CLMS Student-Parent Packet 2016...Student/Parent Pack 6th Grade Science Camp 2018 May 8th to May...

Student/Parent Pack 6th Grade Science Camp 2018

May 8th to May 11th

Departing CLMS @ 8:30 am on Tuesday, May 8th Returning CLMS @ approximately 1:00 pm on Friday, May 11th

**Please read all information and fill out and return the “Health History” form,

“camp buddy” , t-shirt order form, and “district permission slips” no later than

Friday, April 13th, 2018**

All paperwork received after this date may not be able to choose camp buddy and be

subject to incorrect sizing on camp t-shirt.

*** Please have any balances paid by Friday, April 13th, 2018 ***

**Please keep for your reference** (White)

C.O.D.E.S. School at Mile High Pines | 909-794-2824 | [email protected]

www.CODESschool.com | 42739 State Hwy 38, Angelus Oaks, CA 92305

PARENT’S GUIDE TO OUTDOOR SCIENCE CAMP

Frequently Asked Questions:

What are the Mile High Pines facilities like? The California OutDoor Education and Science School (or C.O.D.E.S. School) program is ran at Mile High Pines camp. The camp facil-ities have been in operation since 1945. The facilities have continuously been updated and modernized throughout the years. There are two separate camp facilities that can be used in conjunction or separately of one another for the outdoor education pro-gram.

The camp has several meeting rooms, many with fireplaces. It also provides a dining hall where all your child's meals will be served and prepared by a talented kitchen team of cooks and chefs. The activities at Mile High Pines varies depending on the outdoor edu-cation program deemed appropriate by your child's school or due to weather conditions. On site, there are two outdoor basketball and volleyball courts, and one full sized basketball and volleyball court inside of the Activities and Recreation Center (A.R.C.). The camp facility is walking distance to Jenks Lake and has a swimming pool on site. Also located on site is a rock climbing tower and zipline, archery practice, game tables, amphitheaters, horseshoes, and relaxation areas with picnic tables or under gazebos.

Most cabins are furnished with solid pine bunk beds and all mattresses are clean and comfortable. Cabins on Lower Pines have restrooms indoors, cabins on Upper Pines have large shared bath houses just steps away from eat cabin. Cabins are chosen by your child's school.

How will my child be supervised and by whom? Much of the hour-to-hour supervision will be done by the outdoor education cabin counselors that are provided by the school which your child attends. They will sleep in the cabins with students, lead students from activity to activity, and supervise them throughout the day. The teachers at your child's school are responsible for choosing, screening, and informing the counselors be-fore the week starts. The counselors that volunteer may be high school student's, college students, have prior counseling experi-ence or are parents themselves. Many outdoor education camp counselors return year after year because they enjoy their experi-ence so much.

What is the disciplinary system like? Different teachers and staff members have different disciplinary styles. Our outdoor education naturalists are instructed on the disciplinary "do's" and "don't's." We usually begin with some sort of verbal warning: "Christina, it is not OK to do that here." If the student continues the behavior, a timeout is usually given. Five minutes of sitting out of rec. time while 100 other students have their fun is not a 6th grader's idea of a good time. If a timeout is not effective, we may increase the timeout to ten or fifteen minutes. The teachers will be involved by this time, also.

If the behavior continues, a call home is in order, and you would need to pick up your child. We do not like to send students home, however, simply because the ones that will benefit most from the outdoor education program are those who may have problems working with other students or as a team in the cabins. Besides that, we understand that parents are busy with their daily routines and taking time to pick up a student can be very difficult.

The following breaches of discipline are grounds for immediate dismissal from the California OutDoor Education and Science School program: 1. Fighting2. Any activity that is inherently dangerous to self or others.3. Stealing4. Outright defiance.5. Intentionally destroying property.6. Unauthorized leaving of cabin7. Possession of illegal substances.8. Possession of any weapon.9. Other behaviors at the discretion of the Director of the California OutDoor Education & Science School.

