IROQUOIS CENTRAL HIGH SCHOOL
“STRIVING TO BE THE BEST”
“Girls’ Night Out” to support…
Who: Iroquois High School Girls Only
What: Sleepover to support The Children’s Tumor Foundation and ending NF through research
Where: Iroquois High School
When: 5:30 p.m. Friday, May 19th – 7:30 a.m. Saturday, May 20th
è Students will not be allowed to come late however, if they have parent permission they will be allowed to leave early after the campfire chat (approximately at midnight). Please notify Ms. Musso and administration for approval prior to the event.
è Students who are being dropped off on Friday or picked up on Saturday morning must have their parents or rides sign them in and out.
How: The girls attending CAN bring a monetary donation to support The Children’s Tumor Foundation (that will be their ticket into the event). Please bring cash or make checks payable to Iroquois Central Schools and in the memo portion write Girls Give Back or The Children’s Tumor Foundation. For every dollar the student donates, they will receive a raffle ticket.
Why: Our goal is that students will learn self-esteem, confidence, and self-worth while developing a sense of solidarity and giving back to the community. A Good Time Doing Good!
IN ORDER TO ATTEND THE GIRLS’ NIGHT OUT YOU MUST SUBMIT YOUR PERMISSION SLIP TO MS. MUSSO BY: Monday, May 15th. ***PLEASE NOTE THE PERMISSION SLIP INCLUDES PAGES 3-7!
If you would like to donate a basket or gift card for us to raffle at the event or have any questions please contact Ms. Musso at
Recommended items to bring with you for the sleepover
ü Water bottle
ü Extra clothes (an extra outfit)
ü Pajamas
ü Sneakers
ü Slippers
ü Towel
ü Sleeping bag
ü Pillow
ü A camping chair or something to sit on during the “camp fire” chat
ü Blanket
ü Personal Toiletry Items
ü Bring a few friends J
ü A positive attitude!
ü Monetary Donation for entrance
ü Snacks to share in the cafeteria
Breakdown of the event
* = EVENT ACTIVITIES THAT ARE MANDATORY FOR ALL ATTNEDENTS!
These activities may be subject to change
· 5:30 p.m. – 6:00 p.m. - Check in & students get settled and will meet in the high school auditorium. (Students getting picked up or dropped off must have parents sign them in/out).
NOTE: If the students are planning on participating in any athletic activities they should be ready to go by 6 p.m.
*MANDATORY FOR ALL*
· *6:00 p.m. – Brief Welcome by Ms. Musso & presentation by Theresa Martin: Explanation of The Children’s Tumor Foundation who will be receiving donations, recognition of committee members, and recognition of local organizations who supported the event and parents who volunteered.
· *6:05 – 7:00 p.m. – Local Successful Women in the legal and medical fields. These successful professionals will speak about their education/path to their professions, any obstacles they have had to overcome to get to where they are today, and any attributes that have helped make them the strong women they have become.
· 6:05 - 6:30 p.m. – Presentation by guest speaker Jennifer Steiner
o She has a legal background and is a criminal justice teacher
· 6:30 – 7:00 p.m. – Presentation by guest speaker Natasha Roseboom
o She has a medical background
Activities in the main gym (7:00 p.m. – 9:00 p.m.)
· 7:00 p.m. – 8:00 p.m. Self-defense class with instructors Mr. Bill Long, Ms. Jenn Campo and Ms. Rose Losi from SPAR Self Defense
· 8:00 p.m. – 9:00 p.m. Yoga Workout with Julia Tibold’s older sister
*9:00 p.m. – 9:30 p.m. time to shower or change to get ready for the campfire chat & to eat some snacks.*
· *9:30 – 10:30 p.m. A Big Old Clue Game – Girls Give Back Committee Members will be running a giant game of Clue in the gym. Everyone is invited to join a committee member and work as a team to solve the crime!
Miscellaneous Cafeteria Activities (7:00 p.m. – 10:00 p.m.)
· 7:30 – 8:30 p.m. Cooking with Ms. Bosejour (in the back of the cafeteria) Snacks, fruit salad, & getting food ready for our breakfast i.e. egg bake, etc.
· 7:00 – 9:30 p.m. Jewelry making with Mrs. Dion
· Board Games (Mad Gab, Scattegories, Would You Rather, Apples to Apples, etc.)
*10:00 p.m. – approximately 11:15 p.m. *MANDATORY FOR ALL “Campfire Chat”
The girls will have a safe and comfortable environment to talk about certain issues: bullying,
pressures from relationships, social media/online bullying, sexting, college, drugs & alcohol, etc. *meet promptly at 10:00 by the cafeteria to walk out to the campfire with Ms. Musso and the other chaperones.
· ~11:30 - 12:00 a.m. Auditorium Raffle Prizes, Movies, & Bedtime (parents may pick up their daughters at midnight if they choose not to spend the night). ALL students being picked up must have their parents sign them out and students who drive must sign themselves out of the event!
