StudentsStormtheHill 2017
INTENTTOPARTICIPATE
Nameof sponsoringLocalUnit(s)orCouncil:
Nameofprimarycontact/person responsibleforcoordinatingthisgroup:
PrimaryContact'sEmail:
PrimaryContact's Phone (Home& MobilePlease):
Pleaseestimatethenumberofstudents youexpecttoparticipateinyourgroup:
Willyoubetravelingbybus andneedabus parkingpass? Ifso, howmany?
Pleaseestimatethenumberofvehicles (otherthanbuses)travelingwithyourgroup:
Timewill beprovidedforstudents/chaperonestoeatlunch. From thelistbelow, please selectwhichmethodyour groupwouldprefer toemployforlunch. TNPTAwill assistyouwithoptionstohelpyouplanaheadbasedonyour selectionbelow.
Havefooddeliveredandeatatthecapitol.
Bringsacklunchesandeatatthecapitol.
Gooff-sitetoalocal restaurantorfoodcourt(withinwalking distance).
Pleaseprovidetheaddressofthe school(s)from whichyourstudentparticipantsarecoming ORpleasetellusthe statelegislativedistrict(s)yourstudentslive in:
BysigningtheIntent toParticipatebelow,youacknowledgethatthesponsoringorganizationwill:
Arrangeandworkwithyourlocalschool(s)fortransportationofstudentstoandfrom the statecapitol on
February 22, 2017.
Arrangeforallmealsthatyourgroup mayneedduringthecourseofthetriptoNashville.
Takeresponsibilityforcosts associatedwithtransportationandmeals.Feesorcostschargedtoanyindividual participant(studentorchaperone)arelefttothediscretionofthe sponsoringgroup.
Workwiththelocalschool(s)orschoolsystem administrationtogetapprovalforeitheraschoolfieldtripOR
excusedabsenceforstudentparticipants.
Obtainparentpermission,liabilitywaiversandemergencycontactinformationforallparticipants. (An examplewill beprovidedbyTNPTA.)
MakeeveryefforttokeepappointmentsandfollowthescheduleprovidedbyTennesseePTAforthe
Students Storm theHill event.
SignatureDate
Completed "Intent toParticipate"formsshould bemailedto:
Jesus Fuentes, 1905 Acklen Ave, Nashville, TN 37212oremailed to .
Formoreinformation orto confirmreceipt call(615)383-9740.
DeadlinetosubmitthisformisJANUARY25,2017. LATE SUBMISSIONSWILLNOTBE ACCEPTED.