WASHINGTON DC TRIP FOR 8TH GRADERS
MAY 9-11, 2012
COST IS $425.00
PAYMENT SCHEDULE
October 4th-$100.00 deposit and consent form
November 1nd-$100.00 payment
February 1st-$100.00 payment
March 1st-$125.00 payment
Before the March payment your child will receive an itemized statement subtracting out all fundraising credits,
deposits and payments.
THE INITIAL $100.00 DEPOSIT IS NON-REFUNDABLE. TRIP PAYMENTS (OTHER THAN THE INITIAL DEPOSIT)
ARE REFUNDABLE IF THE STUDENT IS EXCLUDED BEFORE MARCH 1ST.
A STUDENT WILL BE ELIMINATED FROM THE TRIP IF THEY ACCUMULATE 20 DC POINTS
OR HAVE 20 ABSENCES FOR THE YEAR.
AFTER MARCH 1ST NO MONEY IS REFUNDABLE.
FUNDRAISERS
August 29th Zap-A-Snacks-students earn 40% of the total sold
October Butter Braids-students will earn percentage
February Candy Bar Sales-students will earn 50%
INFORMATION FROM AUGUST MEETING
Thanks for coming! We have a lot of information to give you this evening regarding your 8th grader’s Washington, D.C. trip.
We depart for D.C. May 9th and return at about 7:30 PM on May 11th. We have 3 exciting, educationally packed
days on the go.
Things to know:
All costs for the 3 days are covered in the cost package. That includes 8 meals, lodging, travel expenses, night time
security guards, entrance fees
for all events, dinner cruise, guides, group photo, subway travel, and 3 T-shirts.
We will be staying at Best Western Hotel, Woodbridge, VA
1-703-494-4433
Payment schedule:
The cost of the trip is $425.00. There are several important dates that you will need to make note of:
Initial deposit: Any student who wishes to attend the trip must make the initial deposit. This reserves the student
a place on the trip (bus, room etc.)
We must have this deposit and intent form for any child hoping to attend.
Initial Deposit of $100.00 and Trip Consent Forms are due October 4th. Please put both the form and your
payment in an envelope to assure that your child gets credit for payment. Please clearly mark the envelopes and
forms with your child’s name and Home Room.
Second trip payment of $100.00 is due by November 1st
Third trip payment of $100.00 is due by February 1st
Final trip payment of $125.00 is due by March 1st Your child will receive an itemized statement subtracting
out all fundraising credit, deposits and payments prior to this date.
The initial $100.00 deposit is non-refundable. Trip payments (other than initial deposit), however, are
refundable if a child is excluded before March 1st.
After March 1st no money is refundable.
Fund Raisers money earned will be subtracted from final payment
QDA Students must come into Welty Office for fundraiser Packets.
1. Zap-A-Snack kick off-Aug 29th- students earn 40% of the total sold.
2. Butter braid kick-off October –students will again earn a percentage.
3. Candy Bar Sale-February
A student will be eliminated from the trip if they accumulate 20 DC Points or have 20 absences for the year.
Some common questions:
Can students take cell phones? YES with a parent permission form and a registration of the cell number.
What about medications? – We will be taking one or two nurses along who will dispense medications to students.
We will have Tylenol, Dramamine, and Rolaids available with proper medication forms filled out by a physician.
Medical forms are attached(AT MEETING).
What Snacks and Foods should they take? – A large baggy of snacks (coordinate with your room mates).
No glass bottles-water only.
Who are the chaperones? – The chaperones are teachers, aides and tutors that work at Welty Middle School.
What about CD players. I-Pods, etc.? – Students may take CD players or I- Pods with headphones.
Each bus is equipped with a television which can play movies.
Staff will be taking G and certain PG movies for students to watch to and from Washington DC.
What should students wear? - Students will be given a specific shirt for each day.
Students may wear shorts or jeans depending on the weather.
Since much of our trip we will be touring on foot it is important that
students wear shoes that they can walk in for some distance.
How much money should they take? – Enough for souvenirs. We suggest no more that $50.00.
The students will be responsible for their own money. All meals are paid for.
So they only need to take enough for a few shirts or sweat shirts,
souvenir pictures, belt buckles and fake Oakley Sunglasses.
August 30, 2011
Dear Parent/Guardian,
If your child requires medication during the Washington DC class trip, please complete the “medication” section
on the attached Welty Middle School – Washington D.C. 2012 form. This form should be returned to school
by November 1, 2011. Medications should be delivered to school by April 4, 2012.
