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Colchester Public Schools
Application for Approval of Field Trip
I ’ U H H L : $ 1 I K XH S
“ m u n . ‘ M 1..
O v e r v i e w : T h i s f o r m m u s t b e c o m p l e t e d b y all s t a f f t o r e q u e s t a p p r o v a l o f a field trip.
[ u m E G m n'
Directions:
1. C o m p l e t e t h e f o r m a t t a c h i n g all a p p l i c a b l e d o c u m e n t a t i o n a n d s u b m i t t o y o u r a d m i n i s t r a t o r . T h e a p p l i c a t i o n
m u s t b e s u b m i t t e d at least t w o w e e k s prior for in-state field trips, a n d t w o w e e k s a n d t w o m o n t h s prior for
out-of-state trips.
2. T h e A d m i n i s t r a t o r w i l l r e c o m m e n d o r n o t r e c o m m e n d . If a p p r o v e d , t h e f o r m m u s t b e s e n t t o t h e
Superintendent.
3. T h e S u p e r i n t e n d e n t w i l l e i t h e r r e c o m m e n d o r n o t r e c o m m e n d a n d w i l l b r i n g t o t h e B o a r d o f E d u c a t i o n if t h e
r e q u e s t is f o r a n o u t - o f - s t a t e field trip.
4. if a p p l i c a b l e , t h e B o a r d o f E d u c a t i o n r e v i e w s a n d m a k e s t h e f i n a l d e c i s i o n .
Today’s Date:
Field Trip Information
Applicant Name:
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cowl/Hy L m y u t t j Ti [M (éw‘fm Method of Transportation: (L 0 k ,
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School: School @ a 5 3 h B u s S e r v i c e N u m b e r ( s ) (ifapplicab/e):
Choose
Grade(s) and Group(s): ID—FLgmé é €14 oi r
N u m b e r of Students: ’76’ TR B
Date(s) of T r I p A
l ¢ p DW ’ s N u m b e r of Day(s) of Trip:
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Event
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Destination. r Phone Number
Vii/:4 a?) i a s
Address’
‘L W State:
(for e a c h destination)
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Time of Departure From School
é rk Special Clothing and/or Equipment Required:
§£an
T i m e of Arrival Back at School mA— W 5
Student Cost Information
*Cost to Student: $ / ¢ 6—0 . a o Suggested Student Pocket Money: $
s u p e r V i S i o n l n f o r m a t i o n (List n a m e s o f all e m p l o y e e s , o t h e r c h a p e r o n e s , a n d cell p h o n e n u m b e r f o r e a c h )
' A n n n p M W Cell Phone: 1 0 3 ’ 7 3 8 - 7 3 8 ;
2. N a m e : M ( 4 a r \ Klrw WV} Cell Phone: 3 & 0 - B 3 Y ‘ v € 4 ? Y
List all adult chaperb-I‘es: Ratio of adult chaperones to students m u s t be at least 1 5 for Grades K 2 1 8 for Grades 3 5 1:10 for
G r a d e s 6-8; a n d 1:15 for G r a d e s 9 1 2 (one d a y trips) or 1 1 0 trips
’ t - m i \,\ & t 5 C o c S s G ‘ H A — c / O M A S (/0 M
natal w e C O A L h a r p — H u — 6 0 / r t Jf' W M O W V E ‘
Administrator Signatures
Applicant Signature
M W
Administrator’s Signature ' @ w / V Recommended Not Recommended
Superintendent’s Signature Recommended Not Recommended
B o a r d o f E d u c a t i o n (ifappiicabie)
Bus information
*If a trip to a foreign country,
please complete and attached the C I R M A insurance application and notify parents of coverage
Field Trip Instructional Plan
Colchester Public Schools
Field Trip Location(s): V l m Ir1 l A t V b
Reference Check
(J
VISited site o n or Spoke w i t l / x l V d ‘ v M W i
Name M / V M / Grade/Group: [ O —’ / 2..
T e a c h e r s) completing this form)
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Instructional Focus o i
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o T h i s field trip Is directly r e l a t e d t o c u r r i c u l u m Y
o Curriculum U m t ( s W £ f $ rmand OO Mw/‘Yhd'h [4% @ w ‘ h 6 N
o SpeCIfic Curriculum Standards Addressed by Field Trip (please refer to CT Core and diSCiplinary standards):
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Juégts W 3 93M ( c a l m A, mirzj as welt 6 k c k
A s s e s s m e n t of S t u d e n t L e a r n i n g (describe or attach t h e w o r k s t u d e n t s Will c o m p l e t e u p o n their return to
o
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convey the learning)
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T r i p A g e n d a / A c t I V I t I e s . L i s t / a t t a c h e n t i r e b r e a k o u t o f t i m e s f o r e a c h d a y . I n c l u d e t r a v e l t i m e a n d all activities.
