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Colchester Public Schools
Application for Approval of Field Trip
Overview: This form must be completed by all staff to request approval of a field trip.
Directions:
1. Complete the form attaching all applicable documentation and submit to your administrator. The application
must be submitted at least two weeks prior for in-state field trips, and two weeks and two months prior for
out-of-state trips.
2. The Administrator will recommend or not recommend. If approved, the form must be sent to the
Superintendent.
3. The Superintendent will either recommend or not recommend and will bring to the Board of Education if the
request is for an out-of-state field trip.
4. \f applicable, the Board of Education reviews and makes the final decision.
Today’s Date:
Field Trip Information
Applicant Name: Marin ne Chene a Method of Transportation: N/ 4
School: B A -Choose-Schoot =) Bus Service Number(s) (if applicable):
Grade(s) and Group(s): Number of Students: yy
Date(s) of Trip: 3 le i oe 44. i o. Number of Day(s) of Trip: e
Event: ; \
AW STATE MuSic Tech vat a
Destination: one Number:
eral Convention Conk
eae ae mbus$ Blvd. State: Cr
(for each destination): Herd CAE.
Time of Departure From School: Special Clothing and/or Equipment Required:
Wi
Time of Arrival Back at School: On Lert ave
Student Cost Information
*Cost to Student: $ () Suggested Student Pocket Money: $ i)
Su pe rvision Information (List names of all employees, other chaperones, and cell phone number for each)
Cell Phone:
2. Name: Cell Phone:
List all adult chaperones: Ratio of adult chaperones to students must be at least: 1:5 for Grades K-2, 1:8 for Grades 3-5; 1:10 for
Grades 6-8; and 1:15 for Grades 9-12 (one-day trips) or 1:10 (overnight trips)
Applicant Signature A ie /
VN ae
Administrator’s ie 2 | Recommended Not Recommended
Superintendent’s Signature f y | Recommended Not Recommended
Board of Education % appiicapie)
Board of Education Meeting Date: Not Recommended
Bus Information
Bus Reservation Date: Price of Bus(es): $
Las
*If a trip to a foreign country, please complete and attached the CIRMA insurance application and notify parents of coverage Last Updated 5/27/21
Field Trip Instructional Plan
Colchester Public Schools
Field Trip Location(s): EAL Stoke. MuStz Eeck va
Reference Check: Visited site on: or Spoke with:
Name: Maviane Chenen Grade/Group: S¢ lected Sings
(Teacher(s) completing this form) al
Instructional Focus of Trip
e This field trip is directly related to curriculum Yes No
¢ Curriculum Unit(s): tek yak ania Pachon_,
e Specific Curriculum Standards Addressed by Field Trip (please refer to CT Core and disciplinary standards):
orhrmanw.
HWworkeng wt. Chinivians
Assessment of Student Learning (describe or attach the work students will complete upon their return to
mis ts the higheo level Ensembl, stedunte car lee in wee,
ce ecudichoncd t were acecPted. they Wild Sire, wn WS.
Baber Lom oli wurd~ Stale work wih a hired gue aorduc
and o-fler 3 dogs of Chuarsae Give & QUbIC Pere ian.
Trip Agenda/Activities: List/attach entire break out of times for each day. Include travel time and all activities.
Attach additional sheet ifneeded. <9 Attached _
DATE/TIME LOCATION ACTIVITY
Approvals: Approved Denied
Department Chair (High School Only) Date
ga. frre 7 Approved Denied
Principal Date
Ha yl |
€ Approved Denied
Director of Teaching and Learning Date ;
Undated 5.27.21
Field Trip Instructional Plan
Colchester Public Schools
Field Trip Location(s): _ +A\_ Ske MUS. “Fechva
Reference Check: Visited site on: or Spoke with:
Name: Mavi Ane Chenen Grade/Group: 3? tected Sing Us
(Teacher(s) completing this form) J
Instructional Focus of Trip
e This field trip is directly related to curriculum Yes [ ] No
© Curriculum Unit(s): tesk yak Faia pacon
e Specific Curriculum Standards Addressed by Field Trip (please refer to CT Core and disciplinary standards):
“Porhrman w.
“Wo Cena, wot CKinicians
Assessment of Student Learning (describe or attach the work students will complete upon their return to
ris is tha highes level Unsembl, studunte can bee is awn ce
ey ecudchoned t were acecPted they Wilt Sing won WS.
Shdunr fom ol over A State, work wit a hired Guest Zoreuch
and after 2 dofs af Cluarne give o Qubliiperfreiane.
Trip Agenda/Activities: List/attach entire break out of times for each day. Include travel time and all activities.
