STEM Academy Ski Trip Saturday, January 26, 2019 Pats Peak, Henniker, New Hampshire Depart : 5:45 a.m. from Sandwich High School - students should arrive at 5:30am sharp Return: approx. 6:00 pm at the Sandwich High School - Parents PLEASE be prompt! PLEASE RETURN THE FOLLOWING PAPERWORK BY Friday, January 4th. 1.Signed Ski Trip Permission Slip 2. Signed Emergency Action Plan 3. Signed Ski Trip Rule Slip 4. Check made out to Sandwich High School (Please put date of ski trip and student name on the comment line.) 5. Pats Peak Online Registration You are NOT confirmed for the trip until ALL paperwork is COMPLETE and returned to Ms. Lavelle's or Mrs. Clabault s mailbox or classroom. There will be a Ski Trip meeting the week of the trip to go over ski trip rules, what happens on the trip, ski and snowboard tips, and to answer any questions. NOTES for PARENTS: CANCELLATIONS: Please call us with any cancellations as soon as possible so that another student can be substituted. The bus transportation fee is non-refundable if a student cancels once the paperwork is submitted and another student cannot be substituted. RULES: Please remember that participation in this trip is not a right, but a privilege extended to those students who are fulfilling their academic obligations and who consistently adhere to the STEM Academy Code of Conduct. Please read the ski trip rules with your child. Make sure he or she understands them. BUDDIES: All students must ski with a buddy. This is for their safety. The buddy should be in the same ability level. Please list the student s buddy on the permission slip. Buddies can be in groups of 2,3,4s etc. just not alone! SNOWBOARDERS: Due to frequent wrist injuries on past ski trips, we are requiring ALL snowboarders to wear wrist guards. Please make sure that gloves fit over the wrist guards. CHAPERONES: If you are interested in chaperoning, please indicate this on the permission slip.
Pat s Peak Online Registration Log into https://groups.patspeak.com/login.php Group Event Online Registration Click Here for Group Trip Sign Up Be sure to sign up for the correct ski trip or both if you plan to attend both o January 26th username: SandwichJan password: skitrip Please choose your ticket package: There are many options on this drop-down menu. Please disregard the prices as they do not include the bus. Please be careful how you register. This online portion generates your lift ticket, rental slip, and lesson time. Refunds for changes in registration will not be available once the tickets are issued the week of the ski trip. At CHECKOUT - Make sure you check off the Liability Release. You do not pay anything at checkout. When you check off your skill level, please register with your true ability. All students level 4 or below are required to take a ski or snowboarding lesson. Ski instructors will also evaluate the student s level of ability and move students into proper lesson levels as they deem necessary. Students are restricted from Hurricane trails and any trail above their ability.
SKI TRIP PERMISSION SLIP NAME: Grade HR Teacher STUDENT S CELL PHONE NO. EMAIL ( PARENT) ALLERGIES: SPECIAL MEDICATION OTHER MEDICAL ISSUES HEALTH INSURANCE CARRIER POLICY NUMBER Circle Skier or Snowboarder Circle Ability Level Skier Snowboarder Never skied Beginner Intermediate Advanced Please put check mark in appropriate column for selection Package Cost Jan 26th Bus, Lift ticket, Rental, Lesson (lesson required levels 1-4) $126.00 Bus, Lift, Rental $106.00 Bus, Lift, Lesson $106.00 Bus and Lift only $86.00 Add Helmet Add $10. 00 My child has permission to participate in the STEM Academy ski trip. By signing, parent agrees to release and hold harmless the STEM Academy, Sandwich School District, administrators and chaperones from any and against any and all liability, loss, damages, claims, or actions for bodily injury and/or property damage, in accordance with current state and federal law, arising out of participation in this trip. I give permission to chaperones and also the Pats Peak Ski Rescue Patrol to authorize medical treatment in case of emergency. I certify that my child is covered for injury under my health insurance policy. I attest to the accuracy of all information given in the form above and on the equipment rental forms. Parent Signature Date Address Home phone Guardian s Cell Additional Contact s Cell Please note that in the unfortunate event of an injury, we need the name and phone number of the person responsible for picking up the student in New Hampshire that day. Emergency Contact Name: Phone Contact:
CHAPERONES/ADD-ONS If you are interested in chaperoning our ski trip please fill out this page. We have limited seats on the bus so it will be first come first serve for those seats. We welcome anyone else to drive up behind the bus and join us in the discounted package.( See below) We are happy to extend the group rate discount to anyone you would like to bring along in your car but you are responsible for those people and they are not included in the STEM Academy Group. Colleen Clabault is in charge of the chaperones/add-ons so please email her at cclabault@sandwich.k12.ma.us to be added to the chaperone list. This form, Online registration (see online instructions attached) and payment must be turned in to Ms. Lavelle in the STEM Academy main office Friday, January 4th. Name: Cell Phone: Email: Repeat Chaperone? Yes No Check all that applies: Skier Snowboarder Lodge Leader Bus Drive Rental Helmet
