleeping in. More info will be emailed to students and parents closer to the event but business casual
clothing is required during the day. Students should bring comfortable clothing for evening activities.
o Students will only leave the hotel during mealtimes.
o Students will room with up to 4 people. Room checks happen between L0:30pm - 11:30pm
# zoo Non-rc*undablz oncc Purnis S io n sl\p ta rneA i n
Kelu, n h Ms. Earl 1 \ Marc,trt 2t Loz%
Series 2000: lnstruction Field Tri Form - 2320F2e
FIELD/ACTIVITY TRIP . PARENT/GUARDIAN PERMISSION FORM
ASSUMPTION OF RISK/PERMISSION TO PARTICIPATE
As a parent or guardian of a student requesting to voluntarily participate in a field trip, I Paid Onlinel
hereby acknowledge that I have read, understood and agreed to the following: Receipt Attachedl

Field Trip Destination Hitton Seatle Airport purpose Students work on debate skills

I hereby give permission for who attends lssaouah HS

(Print Student's Name) (SchoolName)
to participate in a field trip on (date(s)) )4to1t2o23,o4to2t2o2i. Time involved: From 7:30 AM To 5:00 PM
Tvpe of Transportation:
x District Vehicle by district staff
_ District is not providing transportation. Parents arrange transportation for their student.
_ Private Vehicle by District staff
Private Vehicle by Volunteer/Parent (volunteer driver checklist on file)
_Other (e.9. - walk, metro bus, air, train) Description
Student's Address: City: Cell
Parent's Phone: Home Cell Student Birthdate
Family Physician: Phone
conditions, medication information or allergies the district should be made aware of:

-Medical
certify that my child has no medical or physical conditions which could interfere with his/her safety in this activity
ln the event of an emergency, I wish the following person to be notified in case I cannot be contacted:
-l
Name phone #

I understand that all school and District policies are in effect on this trip.
I understand that this is a school sponsored activity and is governed by the regulations and procedures of the
uah SchoolDistrict.

I acknowledge that this activity entails known and unanticipated risks which could result in physical or emotional injury,
paralysis or death, as well as damage to property, or to third parties. I understand that such risks simply cannot be eliminated
without jeopardizing the essential qualities of the activity. I agree to hold and save harmless the lssaquah School District, its
School Board and Employees, and assigns for any claims, suits, or damages (including but not limited to defense and
indemnification) which might result from my child participating in the above-described evenVac1vity.
I authorize qualified emergency medical professionals to examine and in the event of injury or serious illness, administer
emergency care to the above named student. I understand every effort will be made to contact me to explain the nature of the
problem prior to any involved treatment.
ln the event it becomes necessary for the school district staff-in-charge to obtain emergency care for my student, neither
s/he nor the lssaquah School District assumes financial liability for expenses incurred because of the accident, injury, illness
and/or unforeseen circumstances. I understand that I am responsible for any costs associated with an accident or injury. My
child has medical/accident insurance: Yes- No_
red
Trip ltinerary Ghallenge/Ropes Course Release NO Water Activity Release NO

Being fully informed as to these risks, I hereby consent to my child participating in this Field Trip.

Signature of parenUguardian Date Work/DaytimeFhone

Adopted: 12.92 Revised: 03. 1 6.05; 09.02.05; 08.06.09; 08. 1 1. I 1; 04.30.17 : 1 0. 16. 1 I
 COVID Disclosure and Release
ISSAQUAH
SCHOOI D|5TR|CT4ll Activity Participation Form Addendum

Kefurn fo COVID DISCLOSURE AND RELEASE

ACTIVITY PARTICIPATION FORM ADDENDUM DURING COVID-19 PANDEMIC
Ms. E ar t1 Student Name:
Maroh
\ School: Grade:
2, 2oz3 Parent/Guardian Name(s)

Activity/Sport/Event/Field Tri p,

covtD-lg NoTtCE FROM TSSAQUAH SCHOOT D|STR|CT ("D!STR!CT")

The novel coronavirus ('covlD-19') has been classified by the world Health
organization as a global pandemic and
has spread across the state of Washington. covlD-1g is a new disease and
the state of scientific and medical
knowledge regarding covlD-19 is limited and evolving. There remain unknowns
regarding how the disease is spread
and contracted and there is currently no known treatment, cure, or vaccine for coVlD-1g.
covlD-lg is reported to
behighlycontagiousandspreadeasilyfrompersontoperson.
iniurv' or death' older adults and people of any age, including children, who have serious
underlying medical
conditions might be at higher risk for severe illness or death from covlD-1g.

TheDistricthasputinplacemeasuresinanefforttoreducethespreadofCoVlD-lg. However,notwithstandingany
such efforts, it is simply not possible to guarantee that covlD-19 is not present
nor to prevent you or your child from
becoming exposed to, contracting, or spreading COVID-19. By entering District premises,
attending school in-person,
attending or in District activities in-person, and/or attendlng or participating in this
participating
Activity/Sport/Event/Field Trip ("Activity"), you and your child are exposed to the
risk of contracting or spreading
covlD-19. By participating in certain activities associated with griater rates of disease
transmission, v", i-"6 v"ri
child are exposed to a high risk of contracting or spreading covlD-1.9. Activities
that may pose a high risk for covlD-
19 include (but are not limited to): group transportation, singing, choir, exercise,
athletics, any activity where people
are closer than 6 feet apart, sharing a hotel room for an overnight field trip, any
large gathering of people indoors,
and this Activity.