What is the Daily Schedule like? We try to keep the students busy with activities that are productive and positive--classes, recreation time, evening activities, songs

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PARENT’S GUIDE TO OUTDOOR SCIENCE CAMP CONTINUED...

and s'mores, skit night, meals, and cabin clean-up time. Students come to learn primarily life science, but also geology, orienteer-ing, team building, and social skills. All of this happens mostly in outdoor education classes with our trail teachers, but also in all of the activities simply because they are in a new situation learning new skills and dealing with new people. There is rest time sched-uled in the day, as well as recreation time. We strongly believe that students need "down time"-- time to play and be themselves so that they will have energy to put into more structured activities such as outdoor education classes and skit night.

What is the dining experience like? And, what if my child has special dietary needs? The professional food service team at Mile High Pines serves homestyle meals appropriate for youth during the week. We try to serve meals that most students would be familiar with. All meals are nutritious, plentiful and delicious. While student's are encour-aged not to waste, we also ensure that seconds are made available so that each student eats a filling amount. No additional food is needed whatsoever, unless a medical condition exists which would require it. Gum is simply not allowed. Vegetarians or Vegans: Please indicate to your child's school in advance (at least two weeks) if your child is a vegetarian/vegan etc... This will allow the kitchen staff ample time when creating and ordering food for the menu. Vegetarian students will be given an alternative at meals where there is no other protein substitute. For example: if we are serving hamburgers, a vegi-burger will be provided as an alternative. However, if we are serving pancakes, sausage, oatmeal, cottage cheese, cereal, and fruit (a typical breakfast), the sausage will not have an alternative as there are other protein options already provided. Gluten Free or Other Dietary Restrictions: Please indicate to your child's school in advance (at least two weeks) if your child has any dietary restrictions... This will allow the kitchen staff ample time when creating and ordering food for the menu. We will try to accommodate your child's needs and supplement the menu when necessary. However, in special cases you may have to supple-ment the menu by sending your student with food that we will keep and serve during meal times. If you would like supplement the menu yourself, you can call 909.794.2824 or and ask to speak with the food service manager to get the menu during your child's stay. Allergies: Please disclose all other allergies on health forms, and to your child's school prior to arrival.

Will I be allowed to call my child or have my child call me? What we have found during our outdoor education program (and this is true of most programs) is that when children are allowed to call home, this compounds the problem of homesickness, and the next thing that happens is that the student is on their way home. We strongly believe that we have a valuable outdoor educational experience to offer, and that to cut short a student's week is robbing them of that opportunity. Of course, not every call home will cause a domino effect leading to a trip home. But calls from parents or to home will pull students out of their outdoor education programmed activities, which are disrupting and ends up being a problem when several students need to call home using the office lines.

What, then, are your options? Send a letter or postcard the week before your child plans to attend, to ensure it arrives on time. We will deliver mail to the students daily, if you would like to have the letters delivered on separate days please indicate on the enve-lope (i.e., "Give to Jane on Tuesday"). Please write letters as follows:

Your child's name, Your child's school, CODES School at Mile High Pines P.O. Box 397 Angelus Oaks, CA 92305

If you would like you may call, (909) 794-2824 to speak with an outdoor education naturalist or your child's counselor to see how your child is doing. Please keep calls to a minimum. In the event of an emergency you may call to speak with your child.

What about illness and medications? All medications and health concerns should be listed on the forms provided by the teachers (which they will receive from us). Any medications are dispensed by our medical monitor, who is available throughout the day or by a teacher when medication is needed before bedtime. All of our outdoor education naturalists have a minimum of Red Cross CPR, and First Aid certificates.

What curriculum is provided for the students? Dr. Rick Oliver, our superintendent, has a Ph.D. in biological sciences. When developing the outdoor education program in 1993, he wrote curriculum for 5th, 6th, 7th and 8th grade according to the California Science Standards and Framework, which sets out what sort of material each grade level should be learning. The curriculum was originally developed for the Outdoor Science School at Mount Hermon in northern California. The curriculum has been updated and modified several times as appropriate or as scientific knowledge grows and to fit the ecosystem at Mile High Pines camp. Our outdoor education naturalists use the curriculum that is appropriate for the grade(s) the schools bring. If your child is in the 6th grade, you can expect to see 6th grade curriculum being used. Sometimes grades are mixed-- 5th and 6th or 7th and 8th. We usual-ly challenge them to go with the higher level curriculum in that case.

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(White)**Please keep for your reference**

Recommended Science Camp Packing List The following is a list of items you should pack. We have made some recommendations based on the

typical weather at CODES, please check the weather in Big Bear to get the clearest indication of weather at Mile High Pines to see if your child will need additional weather appropriate clothing. As always, it is best to pack clothing that can be layered.

