______

12111 NE First Street, Bellevue, Washington98005 / P.O. Box 90010, Bellevue, Washington98009-9010

December 9, 2015

Dear Parents/Guardians,

Thank you for allowing your student to attend the 2016 Latino(a) Educational Achievement Project occuring Thursday, February 4 through February 5, 2016in Tacoma, WA. We are excited for this opportunity and anticipate this will be an enriching experience for your child. The conference attracts over 500 participants from across the state to promote, motivate and inspire Latino/a students to pursue educational careers beyond high school. The conference also trains students to identify and advocate for better educational outcomes in their communities. Your child will have the opportunity to attend interactive educational workshops, learn about educational opportunities and resources for all students, (including 1079 undocumented students,)explore college opportunities, meet and network with Latino role models, and talk to educators and elected representatives at the State level.

All students and chaperones will be staying at the Hotel Murano in Tacoma, WA for one night (2/4). The address is 1320 Broadway Plaza, Tacoma, WA 98402, (253)238-8000. Students will be under the supervision of chaperones at all times.

We will be picking up your students at their respective schools at8am on Thursday, February 4, and dropping them off at their respective schools about 10pm to 10:30pm on Friday, 2/5. Please make arrangements to pick up your student Friday night, 2/5.

The Bellevue School District is paying for all expenses which includes transportation, registration, meals, hotel snacks. Please review the enclosed expectations sheet and note that students are expected to be courteous and respectful at all times. Parents and school officials will be contacted if a student fails to cooperate with the chaperones. Students who do not follow expectations will be barred from future field trips and special school events.

Complete the field trip forms enclosed with this letter and return to the student’s school by January 11, 2016.

We are very excited for your student to attend this conference. Our hope is that he/she will be inspired and moved to succeed in college, career, and life.

In case of emergency during the conference, you may contact:

Shomari Jones, (843)817-9899

If you have any questions before the conference, please feel free to contact me at (425)456-4027.

Sincerely,

Shomari Jones
Director of Equity

(Required reading with your student)

Expectations for Students at LEAP Conference
February 4, 2016 to February 5, 2016

  1. This is a school sponsored trip. You represent your school and the Bellevue School District
  2. Be respectful of others
  3. All District and school policies, rules, regulations, and procedures must be followed. Smoking, drugs or alcohol (use, possession, or being in the same place), and weapons are prohibited.
  4. You must stay with your group. Always let the chaperones know where you are
  5. Follow the directions of the chaperones
  6. Use appropriate language at all times
  7. Listen when others are speaking
  8. Behave appropriately on Bellevue School District vans
  9. Maintain good conduct and appearance
  10. Attend all workshops, sessions, orientations, meetings & ceremonies during the conference
  11. Have a good time, learn and make good connections with other students
  12. Students are expected to submit a post-conference assignment (more details will be given later)
  13. Any misconduct defined as exceptional under Procedure 3241P (Classroom Management, Corrective Actions and Punishment) may result in being sent home at the expense of student’s family.

Student Name: ______

Student Signature: ______

Parent Signature: ______

Procedure 2320P Exhibit C
Parental Authorization and Acknowledgement of Risks for Out-of-State or Overnight Field Trip

Name of Student and Student ID#:
School:
Date(s) of trip: February 4-5, 2015 / Destination: Tacoma and Olympia, WA
Purpose: Attend annual Latino(a) Educational Achievement Project (LEAP)Conference

Shomari Jones is the District employee responsible for the trip and may be accompanied by other District staff and approved volunteer chaperones. They have my permission to do so.

An itinerary for the trip (dates, place of lodging, chaperones, events) etc. is enclosed for your information.

Transportation:

Transportation will be on district vans and leased vehicles. BSD staff will be driving these vehicles.

Please note: School Staff ensure that all drivers and vehicles are approved by the District Transportation Department prior to transporting students.