ASSUMPTION OF RISK, WAIVER OF IIABILTY, HOLD HARMTESS AGREEMENT

Assumption of Risk for CovtD-l9: I understand that my child's participation in this

Activity is voluntary and is not
required. By signing below, I acknowledge that I have carefully read the above; understand the risks
of COVID-19
associated with entering District premises or facilities, attending school in-person, participating
in District activities
in-person, and/or participating in this Activity. I voluntarily assume such risks,
including the risk of serious illness,
debilitating injury, or death to my child and myself. By signing below, I further acknowledge
that I understand that
the risk of exposure to, contracting, or spreading coVlD-19 may result from the acts,
omissions, or negligence of
myself and others, including but not limited to the District employees, agents, representatives,
voluntleis; other
students, program participants, and their families; and/or other individuals who may
be present in school facilities or
in attendance at any school activity. I knowingly assume such risks, including the risk
of serious illness, debilitating
injury, or death to my chitd and myself.

Waiver of tiability/Hold Harmless: By signing below, and inconsideration for providing

my child the opportunity to
participate in the Activity, I voluntarily agree to waive and discharge any
and all claims against the District related to
or arising out of covlD-1g, and voluntarily release the District from liability for any .*porrr.
to or illness or injury
from coVlD-19, including claims for negligent actions of the District or its employees, agents,
representatives, and
volunteers related to or arising out of coVlD-19, on behalf of myself and my child to th" fullurt
extent allowed by law.
By signing below, and inconsideration for providing my child the opportunity
to participate in the Activity, I agree to

Page 1 of 2
 COVID Disclosure and Release
ISSAQUAH Activity Participation Form Addendum
SCHOOL DI3TRICT4ll

agents, volunteers, and representatives from all

release, discharge, and hold harmless the District and its employees,
fees, fines, fees, or other costs (e.g. medical costs)
liability, claims, causes of action, or demands, including attorney
arising out of any exposure to or illness or injury from COVID-19'

providing my child the opportunity to participate in

Refunds/Financlal risk: By signing below, and inconsideration for
for the activity. I understand that the District may
the Activity, I voluntarily .gtl. to *.iue my rights to a full refund
due to unforeseen circumstances (CoVlD-19 outbreak, staffing shortages
from a
experience cancelled
"u"nt, provide a refund
vendorfacility, etc.) and that the District will only be able to

I certiJy that t am the porent and/or guordion of the above'nomed student OR am the obove-nomed
legot

student ond om n
yiors of oge or oldir, thot I hove reod ond understand the foregoing, and accept and
ogree to be bound by the terms ond conditions oJ the obove'

years old Date

Signature of Parent/Legal Guardia n/Student at least 18

Date
Signature of Parent/Legal Guardian

Page 2 of 2
 Saturd ay, AprrI 2nd, 2022

Time Event Location

8:30 am to 10 am Check-In & Registration Cascade Foyer North

10 am to 10:40 am Opening Session Cascade 2

Moderators Workshop - Cascade

l0:45 am to ll:30 am Block 0 1A
Debate Workshop - Cascade 18
CoCP - Stuart
Thought Talk - Cascade lC
Cabinet Workshop - St. Helens

11:35 am to 12:20 pm Debate Block I Various Rooms

12:25 pmto 1:10 pm Debate Block 2 Various Rooms

I : l0 pm to 2:15 pm Lunch The Various Eateries

2:20 pm to 3:05 pm Activism Block Cascade Foyer North

3:05 pm to 3:50 pm Debate Block 3 Various Rooms

3:55 pm to 4:15 pm Coffee Break Cascade Foyer North

4:15 pm to 5:00 pm Debate Block 4 Various Rooms

5:05 pm to 5:30 pm Regional Caucus GPR - Cascade 1A

OR - Cascade lC
 5:30 pm to 7:00 pm Dinner and Room Key The Various Eateries
Distribution

7:00 pm to7:20 Closing Comments and Cascade 2

Chapter Roll Call

7:20 pm to 8:20 pm FEC Candidate Questioning Cascade 2

8:20 pm to 8:50 pm Full Session Evening Cascade 2

Activity

8:50 pm to 10:30 pm Evening Activities ABC Debates

Music Battles
Game Room

Other Activities

12:00 pm to 12:30 TAMeeting Grand Crescent

pm

Sundar April 3rd, 2022

Time Event Location

8:30 am to 10:00 Chapter Check-in and Breakfast Grand Foyer I and2 and the
am Various Eateries

10:00 am to 10:30 Opening Session Cascade2

am

l0:35 am to 11:20 Debate Block 5 Various Rooms

am
ll:25 amto 12:10 Debate Block 6 Various Rooms
am

12:10 pm to l:10 Coffee Break/Lunch The Various Eateries

pm

1:15 pm to 1:45 Full Session Activism Activity Cascade 2

pm

1:50 pm to2:35 Debate Block 7 Various Rooms

pm

2:40 pmto 3:10 Election Results and Speeches Cascade 2

pm

3:10 pm to 3:45 Senior Sunset Speeches Cascade 2

pm

3:45 pm to 4:15 Closing Session - Best Speakers and Cascade 2

pm Closing Comments