The Ohio Revised Code and school district policy do not permit the administration of over-the-counter
or prescription medication until the proper medication form, containing written parental/guardian request and
written authorization from your child’s physician, has been received. Notes from parents will not be accepted.
School district policy applies during any school activity.
Please remember that all medication must be in a pharmacy labeled bottle for prescription medication
or in the original over-the-counter medication container. Only send the amount of medication needed for the
trip. We will not administer your child’s medication Friday evening as we will be returning home at that time.
If your physician has completed the medication section of the Washington DC form and ordered an
Epi-pen or asthma inhaler, your child will be permitted to carry it. Your child is responsible for carrying it and
they are prohibited from giving it to another student to handle.
Please give all morning medication to your child on the day we leave for Washington DC.
If your child needs food with their medication, please send the necessary number of snacks with them and
remind them to have them available.
For further information, please refer tot the Parent/Student handbook section entitled “Administering
Medication at School”.
Thank you for your cooperation in adhering to the school’s policy. Please feel free to contact me
at the school should you have any questions.
Sincerely,
Mary Newman RN, BSN, MEd
School Nurse
____________________________________________________________________________________________________________________________
WELTY CLASSROOM # _______ DC BUS #________
DC ROOM #________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Welty Middle School---Washington D.C. 2012
(please complete entire form and print information)
__________________, ____________________ _________________________ ____________
(Student Last Name) (First Name) (Address) (Date of Birth)
__________________________________ ______________________ ______________________ ______________________
(Parent/Guardian Name) (Home Phone) (Work Phone) (Cell Phone)
__________________________________ ______________________ ______________________ ______________________
(Parent/Guardian Name) (Home Phone) (Work Phone) (Cell Phone)
*MUST LIST 3 ADULT EMERGENCY CONTACTS- (NAME) (NUMBER) (RELATIONSHIP)
Emergency Contact # 1_____________________________________ __________________________________ _______________
Emergency Contact # 2_____________________________________ __________________________________ _______________
Emergency Contact # 3_____________________________________ __________________________________ _______________
Insurance Company_____________________________ Policy/Group #________________________
PHYSICIAN_________________________________________NUMBER____________________________ Date of last Tetanus
DENTIST _________________________________________NUMBER____________________________ ________________
Facts concerning the child’s medical history (health problems/concerns), including allergies (food & medication), medications being
taken and any physical impairment to which we should be alerted to: _____________________________________________________________________________________________________
In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for (1) the administration of any
treatment deemed necessary by a licensed physician or dentist; and (2) the transfer of the child to any hospital reasonably accessible.
This authorization does not cover major surgery unless the medical opinions of two licensed physicians or dentists, concurring in the
necessity for such surgery, are obtained prior to the performance of such surgery.
Parent Signature____________________________________________________Date_________________
PLEASE DO NOT DETACH
This form MUST be completed by both the parent/guardian and physician for any medication to be administered
MEDICATION –If your child needs daily medication, please be sure he/she has a supply only for the duration of the trip.
If medication is left at home or lost, the child will have to wait until they return home to receive the medication.
All medication must be in the original prescribed or original over-the-counter container and clearly labeled
with the student’s name, name of medication, time and dosage to be given. All medication will be carried
and dispensed by the nurse (or appointed chaperone) accompanying the students. This information will remain
confidential. If your child uses an inhaler or Epipen, he/she will be permitted to carry it however, this form must be
completed as directed. The inhaler/Epipen should be clearly labeled with the information
stated above.
Medication_______________________________________Dose__________________________________Time_________________
Medication_______________________________________Dose__________________________________Time_________________
Medication_______________________________________Dose__________________________________Time_________________
In case of minor aches, pains, fever: Tylenol (acetaminophen) 2 tabs (325mg each) every 4 hours as needed may be given.
must circle: No or Yes (requires doctor signature below)
In the event of a minor allergic reaction due to bee sting, etc.: Benadryl (diphenhydramine hcl) 1 tab (25 mg) every 4 hours
as needed may be given.
must circle: No or Yes (requires doctor signature below)
In the event of an upset stomach: TUMS (calcium carbonate) 2 tabs (750 mg each) every hour as needed may be given -
not to exceed 8 tablets in a 24 hour period.
must circle: No or Yes (requires doctor signature below)
***(Tylenol, Benadryl and TUMS (or generic equivalent) will be provided—please do not send these with your child)
Parent Signature_______________________________________________________ Date____________
Physician Signature ____________________________________________________ Date ________