The TRIP MEETING will be Monday, MARCH 16 at the FHS Auditorium 7pm
Medical Forms will be handed out that evening. We would like them filled out during the meeting and turned back in.
A Room list is required by March 6th. Rooms of 4 are required. Boys and Girls will be seperated
The time has come to start preparing for the band trip planned for April 2009. Here is a list of what has been planned to date.
Falmouth High School to Williamsburg, Virginia
April 17-20, 2009
THREE NIGHTS HOTEL ACCOMMODATIONS AT THE CROWNE PLAZA RESORT HOTEL WILLIAMSBURG
THREE FULL AMERICAN BUFFET BREAKFASTS AT THE HOTEL
ONE PIZZA PARTY AT THE HOTEL UPON ARRIVAL, FRIDAY, APRIL 17, 2009
ADMISSION TO DINNER/DANCE ON THE YACHT “JEWEL OF VIRGINIA”, APRIL 18, 2009
ADJUDICATION WITH FESTIVALS OF MUSIC
ADMISSION TO SEE THE VIRGINIA STAGE COMPANY’S PERFORMANCE OF “ELLA”, THE MUSICAL APRIL 19, 2009
SELF GUIDED TOUR OF COLONIAL WILLIAMSBURG, APRIL 18, 2009
ADMISSION TO AN ALL DAY PASS TO BUSCH GARDENS, APRIL 19, 2009 (BASED ON 2008 RATES)
ONE PLATINUM MEAL CARD TO BE USED AT BUSCH GARDENS (BASED ON 2008 RATES)
BUS DRIVER’S GRATUITY
DELUXE VIDEO EQUIPPED MOTOR COACHES WITH LAV AND AC
(TWO 57 PASSENGER COACHES ARE CONFIRMED WITH TREMBLAY’S
TAXES AND GRATUITY ON ABOVE FEATURES
ONE TRAVEL AGENT ESCORT FOR THE DURATION OF THE TRIP (PERKINS TRAVEL AGENCY)
Cost: $577 BASED ON 4 STUDENTS PER ROOM
$608 BASED ON 3 STUDENTS PER ROOM
$669 BASED ON 2 STUDENTS PER ROOM.
This cost is based on 100 students going on the trip. If this number should increase or decrease, the costs are subject to change. The final cost will depend on their placement on the rooming list. There will be a $10 charge for the Budget rental truck to transport the students’ instruments, which is not included in the total cost above. With the participation of fundraisers each student earns points, which turns into dollars towards their personal trip cost, possibly reducing the initial cost. If the few fundraisers remaining have a successful outcome, it could be possible that the amount will be lowered.
The $25 deposit that was asked for earlier this month was towards the down payment for the musical, “Ella” as well as confirmation of your student attending the trip. The next payment of $150 should be turned into me on or before, Thursday, November 13th.
The schedule for the other payments to be turned in is as follows:
January 8th, 2009: $150
January 29th, 2009: $150
February 26th, 2009: remaining balance
Ten chaperones @ $225 per person based on double occupancy will be needed for this trip. If interested please make note on the permission slip.
FALMOUTH HIGH SCHOOL
874 Gifford Street ♦ Falmouth, Massachusetts 02540
♦ ♦ ♦ ♦ ♦ MEDICAL INFORMATION ♦ ♦ ♦ ♦ ♦
The information below is for the director and chaperones to use in case of an emergency.
This form is also a permission form for your son/daughter to go on the trip.
Please fill out completely as we need all the information indicated.
Student’s Name ___________________________________________________ Age _________
(Last) (First) (Initial)
Address ________________________________________________ Date of Birth ___________
Student’s Social Security Number _______________________ Phone # ____________________
Parent or Guardian Name _________________________________________________________
Business Address & Phone ________________________________________________________
Medical Insurance Co. ______________________________ Policy # ______________________
Health History (check all that apply): □ Diabetes □ Orthopedic □ Asthma
□ Epilepsy □ Cardiac Problems □ Other (specify) ________________________________
Allergies (check all that apply) : □ Aspirin □ Penicillin □ Sulfa □ Insect Stings
□ Tetracycline □ Other (specify) ______________________________________________
Current Medications: ____________________________________________________________
Do we have permission to administer to your child? (check) □ Ibuprofen □ Acetaminophen
Date of last tetanus: ________________________
Do you know of any health factor that makes it advisable for your child to follow a limited
program of physical activity or for participation in activities? If yes, please explain:___________
I give permission to the physician or hospital to secure proper treatment of and to order medication, injections, anesthesia or surgery for my child as named above.
Parent/Guardian Signature _____________________________________ Date ______________
♦ ♦ ♦ ♦ ♦ ADDITIONAL INFORMATION ♦ ♦ ♦ ♦ ♦
All school rules pertaining to alcohol, illegal substances, behavior, attendance and homework will be strictly enforced by staff and/or chaperones of Falmouth High School. Any student suspected of any rule violations according to the school handbook will be dealt with in accordance with these rules.
I have read and fully understand the arrangements and regulations pertaining to this trip:
Student Signature Date Parent Signature Date