Sandwich Public Schools Emergency Action Plan for Extra-curricular Activities 2018-2019 School Year Note : The school nurse is not present during before or after school programs Activity/Sport: Adult Supervisor Student Name: Address: Home Phone: Parent/Guardian Cell Phone: Work Phone: Parent/Guardian Cell Phone: Work Phone: My child has the following medical condition that may require immediate attention ( 911 ) at afterschool athletics/activities. Please circle: Allergy to requires Epi-Pen or Epi-Pen Jr. Asthma Diabetes Seizures Other: Action Plan Allergic Reaction: (examples of some of the symptoms include) Difficulty breathing, shortnessof breath, wheezing, difficulty swallowing, hives, itching, swelling of any body part. Action Plan: Call 911 and assist child in using Epi-Pen if prescribed and available Asthma: student has difficulty breathing, wheezing, and shortness of breath. Action Plan: If the student has their inhaler, allow them to use it. If no relief of symptoms in five (5) minutes, call 911. If no inhaler available, call 911 immediately. Diabetes: Low blood sugar reaction- hunger, sweaty, pallor, feels shaky, headache. Action Plan: Allow student to drink a juice box or regular soda, or eat glucose tablets or a snack from their emergency snack pack. Have student test their blood glucose level and record number.if no change in symptoms in five (5) minutes - call 911 and have child repeat all of the above. Seizure: Altered consciousness, involuntary muscle stiffness or jerking movements, drooling/foaming at the mouth, temporary halt in breathing, loss of bladder control. Action Plan: protect student from falling, call 911. Never put anything into the student s mouth. Parent/Guardian child specific instructions : Parent Signature : Date:
SKI TRIP RULES We look forward to having you join us on the STEM Academy Ski Trip! Ski trips are a PRIVILEGE. We expect students to act responsibly at all times and follow the school Code of Conduct. We also expect students to abide by all rules written/posted at Pat s Peak. No reckless skiing or snowboarding is permitted. You are a guest of the mountain, and Sandwich has been welcomed back year after year because of our well-behaved students. To ensure a fun day and the safety of everyone, the following rules must be followed: 1. Bus Seating: You may sit on the bus with whomever you wish, but you must sit in the same seat on the return trip. If we find that your behavior is inappropriate, you will be asked to move your seat. If this behavior continues, then seats will be assigned. When we return to Sandwich High School, all students are expected to pick up all trash before exiting. Any use of profanity, deliberate damage to the bus, or trashing of the bus will lead to loss of ski trip privileges. NO EXCEPTIONS. 2. Lessons: Every student who is level 1-4 is required to take a lesson. This is both for your safety and enjoyment. All students are restricted from Hurricane. NO EXCEPTIONS. We take these safety precautions very seriously. 3. Helmets/Wrist guards: Helmets must be worn by all students. NO EXCEPTIONS. If you do not own a ski helmet, you must rent one. It must be a ski helmet, not a bike helmet. Wrist guards are required for snowboarders. Please make sure you are able to wear your gloves over your wrist guards. 4. Partners: All students must ski with at least one other student at the same skill level (beginner with beginners, etc.). No one should be on the mountain alone at any time. 5. Dress: Please dress appropriately, including coats, ski pants, gloves, and hats. For those of you new to skiing, you may not realize that it can be very cold on the mountain. We suggest you dress in layers. You may want to bring extra gloves and socks. A zippered bag to keep track of your belongings in the lodge is advisable. 6. Valuables: You may bring cell phones and any other electronics but you are fully responsible for all of your belongings. Sandwich Stem Academy, the bus company, and Pat s Peak are not responsible for lost clothing, equipment, electronics, or money. 7. Required Check-In: Between 11:30am and 12:00pm you MUST check in with a chaperone in the lodge. Once you appear in person, your name will be checked off. Please be mindful of this time when you are skiing to allow yourself plenty of time. There are clocks at each lift area. If you fail to check in on time you will lose your lift ticket for the rest of the day and will not be allowed on future trips. You must check in again at 3:00pm sharp. NO EXCEPTIONS! The bus loads at 3:15pm. If you don t check in at 3:00 you will lose future ski trip privileges. NO EXCEPTIONS. A roll call will be taken when departing from Sandwich High School and again when departing from Pat s Peak.
Pat s Peak is a great, friendly mountain. They have a rustic lodge with a full cafeteria. You may also bring food on the bus. We encourage kids to bring or buy a drink for the return trip. A full day of skiing leaves you thirsty! We travel in a comfortable coach bus with bathroom facilities on board. Please take these rules seriously because we take our responsibility for you VERY SERIOUSLY. We want you to have a wonderful time with your classmates and friends. The rules are in place to keep you safe and accounted for. THE BUS WILL DEPART AT 5:45 a.m. SHARP AND WILL NOT WAIT FOR LATE ARRIVALS! We should be back at Sandwich High School by 6:00pm. Students typically call home as we approach the bridge. Rides should be prompt. cut here I have reviewed these rules with my child (print child s name) Parent Name (please Print) Parent Signature Date Student Signature Date PLEASE RETURN THE BOTTOM SECTION OF THIS FORM WITH YOUR APPLICATION & PAYMENT