Emergency

If an emergency situation involving illness and/or injury should arise, the Bellevue district staff member in charge has my permission to seek the aid of medical professionalsfor emergency care.

In the event it becomes necessary for the Bellevue district staff in charge to obtain emergency care for your student, neither s/he nor the Bellevue School District assumes financial liability for expenses incurred because of accident, injury, illness, and/or unforeseen circumstances.

I understand that participation in this field trip is voluntary, that it is not required, and that is exposes my child to some risk(s). I have read and understand the description of the field trip (attached) and authorize my child to participate in the planned components of the field trip. I also understand that participation in the field trip will involve activities off school property; therefore, neither the Bellevue School District, or its employees and volunteers, will have any responsibility for the condition or use of any non-school property.

In the event that unforeseen circumstances arise creating a need for you to contact your student or for information to be relayed to you about an emergency, change in itinerary, etc, an information network has been established. Your contact person is:

Ramika Toms______(425)456-4027______

(Name of person)(Telephone Number)

Student’s date of birth: ______

Address ______Telephone ______

I give permission for ______(name of student) to participate in all aspects of this field trip.

My student’s picture can be taken at this event and used for the purposes of promoting positive student activities within the Bellevue School District: ______yes ______no

______

(Signature of Parent or Guardian)Date

Notice and Waiver

Extended Field Trip Expenses

(Must be used by every participant attending any field trip approval by the Bellevue School District)

Travel Location of Field Trip: Tacoma and Olympia, WA

Date of Field Trip: February 4 to February 5, 2015

Teacher or Staff Member Organizing Trip: Shomari Jones, Director of Equity

Extended field trips can be valuable and educational activities, but because they are optional, those engaging in such activities must do so at their own financial risk should any money related to the trip be lost for any reason. Any student, staff member, chaperone, parent or guardian who elects to attend personally or to send a minor student on a discretionary extended field trip that is planned in accordance with Procedure No. 2320P needs to understand and acknowledge that such trips do get cancelled, interrupted, and/or delayed; that deposits for hotels, tours, or transportation can be lost; and that such risk of loss will be borne by the individuals paying for the trips; and further that the District is not, and cannot be, responsible to reimburse such loss of private payment for school-related trips, nor can District resources be expended in trying to obtain refunds or recover money paid for such travel. The Board of Directors will not approve field trips, “focus” week trips, or any other travel of a similar nature unless those paying for such experiences agree not to seek restitution or reimbursement from the District should they lose money related to such travel.

I, ______, will be attending this extended field trip in the capacity of (check one) ____ student, _____ supervising staff member, _____ chaperone. I understand the financial risks associated with an extended field trip, and I understand that should any money related to this trip by lost, stolen, fraudulently taken, or otherwise not recoverable, regardless of reason, my family and I will have to bear that loss personally and the Bellevue School District will have no obligation for any financial loss related to this trip. I, on behalf of myself, heirs, and assigns, hereby waive any claim(s) against Bellevue School District, its agents, officers, or employees for any financial loss related to the costs of this extended field trip.

Signature ______Date ______

Name, please print ______

If signing for a minor student who is attending this extended field, please give the student’s name:

______

Extended Field Trip Emergency Health Form

Name of student: ______Birthdate ______

Name of parent/guardian: ______

Home address: ______

Phone: (home): ______cell (mother) ______

cell (father) ______work (mother) ______

work (father) ______

email address: ______

student’s physician:______phone: ______

Name, address, and phone number of two people who could be contacted in case of emergency if the parent/guardian cannot be reached (relatives, close friends). These people may provide information regarding where the parent/guardian might be reached, or they might be asked to give advice/permission for medical care. Please notify these individuals that their names have been given for this purpose.

1) Name / 2)Name:
Address / Address:
Phone: / Phone:
Cell: / Cell:

Permission for Emergency Medical Treatment

In the event that I/we cannot be contacted to authorize emergency medical treatment for ______during his/her participation in the camp/field trip, the Bellevue School District staff member in charge of medical care has my permission to authorize emergency medical treatment. I also give permission for school staff to transport my child to a medical treatment center if needed.

