Colony High School

Colony High School

Justin Ainsworth, Principal

9550 E. Bogard Rd

Palmer, Alaska 99645

Phone:(907) 861-5510

Fax: (907) 861-5572

February 22nd, 2016

SUBJECT: ARMY JROTC CADET LEADERSHIP CAMP (JCLC) & FRESHMEN ORIENTATION, FORT RICHARDSON, ALASKA 31 May through 04 June 2016:

1. General: The Colony High School (CHS) Army Junior Reserve Officer Training Corps (JROTC) will conduct JCLC and Freshmen Orientation at Fort Richardson from 31 May – 04 Jun 2016. Students should arrive at CHS at 0630 on the day of departure wearing boots, ACU bottom, green JROTC T-shirt and sweatshirt, and JROTC baseball cap. The bus will depart promptly at 0700 Tuesday, 31 May and return to the school at approximately 1600 on Saturday, 04 Jun. The pickup and drop off location is CHS JROTC entry on the backside (southeast corner) of the school.

2. Individuals Authorized to Participate: This camp is open to both male and female students in the Matanuska-Susitna Borough School District who are currently enrolled in JROTC or planning to enroll in JROTC at CHS Fall Semester 2015-2016. Each student planning to attend must be mentally and physically fit to participate in all phases of the camp.

3. Supervision: The Cadets will be supervised by the Army JROTC Instructors, past graduates, and other adult personnel. We will have an adult female chaperone. Male and female Cadets will participate in the same training.

4. Billeting: Students will be housed in barracks and/or tents on Ft. Richardson. Females and female chaperones will be housed in separate tents or a separate section of the barracks, separate from male Cadets and male chaperones.

5. Cost: The cost of JCLC/Freshmen Orientation is $110.00. The relatively low cost is possible through subsidy from the U.S. Army and the CHS JROTC program. This cost includes transportation, meals while at camp, camp tee shirt, sweat suit, ID tags and hat. Payment may be made through https://matsu.schoolcashonline.com/ or in cash or check payable to “Colony High School JROTC.”

Money for snacks, etc. is the responsibility of each Cadet. LARGE SUMS OF MONEY SHOULD NOT BE TAKEN TO CAMP. Cadets should not bring any more than $50.00 in small bills for snack food.

6. Transportation: Department of Defense (DOD) busses and/or other DOD vehicles will be used to transport the Cadets during JCLC/JROTC Freshmen Orientation. Busses will depart CHS at 0700 on Tuesday, 31 May 2015. Busses will return to CHS at approximately 1600, Saturday, 30 May and Cadets must be picked up no later than 1700.

7. JCLC/Freshmen Orientation Activities: Activities are designed to develop self-confidence and teamwork. Contingent upon available resources, students will participate in a variety of activities including, but not limited to the following:

a) Receive a briefing on training activities, camp organization, camp rules and regulations, safety rules and procedures.

b) Receive instruction and practical experience in rappelling, constructing the one rope bridge, and simulated parachute training on the 34-foot jump tower.

c) Participate in land navigation training, compass use, map reading, and a rural orientation course.

d) Participate in recreational activities such as physical fitness training and organized athletics.

e) Negotiate the Confidence Obstacle Course, Drown Proofing (this event is a prerequisite for participating in H2Oasis on the final day), and Leadership Reaction Course.

f) Participate in a U.S. Army Blackhawk Helicopter orientation flight with required signed release form. This will occur on 25 May and we a separate day trip. It is not a mandatory event

8. Clothing and Equipment: Uniform issue will take place from 1430-1700 on 11 and 12 May at CHS’s JROTC Supply Room. If you are unable to make it on one of those days, please call for an appointment. Each Cadet will be issued a combo lock for securing valuables. Cadets may bring electronic devices for use during non-training time at their own risk. Each Student should bring the clothing and individual equipment as outlined on Enclosure 1.

9. Physical Certificate, Medical Care:

a) Each Participant is required to provide the Senior Army Instructor with a parental permission/medical treatment permission and Waiver form, signed by his/her parent or guardian that he/she is physically qualified to participate in all phases or training (see enclosure 2)

b) Emergency medical treatment will be available from the Military Medical Facilities on base.

c) Cadets who become sick or injured while attending camp and cannot participate in training must withdraw from camp. While medical coverage will be provided on an emergency basis, students needing non-emergency treatment will be required to arrange this treatment through their guardian.

10. Family Emergency: Should a family emergency arise while the student is at camp, the family should contact the JROTC instructors at the camp by either coming to the camp or calling the Instructor’s cell phones.

11. Visitors: Parents and family members are invited and encouraged to visit and observe training. Please attempt to coordinate all visits through the instructors 24 hours in advance. Visitors other than parents and family members are not permitted unless they have specific approval from the JROTC instructors on duty. No visitors are permitted after 2200.