NOTE: All of the girls attending will remain in the auditorium and watch movies or they may go to the gym for some quite space for bed.
· 5:00 a.m. – 5:45 a.m. – Cafeteria (Preparing Breakfast)
· 6:45 a.m. WAKE UP CALL! & BREAKFAST!
· 7:30 a.m. – 8:00 a.m. Checkout (ALL students being picked up must have their parents sign them out and students who drive must sign themselves out of the event)
Please Return by Friday, May 19th, 2017
Iroquois Central School District
PERMISSION FORM
This form must be completed to attend the Girls’ Night Out Sleepover.
I give my child ______permission to attend the
Print First Name/Last Name
Girls’ Night Out Sleepover on Friday, May 19th through Saturday, May 20th at Iroquois Central High School. Students are encouraged to eat dinner ahead of time and to bring extra clothes, sneakers, slippers, pajamas, a sleeping bag, pillow, and personal toiletry items.
______
Date *Parent/Guardian signature
______
Parent PHONE #(s) Emergency Contact Person and phone #
______
Just like any other school event, I agree to abide and adhere to the District’s Code of Conduct during this school event. Any violation of our schools code of conduct will result in disciplinary action and may also exclude me from any future school events.
______
Date Student signature
______
Emergency Medical Authorization:
In the event reasonable attempts to contact me have been unsuccessful, I give my consent to the administration of emergency medical treatment by any licensed physician or dentist and to transport to any reasonable accessible hospital facility.
______
Date *Parent/Guardian signature
______
ID# Health Care Provider
The following must be completed if your child is currently taking medication or has health problems. Please note any health problems, allergies, or medical concerns that teachers need to be aware of for the field trip and if your child is currently on any medication.
______
______Thank you.
My child will require medication on the field trip: YES_____ NO_____
*______
Parent/Guardian signature
IROQUOIS CENTRAL HIGH SCHOOL
“STRIVING TO BE THE BEST”
AMY STANFIELD DOUGLAS BEETOW
Assistant Principal Assistant Principal
(716) 652-3000 Ext. 7500 (716) 652-3000 Ext. 7300
DENNIS G. KENNEY
Principal
(716) 652-3000 Ext. 7000
Dear Parent or Guardian,
According to New York State Law, students taking medications on a field trip need to have a physician’s order stating that the student may self carry and self administer their medication. This includes any prescription drugs, over the counter medication and inhalers. All medication needs to be in its original container, and labeled with the students name. Please fax or send a script from the Doctor to the Health Office as soon as possible.
Thank you for your help in this matter,
Sincerely,
Alison Genders RN
Tel: 995-2444
Fax: 995-2449
e-mail:
Iroquois Central School District
MEDICAL TREAMENT FORM
FIELD TRIPS
Student Name:
Street: City: Zip:
Emergency Contact: ______Telephone: ______
TO WHOM IT MAY CONCERN: I, the undersigned, being the parent, legal next of kin, or legal guardian of , hereby authorize any necessary medical treatment for this person while participating in the IROQUOIS GIRLS NIGHT OUT trip. I guarantee payment for services rendered.
MEDICAL INSURANCE CARRIER:
CONTRACT NUMBER:
HEALTH CONCERNS
1. Allergies: q Food (please state specifics): q Bee q Latex
q Medication q None q Other:
Do you carry Epinephrine? q Yes q No
2. Asthma: q Yes q No Do you carry an inhaler? q Yes q No
3. Diabetes: q Yes q No Attach instructions as needed.
4. Special medical problems. (If none, please state)
5. Does participant require medication that needs to be given during the course of the day? If so please see attached sheet.
(If none, please state)
6. Family Physician or Healthcare Provider:
7. Office Address:
City: State: Zip: Phone:
8. Family Dentist: Phone : ______
*Parent/Guardian Signature: ______
Date: ______
LIABILITY WAIVER
Campfire Chat
· 10:00 p.m. – approximately 11:15 p.m. *MANDATORY FOR ALL
Mrs. Cheney & Mrs. VanMaaren will be running an informal chat for all the girls. They will have a safe and comfortable environment to talk about certain issues: bullying, pressures from relationships, social media, bullying, sexting, date rape, alcohol, etc.
A. Please check the boxes for the topics you would like to discuss or learn more about during the campfire chat.
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¨ Sexting
¨ Sex
¨ Drugs
¨ Alcohol
¨ Food Addictions
¨ Eating Disorders
¨ Homosexuality
¨ Pressures of H.S. School
¨ College
¨ Academic Pressures/ Expectations
¨ Friends/friendships
¨ Dealing with Stress
¨ Peer Pressure
¨ Parents
¨ Domestic Violence
¨ Emotional Abuse
¨ Abusive relationships
¨ Personal Harm/Cutting
¨ Suicide
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B. List any specific questions you would like answered:
______
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