Signature of parent/guardian ______Date: ______

Needed in case of emergency:

Name of insurance company: ______

Name of subscriber: ______

Policy # ______

Health Information: The following health conditions can be of concern; please check any that have a problem in the past or are currently a concern. If your student has a life threatening condition (severe asthma, severe allergic reaction, diabetes, seizures, etc.) a Health Care Plan must be attached.

Condition / Past Problem / Current Problem / Please explain
Abnormal Bleeding
Allergies
Please circle type of allergy: food, insects, medication, environmental, other **
Diabetes **
Frequent infections
Heart/circulatory problems
Seizures **
Intestinal problems (including frequent stomach aches, constipation, diarrhea, indigestion, etc. )
Respiratory problems (including asthma, bronchitis) **
Urinary problems (including bed wetting)
Other, please indicate

**Attached Emergency Health Care Plan

Is your child physically able to take part in all trip activities? Yes ______No ______

If no, what limitations are needed? ______

______

Date of last tetanus immunization ______

Medication(s) student is currently taking: ______

If medication(s) is to be taken during the trip, written instructions from the prescribing physician and parental permission must be obtained for each medication. A medication authorization form is attached and must be completed by a physician and returned/faxed to the school nurse. If more than one medication is to be taken, additional copies can be obtained at school. All medications will be kept and dispensed (as ordered by the physician) by a designated school employee. Prescription and non-prescription medication must be sent in the original pharmacy container. Non-prescription (over-the-counter medication) must be clearly labeled with the child’s name, dosage, and time to be given. NO MEDICATION (prescription or non-prescription) CAN BE GIVEN WITHOUT A PHYSICIAN’S ORDER. To accommodate medication needs, all physician medication orders and medication(s) must be to the school nurse by ______.

2016 LEAP Conference Agenda

Conference at a glance (subject to change)
Thursday, February 4
11:00 am / Opening & Welcome at Hotel Murano Tacoma, WA
12:30 pm / Lunch
1:30 pm / Educational Workshops
3:00 pm / Inspire Action: Learning About Civics & Advocacy
4:00 pm / Preparing for LEAP Legislative Day
5:30pm / Dinner
7:00 pm / Student Voices
8:00 pm / End of Day 1
Friday, February 5
7:15 am / Breakfast
8:00 am / Leave for the State Capitol (Olympia)
9:00 am / LEAP Legislative Day
11:30am / Lunch
12:00 pm / Elected Official’s Welcome to Capitol
1:30pm / Inspiring Action
2:30 pm / Break – Return to Hotel Murano
5:30pm / Dinner - LEAP Annual Award Night Celebration
8:30pm / Noche Cultural
9:30 pm / End of Day 2

Top Things to Know for the LEAP Conference

  1. Attire
  2. We encourage all attendees to dress in business casual attire. All attendees should dress in professional attired during Legislative Day.
  3. The State Capitol in Olympic does require walking outside between buildings. Attendees should dress warm and wear comfortable shoes for this day.
  1. Legislative Day
  2. LEAP’s Legislative Day takes place on Friday, February 5 in Olympia.
  3. LEAP will schedule meeting(s) for your group to meet with state legislators during this day.
  1. Meals
  2. BSD will provide lunch on Thursday, Feb 4
  3. Meals offered at the conference include:
  4. Thursday, Feb 4 dinner
  5. Friday, Feb 5 breakfast, lunch, dinner
  1. Translation
  2. LEAP makes every effort to provide all written materials provided at the LEAP conference in English and Spanish
  3. We are unable to provide an interpreter for our Spanish-preferred attendees during general sessions and Legislative Day. Certain workshop and exhibit presentations will be conducted bilingually and will be noted in our program.