12. Refunds and cancellations: Should a student who has paid find that they are unable to attend camp after uniform issue, only half the fee will be refunded to the parent or guardian due to costs already incurred by JROTC. No refunds can be made after May 26th.

13. Suspense/Required Forms: Space is limited and slots are reserved on a first-come, first-served basis. It’s recommended that Enclosures 2-5 be completed and turned into CHS JROTC not later than April 7th to secure a slot. No registrations will be accepted after May 7th which is the day uniforms are issued.

14. Camp Briefing: A briefing for Cadets and parents will be held on the evening of 12 May at 1800 in the JROTC classroom. Attendance is not required, but it is strongly encouraged.

15. Contact information:

LTC (RET) Joseph Cieslo 1SG (RET) Derek Heavener

907-861-5542 (work) 907-861-5549 (work)

907-795-3430 (cell) 907-230-7485 (cell)

JOSPEH CIESLO

LTC (RET, SF)

Senior Army Instructor

Enclosures:

1. Clothing and Equipment. (Page 4)

2. Parental Permission, Medical Treatment Permission and Waiver Forms. (Page 56)

3. Parental Release of Liability Form (Page 7)

4. Permission to travel on Military Aircraft (Page 8)

5. Dog Tag Order Form (Page 9)

ENCLOSURE 1

REQUIRED CLOTHING AND EQUIPMENT

Required Items Student Must Bring To Camp:

Small backpack

Change of clothing (shirt, trousers) (Civilian Clothes)

Underwear for 5 days

1 PR old Running, court, or Cross-training shoes (these shoes will get muddy!)

Jacket

Toilet Articles (Soap, Towels, Washcloth, Toothbrush/Toothpaste, etc)

Swimsuit (WE WILL GO SWIMMING INDOORS) (1-piece swimsuite for females)

Sleeping Bag/Pillow/Twin size fitted sheet

Spending money ($50.00 MAX, Bring in small denomination bills, i.e. 5 dollar bills)

Laundry Bag

Personal Bag for all the above items. Note: Duffel bags issued below will be turned in the day before camp ends.

B. Equipment That Will Be Provided To Each Student *

1 Army ACU Jacket (top)

2 Army ACU Trousers

1 Gortex Jacket (issued at camp if needed)

1 Sweat Suit (student keeps, included in cost of camp)

1 Hat (student keeps, included in cost of camp)

1 Belt

1 Pair of Boots

1 Duffel Bag

1 Lock

2 ACU Tee Shirts

1 Set of ID Tags (Issued 1st day of camp)

1 Pistol Belt, Canteen, Cup, Cover

* The above listed equipment (B) will be issued at the Colony High School JROTC supply room on the 11th and 12th of May from 1430 thru 1700. All Camp fees must be paid and all paperwork complete prior to uniform issue.

Please contact the below with any questions:

LTC (RET) Joseph Cieslo 1SG (RET) Derek Heavener

907-861-5542 (work) 907-861-5549 (work)

907-795-3430 (cell) 907-230-7485(cell)

ENCLOSURE 2 (Page 1 of 2)

PARENT PERMISSION, MEDICAL TREATMENT PERMISSION, & WAIVER FORM

STUDENT NAME:______

STUDENT GENDER(circle): M F .

PAYMENT METHOD(circle): Cash Check Online Other .

NAME, ADDRESS, & RELATION OF NEXT OF KIN:

______

TELEPHONE NUMBERS OF NEXT OF KIN:

(HOME): ______(WORK) ______

EMAIL ADDRESS OF PARENT OR GUARDIAN:______

EMERGENCY POINT OF CONTACT; NOT NEXT OF KIN: (Friend or other Relative)

______

I (We) hereby give permission for my (our) son/daughter/ward to participate in training to be conducted as part of JCLC/JROTC Freshmen Orientation at Fort Richardson, Alaska, 31 May thru 04 Jun 2016.

In consideration for providing such training which includes, but not be limited to use of jump tower, rappelling, use of confidence obstacle course, orientation flights on military aircraft, swimming, hiking, completing a leadership reaction course, and the construction and crossing of rope bridges, I hereby agree to the following in the event of death, personal injury, property damage or loss which occurs to my son/daughter/ward incident to such training:

I (We) hereby will not institute any claim or bring any suit against the United States Government, the Mat-Su Borough School District, the State of Alaska, and Colony High School or to their officers, employees, and agents because of death, personal injury, property damage or loss.

