HACC Partnership Program Warwick High School and HACC ...

HACC
Founded
in 1964
HACC Partnership Program
Warwick High School and HACC-Lancaster Campus
Tuesday, October 16, 2012
9:45 Arrival at HACC (RE 202)
1 0:00-1 0:30 Welcome
Campus Director of Enrollment Services
HACC Lancaster Campus
Warwick Alumni and Current HACC Students, TBD
Postsecondary Options & HACC Basics
Admissions Recruiter, HACC Lancaster Campus
1 0:30-11 :30 Tours for approximately 1 50 Juniors/Seniors
11 :30-12:00 Lunch in Footnotes Cafe
12:00 Board buses to return to Warwick
PLEASE RETURN BOTTOM PORTION TO THE COUNSELING OFFICE BY TUESDAY, OCTOBER 9, 2012
Trip Destination
Harrisburg Area Community College, Lancaster Campus
Date of Trip Tuesday, October 16, 2012
Time of Departure 9:00 a.m. Estimated Return 12:30 p.m.
Faculty Sponsor
School Counselors
Student's Name
Has permission to participate in the above school-sponsored field trip.
Signature of Parent/Guardian
Date

WARWICK SCHOOL DISTRICT
Lititz, PA 17543
Extra-Curricular Field Trip Permission
Dear Parent/Guardian:
Students participating in an extra-curricular field trip must have parental/guardian permission and
notify the classroom teacher whose classes will be missed prior to the dismissal. It is necessary that students
requesting to go on a field trip meet the following requirements:
• Student who are failing two (2) or more subjects and are not passing four (4) full credits,
or the equivalent, will be considered academically ineligible. Passing grades are 60% or
better.
• Must make arrangements prior to the trip or dismissal for the make-up of missed material
or tests.
• Students with two or more incidents of suspension will not be eligible for extra-curricular
field trip participation.
Students must adhere to all school policies, guidelines, rules, and regulations regarding student
conduct during the field trip.
This form is to notify you, as parent or guardian, of the notice, time and location of a school activity
in which your son/daughter desires to participate and to secure permission for your child to be in such an
activity away from school.
Trip Destination
Harrisburg Area Community College - Lancaster Campus
Date of Trip T_u_e_s_d_a....:y....,.;__o_c_t_o_b_e_r_l_6....:_2_0_1_2 __
Time of Departure 9 :00 a.m.
Estimated Return _....;;;;.;2;;;_;_;3:;_.0;;.._pJ::....:._.m==-·-
Faculty Sponsor S_c_h_o_o_l_C_o_u_n_s_e_l_o_r_s_ __
Student's name
bas permission to participate in the above
school-sponsored field trip or early dismissal.
Signature of Parent/Guardian
Date
Period Teacher's Signature Notification Comments
This form must be returned to the Faculty Sponsor before the designated deadline.

WARWICK SCHOOL DISTRICT
Field Trip Consent Form
Name of Student: ---------------------------------------------
School Building: W_a_rw ic_k H_i_,g"-h_S_c_h_o_ol _
Field Trip:
Harrisburg Area Community College - Lancaster Campus
Date ofTrip: Tuesday, October 16, 2012
As parent and natural guardian of
---,----,-----------·' intending to be legally bound
(Name of Student)
hereby, I grant permission for my child to participate in the field trip noted above. As part of my
consent, I agree to the following:
1. I voluntarily assume any and all risks of bodily injury resulting from my child's participation
in the field trip noted above. I further agree to release and save harmless the Warwick School
District, its officers, directors and employees, from any and all claims, demands or causes of
action that may result from any bodily injury that may occur as a result of any acts of
negligence on the part of the Warwick School District and/or its officers, directors and
employees.
2. I agree that the Warwick School District, its officers, directors and employees, shall be
released and saved harmless from any and all claims, demands or causes of action for damage
to or loss of personal property or possessions that may be lost, stolen or damaged during the
field trip noted above.
3. I authorize any licensed physician, qualified health care professional and/or health care
institution to provide necessary medical treatment to my child who is participating in the field
trip noted above. This consent is intended to authorize emergency medical treatment for my
child for illness or injury without further parental verification. It is my intent that any licensed
physician, qualified health care professional or health care institution may rely upon this
consent form, or a copy thereof, in order to provide necessary and appropriate emergency
medical treatment to my child pursuant to this authorization. Further, I accept full
responsibility for and agree to pay for the cost of such medical treatment.
4. We are beneficiaries of health insurance issued by the following company:
-------------------------
. Our child is entitled to benefits from this health insurer for
necessary and appropriate emergency medical treatment provided to my child in accordance
with this authorization. I agree that the Warwick School District, its officers, directors and
employees shall be released and saved harmless from any and all liability to me or to my child
for claims that can be asserted from medical coverage under our health insurance policy.
Date:
Date:
By:
By:
(Parent/Natural Guardian)
(Parent/Natural Guardian)