A t t a c h a d d i t i o n a l s h e e t if n e e d e d .
DATE/TIME LOCATION ACTIVITY
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rovals 9 e to q P m Denied
Department Chair High School Only
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Date
, VApproved Denied
PrinCIpal
Approved Denied
Assistant Superintendent Date
iimmpd a 7 7m:
U P D A T E B 9/3/24
BACON ACADEMY VIRGINIA BEACH ITINERARY
A P R I L 2-6, 202 5
W E D N E S D A Y , A P R I L 2, 2 0 2 5
5:30AM BUSES ARRIVE AT BACON ACADEMY TO LOAD GROUP
6:30AM DEPART BACON ACADEMY WITH REST & MEAL STOPS ENROUTE (ON OWN)
6:00PM APPROXIMATE ARRIVAL AT THE DELTA HOTEL VIRGNIA BEACH WATERFRONT FOR CHECK-IN
7:00PM PIZZA PARTY AT THE HOTEL (INCLUDED)
8- 1 0 : 0 0 P M REHEARSALS AT THE HOTEL
10:30PM SECURITY G U A R D S WILL BE O N D U T Y ~ 10:30PM TO 4:30AM
T H U R S D A Y , A P R I L 3, 2 0 2 5
8:30AM WAKE UP
9:30AM BREAKFAST AT THE HOTEL (INCLUDED)
11:00AM GROUP WILL BOARD BUS AND DEPART THE HOTEL FOR COLONIAL WILLIAMSBURG
12:00PM A P P R O X I M A T E ARRIVAL IN COLONIAL W I L L I A M S B U R G W H E R E Y O U WILL H A V E L U N C H PRIOR
TO YOUR TOUR (YOUR TICKET PROVIDES ADMISSION TO THE EXHIBITION
BUILDINGS, COLONIAL TRADE SHOPS AND COLONIAL HOMES. ALSO, INCLUDES ADMISSION TO
THE GOVERNOR’S PALACE AND THE ART MUSEUMS.)
1:45-4:45PM GUIDED TOUR OF COLONIAL WILLIAMSBURG TO BEGIN (STARTING POINT TBD)
5:00PM B O A R D B U S A N D D E P A R T C O L O N I A L W I L L I A M S B U R G F O R C A P T A I N G E O R G E ’ S (5363 R I C H M O N D
ROAD, WILLIAMSBURG)
5:30PM DINNER AT CAPTAIN GEORGE’S SEAFOOD RESTAURANT (INCLUDED)
7:00PM BOARD BUS AND DEPART CAPTAIN GEORGE’S FOR THE HOTEL
8:30PM APPROXIMATE ARRIVAL AT THE HOTEL
10:30PM T W O KNIGHTS W A T C H SECURITY G U A R D S WILL BE O N D U T Y — 10:30PM TO 4:30AM
F R I D A Y , A P R I L 4, 2 0 2 5
6:OOAM WAKE UP
7:OOAM BREAKFAST AT HOTEL (INCLUDED)
8:OOAM G R O U P WILL B O A R D BUS A N D D E P A R T H O T E L F O R T A L L W O O D HIGH S C H O O L IN C O N C E R T
ATTIRE
FESTIVAL VENUE: TALLWOOD HIGH SCHOOL
1668 K E M P S V I L L E R O A D
VIRGINIA BEACH, VA.
