Delta Middle School Field Lesson

Washington DC and New York City

Sponsored by Hailey Hancock, or 970-874-8046

Organization: Close Up Foundation,

Due to Mrs. Hancock by September 26, 2012

STUDENT, GUARDIAN, SPONSOR, AND PRINCIPAL RESPONSIBILITIES

Student Responsibilities –

  • Behave in a respectful, responsible and safe way at all times
  • Be aware of other members on the DMS team, and take care of each other
  • Learn actively and ask questions
  • Fundraise and make all payment deadlines
  • Arrive at meetings on time or let me know ahead of time if you’ll be late or absent

Guardian/Chaperone Responsibilities –

  • Behave in a respectful, responsible and safe way at all times
  • Fundraise and make all payment deadlines
  • Support your student and the DMS team; follow all school rules
  • If you are chaperoning the trip, you are fully responsible for your student only
  • Arrive at meetings on time or let me know ahead of time if you’ll be late or absent

DMS Staff Sponsor Responsibilities –

  • Behave in a respectful, responsible and safe way at all times
  • Be aware of other members on the DMS team, and take care of each other
  • Learn actively and ask questions
  • Arrive at meetings on time
  • Enroll participants, organize the Close Up itinerary and travel plans, and share Close Up information with the DMS team
  • Supervise students and serve as a liaison between students and guardians, while preparing for and attending the program

Principal Responsibilities –

  • Behave in a respectful, responsible and safe way at all times
  • Review the sponsors itinerary and travel plans
  • Provide opportunities for the DMS team to meet and fundraise on Delta School District property
  • Ensure that the field lesson does not interfere with students academics, attendance or behavior (includes meetings and fundraising)
  • Makes the final decision on student are eligibility to attend the field lesson
  • Students who are suspended or expelled from school during the 2012-2013 school year may lose the privilege of attending the field lesson
  • Support the student, guardian and sponsor relationships

STUDENT, GUARDIAN, DMS SPONSOR AND PRINCIPAL CONTRACT

All students, guardians, and the DMS sponsor, Hailey Hancock, promise to follow the Delta Middle School and Delta County School District rules outlined in the student planners while preparing for and participating in the field lesson. Students, guardians, and Mrs. Hancock are expected to meet payment deadlines, uphold their school responsibilities, and behave respectfully at all times while preparing for the field lesson and during the field lesson. If there are any issues, a meeting with the student, guardians and Mrs. Hancock will be scheduled with Delta Middle School’s principal, Mrs. Koceski.

While participating on the field lesson, if a student violates any school rules, Mrs. Hancock has permission to notify the guardians that the student is being sent home, on their own, at the expense of the guardians. Once a student has violated the terms of this contract, Delta Middle School and the sponsor, Hailey Hancock, are no longer legally responsible for the student.

If you agree to meet the responsibilities listed on page 1, and if you agree to the contract explained on page 2, print, date, and sign your name below.

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Print Student NameDateStudent SignatureDate

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Print Guardian NameDateGuardian SignatureDate

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Print DMS Sponsor NameDateDMS Sponsor SignatureDate

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Print Principals NameDatePrincipals SignatureDate

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