AMS%2C%20TSA%2C%20April%202-5%2C%202025.pdf

Parent document: School Board Regular Business Meeting-01-28-2025.pdf

Text

Docusign Envelope ID: CA87D617-6A55-4341-BC94-4635A0CE5369

FS P-101
~ w= vw Edmonds Request for Field Trip, Excursion,
=== School District or Outdoor Education

This form is being submitted pursuant to Policies 2320 Field Trips, Excursions and Outdoor Education and related
procedures; 6622 Student Transportation and related procedures.

Instructions
Originator:
* Completes form, via DocuSign
¢ Submits to principal for review

os
Principal
* Reviews form for compliance to policies and procedures 2320 and 6622
* Signs at bottom

When complete, principal sends to administrative assistant for elementary (megiek280@edmonds. wednet.edu) or secondary
(andersonl@edmonds.wednet.edu) education to the next scheduled board meeting.

Name of school/program: Alderwood Middle School/ CTE

Group: TSA Destination: Spokane

Date(s) of trip: April 2-5, 2025 Number of students: 13

Number of chaperones:

(min. of 2 chaperones, but must meet 1 per 10 ratio beyond that)

Grade level(s): 7 & 8 What is the cost per student: 610.00

List all funding sources for trip, including available scholarships: Is this event CTE funded:
Self pay and scholarship through CTE AENO-

Objective, curriculum and learning activities:
Compete in STEM-related events students have been preparing for since September. Students build skills in

work-related soft skills, deepen their knowledge of their chosen competitions, independence, and
comradery.

Transportation (select all that apply):

_] District bus [] Van

_] Private vehicle, # of drivers - all drivers must be certified through procedures as outlined in 6622)

(_] Watercraft transportation: Other than Washington State Ferry watercraft, compliance with Washington Schools Risk
Management Pool (WSRMP) requirements exist. Please contact Risk Management at riskmanagement@edmonds.wednet.edu
{XJ Other (describe): Bus transportation for multiple schools will be arranged by the CTE department

Name of staff member or adult chaperone who has current first aid and CPR card:

Dana Marsden

Overnight accommodations:
TBD - Hotels to be arranged by TSA near the Spokane Convention Center

Are there any other organizations, sponsors, or co-sponsors involved with this field trip (e.g. travel agencies, sports
organizations, etc.) contractually or otherwise? JNO [YES
If YES, please provide the name(s) of the organization(s) and details of involvement:

Washington Technology Students Association

Signatures below indicate Originator and Principal or Designee have reviewed all related policies and procedures while
planar i trip, and that principal or their designee approves this trip:

1/13/2025
Date Pash

Viens
Date 1/16/2025

Signature of Originator

Signature of Principal
or Designee

AA Rev 9/23