Attach additional sheet if needed. See Pttachedl _
DATE/TIME LOCATION ACTIVITY
Approvals: Approved Denied
Department Chair (High Schoo! Only) Date
a
Ro /; /,
3, epee ~| Approved Denied
Principal Date
as We Be
| Approved Denied
Director of Teaching and Learning Date |
Undated 5.27.21
All State festival schedule 2022 AT-A-Glance
Thursday 3/31/22 a4 stderty Loill be dro ped off
Student registration/Luggage Drop Off, Ballroom B - 9:00-10:00 AM x buy fp Cun*
General Meeting - 10:00-10:30 AM
Rehearsals - 10:45-12:45 PM
Lunch - 1:00-2:00 PM
Rehearsals - 2:15-5:00 PM
Dinner - 5:15-6:15 PM
Meet with chaperones, get room keys, move luggage to room - 6:40-8:00PM
Activity - Movie Night! - 8:00 PM
Lights out - 10:00 PM
Friday 4/1/22
Breakfast - 8:00-9:00 AM
Rehearsals - 9:15-12:30PM
Lunch - 12:45-1:45
Rehearsals - 2:00-5:00 PM
Dinner - 5:15-6:15 PM
Activity - Performance by Mariachi group Flor de Toloache - 8:00 PM
Lights out - 10:00 PM
Saturday 4/2/22
e Breakfast - Mixed and Treble Choirs - 7:15-8:00 AM, Orchestra/Jazz/Band - 8:00-8:45 AM
Mixed Choir
Warm Up/Line Up procedures - 8:15-8:45 AM
Dress Rehearsal - 9:00-9:30 AM
Change and Check Out - 9:45-10:45 AM
Lunch - 11:00-11:45 AM
Warm Up/Line Up - 12:00-12:45 PM
Concert - 1:00PM
Treble Choir
Dress Rehearsal - 8:15-8:45 AM
Warm Up/Line Up procedures - 9:00-9:30 AM
Change and Check Out - 9:45-10:45 AM
Lunch - 11:00-11:45 AM
Watch Dress Rehearsal - 12:00-12:45 PM
Concert - 1:00 PM
eoceceee
Jazz Band
° Change and Check Out - 9:00-9:45 AM
° Watch Dress Rehearsal - 10:00-10:45 AM
° Lunch - 11:00-11:45 AM
e Dress Rehearsal - 12:00-12:45 PM
e — Concert - 1:00 PM
Orchestra
° Change and Check Out - 9:00-9:45 AM
° Dress Rehearsal - 10:00-10:45 AM
e Watch Dress Rehearsal - 11:00-11:45 AM
. Lunch - 12:00-12:45 PM
° Concert - 3:30 PM
Change and Check Out - 9:00-9:45 AM
Watch Dress Rehearsal - 10:00-10:45 AM
Dress Rehearsal - 11:00-11:45 AM
Lunch - 12:00-12:45 PM
Concert - 3:30 PM
Field Trip Cost Form
Date(s) of Trip: 3]2 (2 Al@
Event: /A\\ Stake Music Feetivat_
M&J Bus(es) ONLY
Number of Students: Estimated Hours for trip:
mi (Add 1 hour pre/post trip)
Number of Buses:
Per Student Calculations:
M&J Bus(es) ONLY Coach Bus(es) ONLY
Admission per student:
Miscellaneous Fees per student:
Total admission and miscellaneous fees:
Cost of Bus
Total Field Trip *Cost per Student:
Additional Costs:
Number of Substitute Teachers Oe ( ae ya “ey \
Rate per Day
Special Education costs
Cost Associated if Nursing Required
Total *Cost to District: oy . 1
Tom _Musiz. bude
Total *Cost of Trip:
Loo
Alternate funding for trip provided by:
*Insert these costs on the accompanying Field Trip Application
Form updated 5.27.21
Festival Billing Invoice
CMEA All-State Festival
Bacon Academy Total Amount Due: $3115.00 Mail payment to:
611 Norwich Ave. Payment Postmark Deadline: 3/8/2022 CMEA All-State Festival
Colchester, CT 06415-2142 Make checks payable to CMEA PO Box 174
Cromwell, CT 06416-0174
Band Choir Orchestra Jazz
Olivia Ignazio (Alto)
Jordan Malloy (Alto)
Kristine Robida (Alto)
Jordan Rodgers (Alto)
Matthew Guerriere (Bass)
Kelly Goodwin (Soprano)
Scott Kardys (Tenor)
$0.00 $3115.00 $0.00 $0.00
| hereby certify that these students attend this school and are eligible to participate in this event as Total Amount Due: $3115.00
described in CMEA student festival policy.
Teacher's Name:,
Teacher's Signature:
Vi