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~ Coucnester
PUBLIC SCHOOLS
Ap
Overview : This
Pratt D
Colchester Public sohoaig 44-4
plication for Approval of Field Trip” 2] [ 25
Form must be © completed by all staff to request approval o of a Field Trip
1. Complete the form with all applicable documer
3. If approved by the Assistant Superintendent, th
tation and submit ‘0 your Department Head ‘A ony) and your + Administrator
‘The Form must be submitted at least 2 weeks prior to the Field ‘Trip for in-Stata Trips and 10 weeks prier to the Field Trip for Out-of-State Trips.
2. If approved by your Administrator, the form must be sent to the Assistant Superintendent for approval.
}@ form will be sent to the Superintendent for approval.
4. If the Trip is Out-of-State, it will be brought to the e Board of Education at their next t scheduled d Meeting | for approval and: final decision.
instructional Focus--
Is this Trip directly related to curriculum?)
ET
Field Trij >. Information -
Curriculum Unit:
Applicant Name: (1119 dy Bae oh er [Method of Transporation : ~ Schoo { Van 7 Boe
School : B acan oad PIN Bus Service Number :
Grade(s) & Group(s) -ROhah C Si G- (2. Number of Students: 22.
Date(s) of Trip : Apri lL 2-6 209 | Number of Day(s) of Trip: u
Event: Western New England District Championship Ce we qual, fy
Destination : Eastern Stabs
Byonsihon
Phone Number :
HS. 737. 2443
Destination Address : 1305 Memori
ial Ave,
State: MA
Time of Departure from School : esr Springfield
Clothing / Equipment Required :
Time of Arrival to School : See
Team Shirt [Robot / Te Jools
Student Cost Information [
Age Zz
*Cost to Student $ O
Suggested Student Pocket Money .
Supervision Information |
457. 444. (00S
Cell Phone :
4.Name: [OM traisner
2.name: Alan Mocksfield CellPhone: SO. G4, 2992
List all Adult Chaperones: Ratio of adult ¢
1:10 for Grades 6-8 and 1;15 for Grades
Cindy Fraisner
_Othes mentors as ¢
haperones to students must be at least : 1:5 for Grades K-2, 1:8 for Grades 3-5,
9-12 (1 day trips) or 1:10 (overnight trips)
560.705 .9F16S
Ava lable
Admin tor Signatures, tine aes
Applicant (4 a glez fhk Date 3/4/2657
Department Chair (BA only / A 1 Date Approved Denied
Principal/Administrator SH io Cis Date Approved Denied
Assistant Supernterdent Y “ Date Approved Denied
Superintendent 4 JS~ Date eed 2 af 1 test? Denied
Board ofEducation (if appli¢able) Z aoe
Board of Education Meeting Date “Approved Denied
Page 1 Updated October 2024
Field Trip Location: Eqstcrn States fy poerh on
OR __ Spoke with: F1RST arranged
Reference Check: Visited Site On|:
Name of Staff Completing Form : Mi ndy Ha Isner
Grade / Group Attending: 4 Roboncs Team
Specific Curriculum Standards Addre
N/A
ssed by Field Trip:
Assessment of Student Learning:
N/A
List/Attach entire break out of times for each day. Include travel time and all activities
Date/Time Location
Activity
See Attached
Bus Reservation Date
Price of Bus(es) $
Page 2
Updated October 2024
M & J BUS INC. Evuct + 4
TRANSPORTATION REQUEST FORM
PLEASE USE THIS FORM TO REQUEST BUS TRANSPORTATION. ALL ORDERS BEING PAID BY COLCHESTER PUBLIC
SCHOOLS MUST BE ACCOMPANIED BY A PURCHASE ORDER. CALL FOR A PRICE QUOTE. FILL IN THE FORM
BELOW AND FAX IT TO OUR OFFICE AT 860-537-2625. PLEASE SIGN THE FORM AS YOUR APPROVAL TO BOOK
THE TRIP AT THE QUOTED PRICE. WE WILL THEN BOOK THE BUS AND RETURN A SIGNED COPY BY AN M&d
EMPLOYEE TO LET YOU KNOW WE RECEIVED THE ORDER. PRICES ARE SUBJECT TO CHANGE IF THE TIMES OR
DESTINATION OF THE TRIP IS CHANGED IN ANY WAY.
BILLING TIME IS 4 HR BEFORE DEPARTURE TIME AND CONTINUES THROUGH % HR AFTER RETURNING TO
‘DEPARTURE POINT.