The undersigned consents in advance to whatever x-ray examination, anesthesia, medical or surgical diagnostic procedure or treatment considered necessary in the event of illness or injury suffered. Reasonable efforts will be made to reach the parent or guardian prior to medical treatment. However, non-availability of parental consent will not preclude the performance of those procedures deemed necessary by medical personnel. A medical fee may be charged for such treatment.

ENCLOSURE 2 (Page 2 of 2)

Department of Defense and Cadet Command require that dental records and dental x-ray records be “available” for all Cadets. Check one below.

Parents Has Dental Records______Dentist Has Records______

Pertinent Medical Histories (allergies, current medication, etc.) ______

THE PROVISIONS OF THIS DOCUMENT ARE BINDING ON NOT ONLY ME (US), BUT MY (OUR) AGENTS, HEIRS, AND ASSIGNEES OR ANY PERSON OR ENTITY CLAIMING ON MY (OUR) BEHALF.

Printed Name:______

Signature of Parent/Guardian:______

Sweatshirt Size (circle): S M L XL

Sweatpants Size (circle): S M L XL

T- Shirt size (circle): S M L XL

Shoe size: ______

ENCLOSURE 3

RISK ADVISEMENT

This is intended to alert you to the types of hazards you or your minor child may encounter while participating in the East, Nome, Bartlett and Colony High School JROTC Summer Leadership Camp located at Joint Base Elmendorf Richardson, Alaska. The East, Nome, Bartlett and Colony High School JROTC Summer Leadership Camp includes (but is not limited to) the following activities: Accessing an active military installation, military working dog demonstrations and orienteering, Leader Reaction Course, Jump Tower, drill and ceremony, Obstacle Course, Rappel Tower and drown proofing training and team building activities. East, Nome, Bartlett and Colony High School JROTC Summer Leadership Camp activities pose the risk of bodily injury, including possible serious or permanent injuries or even death, as a result of improper use of safety equipment, equipment malfunction, and/or failing to follow safety instructions. This list is not all inclusive and additional injuries could result from participation in the East, Nome, Bartlett and Colony High School JROTC Summer Leadership Camp.

WAIVER OF LIABILITY / HOLD HARMLESS AGREEMENT

In consideration of the privilege of me or my minor child being allowed to participate in activities associated with the East, Nome, Bartlett and Colony High School JROTC Summer Leadership Camp at Joint Base Elmendorf Richardson (JBER), Alaska, I, ______, on behalf of my, or my minor child’s, family members, dependents, agents, heirs and assigns do hereby:

a. Agree, freely and voluntarily, to not file claim or sue, and to release the United States of America, the United States Army, its employees and agents from any suit, damage action, liability, or claim of any nature, whatsoever, and for any bodily injury, death or damage to personal property, arising from me or my minor child’s participation in East, Nome, Bartlett and Colony High School JROTC Summer Leadership Camp activities on JBER, excluding, however, those arising solely from the intentional misconduct or gross negligence of the United States of America, the United States Army, its employees and agents.

b. Agree, freely and voluntarily, to indemnify, defend, and hold harmless the United States of America, the United States Army, its employees and agents, against all liability, claims, demands, suits, or actions of any nature, whatsoever, for or on account of any bodily injury, death or damage to personal property arising from me or my minor child’s participation in East, Nome, Bartlett and Colony High School JROTC Summer Leadership Camp activities on JBER, excluding, however, those arising solely from the intentional misconduct of the United States of America, the United States Army, its employees and agents.

______

Participant's Name (Printed)

______

Participant’s Signature or Parent/Legal Guardian’s

Signature if Participant is a Minor

______

Date

ENCLOSURE 4

PERMISSION TO TRAVEL ON MILITARY AIRCRAFT

Cadet’s Name: ______

Cadet’s Date of Birth:______

Cadet’s Age: ______

State Issued Identification #: ______

(example: Alaska Driver’s License # 1234567)

Last 4 digits social security #:______

(this is required to access the military installation)

This is to certify that I am the parent or legal guardian of the above named cadet and that I hereby authorize him/her to fly as a passenger on military aircraft while attending Colony High Schools JCLC/Freshmen Orientation on Ft. Richardson, Alaska from 31 May thru 04 Jun 2016.

Date: ______

Signature of Parent/Guardian: ______

Address: ______

City/State/Zip: ______

Phone Numbers: ______

ENCLOSURE 5

Control #______JCLC/Freshmen Orientation Cadet Name:______2016 COLONY HS

PALMER, AK

G.I. DOG TAG ORDER FORM

Military Spec

Please print legibly. Only one character per space. Enter information exactly as you would like it to appear. You can have anything (reasonable) on your dog tags.

Use POS or NEG for Blood types. All text must be appropriate. NO obscenities! Capital letters and numbers only! Extra characters available include, & , - / ´ $