CONCERT CHOIR W A R M UP TBA A M
CONCERT CHOIR PERFORMANCE TBA A M
TBA AM GROUP WILL BOARD BUS AND DEPART TALLWOOD HS FOR LUNCH EITHER AT MCDONALD’S OR
THE LYNNHAVEN MALL FOOD COURT — PENDING TIME BEFORE NEXT PERFORMANCE
CONCERT BAND W A R M UP TBA PM
CONCERT BAND PERFORMANCE TBA PM
3: 1 5 P M GROUP WILL BOARD BUS AND DEPART TALLWOOD HIGH SCHOOL FOR THE HOTEL
3:45PM APPROXIMATE ARRIVAL AT HOTEL FOR BEACH TIME
6:00PM BOARD BUS AND DEPART THE HOTEL FOR DINNER AT GOLDEN CORRAL VIRGINIA BEACH) —
PLEASE BE SURE TO WEAR CLOSE TOED SHOES TO RIDE THE GO-KARTS
6:30PM DINNER AT THE GOLDEN CORRAL (INCLUDED)
7:45PM GROUP WILL BOARD THE BUS AND DEPART THE GOLDEN CORRAL FOR MOTOR WORLD
8-10:00PM T W O HOURS OF UNLIMITED GO—KART RIDES AND MINI GOLF AT MOTOR W O R L D
10:00PM GROUP WILL BOARD BUS AND DEPART MOTOR WORLD FOR THE HOTEL
10:30PM APPROXIMATE ARRIVAL AT THE HOTEL
10:30PM SECURITY G U A R D S WILL BE O N D U T Y — 10:30PM TO 4:30AM
S A T U R D A Y , A P R I L 5, 2 0 2 5
7:00AM WAKE UP
8:00AM BREAKFAST AT THE HOTEL (INCLUDED)
9:00AM BOARD BUS AND DEPART THE HOTEL FOR BUSCH GARDENS
10:00AM APPROXIMATE ARRIVAL A T B U S C H G A R D E N S W H E R E Y O U VVILL ENJOY T H E D A Y IN THE P A R K
(PARK HOURS: 10AM TO 9PM)
*YOU WILL BE GIVEN ONE FOOD STAND VOUCHER TO BE USED AT THE PARK FOR LUNCH OR DINNER*
TBA PM AWARDS CEREMONY AT THE ROYAL PALACE AMPHITHEATRE HOSTED BY FESTIVALS OF MUSIC
9:00PM BOARD BUS AND DEPART BUSCH GARDENS FOR THE HOTEL
10:15PM APPROXIMATE ARRIVAL AT THE HOTEL
10:30PM T W O SECURITY G U A R D S WILL BE O N D U T Y — 10:30PM TO 4:30AM
S U N D A Y , A P R I L 6, 2025
6:30AM WAKE UP
7:30AM BREAKFAST AT THE HOTEL (INCLUDED)
8:30AM G R O U P VVILL START CHECKING O U T OF Y O U R B E D R O O M S A N D L O A D I N G THE BUS
9:00AM BOARD BUSES AND DEPART THE HOTEL FOR BACON ACADEMY WITH REST/MEAL STOP ENROUTE
(ON OWN)
8:30PM APPROXIMATE ARRIVAL AT BACON ACADEMY
*PLEASE NOTE ALL TIMES ARE APPROXIMATE AND SUBJECT TO CHANGE AT ANYTIME FOR ANY REASON.*
THE FEDERAL M O T O R CARRIER SAFETY ADMINISTRATION HAS I M P L E M E N T E D ELECTRONIC L O G S IN ALL
COACH BUSES. THIS WILL TAKE THE PLACE OF THE PAPER L O G BOOKS. THE PURPOSE OF THE
E L E C T R O N I C L O G S IS T O E N F O R C E T H E L E G A L I T Y O F T H E B U S D R I V E R H O U R S . B U S D R I V E R S C A N
L E G A L L Y B E O N D U T Y F O R 15 H O U R S IN O N E D A Y W I T H 10 O F T H O S E H O U R S D R I V I N G . T H E Y M U S T H A V E 8
H O U R S O F F B E T W E E N T H E 15 H O U R S O N D U T Y D A Y . T H E 10 H O U R S O F D R I V I N G I N C L U D E A L L T H E H O U R S
A DRIVER HAS DRIVEN IN A DAY, N O T JUST THOSE H O U R S RELATING T O T H E ITINERARY.
WHERE YOU ARE STAYING:
DELTA HOTEL VIRGINIA BEACH WATERFRONT
2800 S H O R E DRIVE
VIRGINIA BEACH, V A 2345 1
TEL: 757-48 1-9000
Field Trip Cost F o r m
I "6"
Date(s) of Trip:
A g m Q
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vent:
Vii/[1V1 gwd/v @hmf % g/o/4cj
M & J Bus(es) O N L Y
N u m b e r of Students' E s t i m a t e d H o u r s for trip
% b _, 7 e ;
( A d d 1 h o u r p r e / p o s t trip
N u m b e r of Buses:
a
Per Student Caiculations:
M&J Bus(es) O N L Y Coach Bus(es) O N L Y
Admission per student:
Miscellaneous Fees per student:
Total admission and miscellaneous fees:
Cost of B u s
Total Field Trip *Cost per Student:
Additional Costs:
N u m b e r of Substitute Teachers g
Rate per Day
Special Education costs
C o s t A s s o c i a t e d if N u r s i n g R e q u i r e d
Total *Cost to District:
Total *Cost of Trip:
Alternate f u n d i n g for trip provided by:
é? ’hmdFCLiSil/l ‘
§&A(ie/WT$
*lnsert these costs on the a c c o m p a n y i n g Field Trip Applicatio
F o r m updated 5.27.21