TODAYS DATE: 0A | 02 / D> 2
PERSON PLACING ORDER: OWS OL US Ki et non
SCHOOL OR ORGANIZATION: BA
PHONE NUMBR: ( € ) 53 1T-ak 5 1S
One
NUMBER OF BUSES REQUESTED:
TRIP DATE: 41D see PICKUP TIME: — We RM
PICKUP LOCATION: BA
DESTINATION: Big € [305 Mem ozick Ave. Vast Spri eld
TIME LEAVING DESTINATION: (ee . PM
TIME BUS WILL ARRIVE BACK AT PICK UP: — Jeo PM |
DROP-OFF / PICK-UP: ______________, OR BUSTO STAY:
(4HR MINIMUM FOR DROP & PICK / 2 HR MINIMUM FOR BUS TO STAY)
*NOTE—M &J BUS INC. RESERVES THE RIGHT TO REFUSE TO DO TRIPS AS DROP-OFFS &
PICK UPS BASED ON THE LOCATIONS AND TIMES.
BASED ON THE INFORMATION ABOVE, THE COST, PER BUS, FOR THIS TRIP IS:
PURCHASE ORDER #: ————________. OR C.O.D.
M & J BUS INC. AND ITS EMPLOYEES ARE NOT RESPONSIBLE FOR ANY ITEMS LOST, STOLEN, OR LEFT ON
BUS.
TO RESERVE THE BUS/ES FOR THIS TRIP, PLEASE SIGN, DATE, AND FAX BACK TO US AT 860-537-2625
IF YOU HAVE ANY QUESTIONS, PLEASE CALL GREG CORDOVA @ 860-537-2622.
SIGNATURE: DATE:
CONFIRMATION SIGNATURE (M & J BUS INC)
SIGNATURE: DATE:
M&J BUS INC. Evuct HD
' TRANSPORTATION REQUEST FORM
PLEASE USE THIS FORM TO REQUEST BUS TRANSPORTATION. ALL ORDERS BEING PAID BY COLCHESTER PUBLIC
SCHOOLS MUST BE ACCOMPANIED BY A PURCHASE ORDER. CALL FOR A PRICE QUOTE. FILL IN THE FORM
BELOW AND FAX IT TO OUR OFFICE AT 860-537-2625. PLEASE SIGN THE FORM AS YOUR APPROVAL TO BOOK
THE TRIP AT THE QUOTED PRICE. WE WILL THEN BOOK THE BUS AND RETURN A SIGNED COPY BY AN M&J
EMPLOYEE TO LET YOU KNOW WE RECEIVED THE ORDER. PRICES ARE SUBJECT TO CHANGE IF THE TIMES OR
DESTINATION OF THE TRIP IS CHANGED IN ANY WAY.
BILLING TIME IS % HR BEFORE DEPARTURE TIME AND CONTINUES THROUGH % HR AFTER RETURNING TO
DEPARTURE POINT.
TODAYS DATE: | 0A | 04 / A 5
PERSON PLACING ORDER: . SIS of’ UCKi2ecnen
SCHOOL OR ORGANIZATION: 6A
PHONE NUMBR: (§ ) 5AT- £318
oNnee
NUMBER OF BUSES REQUESTED:
TRIP DATE: HY ape PICKUP TIME: __. ; 3 A uM
PICKUP LOCATION: B A
DESTINATION: Bg [05 ) Hemokick Ave Vast Springfield
tN MA
TIME LEAVING DESTINATION: le 06 PH
00
TIME BUS WILL ARRIVE BACK AT PICK UP: 1 PM
DROP-OFF / PICK-UP: OR ~BUSTO STAY:
(4 HR MINIMUM FOR DROP & PICK / 2 HR MINIMUM FOR BUS TO STAY)
*NOTE—M &5 BUS INC. RESERVES THE RIGHT TO REFUSE TO DO TRIPS AS DROP-OFFS &
PICK UPS BASED ON THE LOCATIONS AND TIMES.
BASED ON THE INFORMATION ABOVE, THE COST, PER BUS, FOR THIS TRIP IS:
PURCHASE ORDER #: —_____—— OR C.0.D.
M & J BUS INC. AND ITS EMPLOYEES ARE NOT RESPONSIBLE FOR ANY ITEMS LOST, STOLEN, OR LEFT ON
BUS.
TO RESERVE THE BUS/ES FOR THIS TRIP, PLEASE SIGN, DATE, AND FAX BACK TO US AT 860-537-2625
IF YOU HAVE ANY QUESTIONS, PLEASE CALL GREG CORDOVA @ 860-537-2622.
SIGNATURE: DATE:
CONFIRMATION SIGNATURE (M &J BUS INC}
SIGNATURE: DATE:
M & J BUS INC.
TRANSPORTATION REQUEST FORM
PLEASE USE THIS FORM TO REQUEST BUS TRANSPORTATION. ALL ORDERS BEING PAID BY COLCHESTER PUBLIC
SCHOOLS MUST BE ACCOMPANIED BY A PURCHASE ORDER. CALL FOR A PRICE QUOTE. FILL IN THE FORM
BELOW AND FAX IT TO OUR OFFICE AT 860-537-2625. PLEASE SIGN THE FORM AS YOUR APPROVAL TO BOOK
THE TRIP AT THE QUOTED PRICE. WE WILL THEN BOOK THE BUS AND RETURN A SIGNED COPY BY AN M&J
EMPLOYEE TO LET YOU KNOW WE RECEIVED THE ORDER. PRICES ARE SUBJECT TO CHANGE IF THE TIMES OR
DESTINATION OF THE TRIP iS CHANGED IN ANY WAY.
BILLING TIME IS 4 HR BEFORE DEPARTURE TIME AND CONTINUES THROUGH % HR AFTER RETURNING TO
‘DEPARTURE POINT. ,
TODAYS DATE: | 0A [o3/as
a =
PERSON PLACING ORDER: SWSA U LU bi et nal’
SCHOOL OR ORGANIZATION: BA
PHONE NUMBR: ( g ) 5ST - 24ATs
One
NUMBER OF BUSES REQUESTED: ,
TRIP DATE: HS 5 TRIP PICKUP TIME: (15 AM
PICKUP LOCATION: BA
DESTINATION: BigE 05 Memoriod Ave Upst S rin ell
a a - “yas pa aha
. ood ~~
TIME BUS WILL ARRIVE BACK AT PICK UP: L P M
DROP-OFF / PICK-UP: OR ~BUSTO STAY:
(4 HR MINIMUM FOR DROP & PICK / 2 HR MINIMUM FOR BUS TO STAY)
*NOTE—M &J BUS INC. RESERVES THE RIGHT TO REFUSE TO DO TRIPS AS DROP-OFFS &
PICK UPS BASED ON THE LOCATIONS AND TIMES.
BASED ON THE INFORMATION ABOVE, THE COST, PER BUS, FOR THIS TRIP IS:
PURCHASE ORDER #: _—_—_———-______ OR C.0.D.
M &J BUS INC. AND ITS EMPLOYEES ARE NOT RESPONSIBLE FOR ANY ITEMS LOST, STOLEN, OR LEFT ON
BUS.
TO RESERVE THE BUS/ES FOR THIS TRIP, PLEASE SIGN, DATE, AND FAX BACK TO US AT 860-537-2625
IF YOU HAVE ANY QUESTIONS, PLEASE CALL GREG CORDOVA @ 860-537-2622.
SIGNATURE: : DATE:
CONFIRMATION SIGNATURE (M & 3 BUS INC)
SIGNATURE: DATE:
Evusr
FIRST Robotics District Championships
April 2-5 Eastern States Exposition (Big E)
IF TEAM QUALIFIES!
April 2- Pit Set-Up
SCHOOL VAN- T Praisner will pick Roadie Group of 7 students and 1 additional
mentor will travel to Eastern States Exposition to set up the pit in preparation for
competition. 1 Mentor will drive separately with trailer. Leave Bacon at 3:30 pm
and travel to competition site for pit set up and practice matches from 5-8:00 pm.
Van will leave at 8:00 pm. Group will stop for dinner on the way home and return
to Bacon Academy for parent pick up by 10 pm.
April 3- Team Travel to Eastern States Exposition- School Day
M and J bus will pick students and mentors up at 6:30 am from Bacon Academy
and transport them to Big E competition site. Bus Pick-up will be 6:00 pm and
transport all back to Bacon Academy for a 7:00 pm pick-up by parents. Lunch
and snacks will be provided by the team on site
April 4- Team Travel to Eastern States Exposition - School Day
M and J bus will pick students and mentors up at 6:30 am from Bacon Academy
and transport them to Big E competition site. Bus will pick up at 6:00 pm and
transport all back to Bacon Academy for a 7:00 pm pick up by parents. Lunch
and snacks will be paid for by the team on site.
April 5- Team Travel to Eastern States Exposition
M and J bus will pick students and mentors up at 6:15 am from Bacon Academy
and transport them to Big E competition site. Lunch will be provided by the team
on site. Bus will pick up at 4:30 pm and transport all back to a local Colchester
restaurant for dinner paid for by the team. Parents will pick up from the restaurant
at 7:00 pm.
Supervision Information: ©
Tom Praisner 959 444 1605
Cindy Praisner
nc Mocks eld
‘Jason Belding _ 860-391-1581
: Seth Crampton i 860-681-6075
Bradley Graham
860- 3734 6110