___ Water bottle ___ 3 pairs of underwear

___ 4 pairs of socks ___ 3 pairs of long pants

___ 2 pairs of tennis shoes (please include sturdy shoes with support. No Ugg boots, Converse, or similar shoes.)

___ 4 t-shirts and 1 long sleeve shirts ___ Backpack

___ 1 sweatshirt and 1 jacket ___ 1 towel and face cloth

___ 3 pairs of pajamas ___ 1 pair of slippers

___ Sleeping bag and pillow ___ Toiletries and lip balm

___ Sunscreen ___ Insect repellent (no aerosol cans, please) (no aerosol cans, please)

___ Pens, paper, pencils ___ Sunglasses

___ Flashlight ___ Disposable camera (optional)

___ Board shorts (campers may want to wear board shorts for canoe activity.)

** Please clearly label all items (bags) with student’s name and CLMS ** Please CLEARLY label all medications and place them in a zip lock clear plastic bag.

Unnecessary Items To avoid the loss of valuable items, we strongly suggest that the following items remain at home: cell phones, video games, computers, portable music devices, and other expensive electronics. Cell phones are not permitted at CODES, as reception is almost non-existent and we find it distracts from the learning environment. We cannot guarantee any of these items' safekeeping and will not replace them if lost. Please do not pack aerosol cans or any flammable items. Any food, candy, gum, and electronic devices will be collected upon arrival, as we do not allow these items in the cabins. We have found that students do not need more items than what is listed on the packing list.

**Please keep for your reference**

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(White)

LAKE ELSINORE UNIFIED SCHOOL DISTRICT

VOLUNTARY EXCURSION/FIELD TRIP NOTICE/PERMISSION

CLMS Please print student name Date of Birth School

has my permission to participate in the following voluntary activity/field trip:

6th Grade Science Camp – Mile High Pines

Departure Date & Time: May 8, 2018 8:30 am Return Date & Time: May 11, 2018 1:00 pm• I understand that the law states in California Education Code Section 35330, that the Lake Elsinore Unified

School District, its officers, agents and employees are held harmless from liability or claims which may arise out of or in connection with my child's participation in this activity.

• In the event of illness or injury, I do hereby consent to whatever x-ray, examination, anesthetic, medical,surgical or dental diagnosis or treatment and hospital care are considered necessary in the best judgment ofthe attending physician, surgeon, or dentist of the hospital or facility furnishing medical or dental services.

• Health Insurance company: Policy #:

• I fully understand that participants are to abide by all rules and regulations governing conduct during thetrip. Any violation of these rules and regulations may result in being sent home at the expense of theparent/guardian.

o I understand that all field trips begin and end at the school.

• Transportation will be provided by:

X District Bus

• IMPORTANT Note to Parent/Guardian: (1) All medications, excepting those which must be kept on thestudent's person for emergency use (EpiPen/Inhaler) must be kept and distributed by the staff; Iunderstand that it is my responsibility to provide all medications and the proper documentation for eachmedication. (2) If any medications are to be taken by student, a medication authorization MUST beprovided for each medication including over the counter medication. All medication will be provided bythe parent in the original container with student name, medication name, dosage schedule and route,physician’s name and date of expiration of prescription.

Please List medications here:__________________________________________ (3) If your child has aspecial medical problem, please attach a description of that problem.

Note: All student health information will be kept confidential per FERPA guidelines.

Parent/Guardian Signature Date:

Address Telephone

**Please return to your science teacher**

E 6153(b)

Student Name: ___________________________________ Science Teacher: Lessley Mobley Quinn Barackman

(Green)

Lake Elsinore Unified School District Student Overnight Activity Agreement

Students and parents will be asked to read, agree and sign the following form to participate in any overnight field trip, retreat, competition or activity connected with the Lake Elsinore Unified School District. The Lake Elsinore Unified School District believes that these guidelines should be followed to ensure that all students have a safe and enjoyable activity. The student agrees to the following:

1. I am responsible for my own actions and will conduct myself in an appropriate manner at all times.2. Since this is a district and school-sponsored activity, I will follow ALL district and school rules. I understand

that all district and school rules will be enforced and appropriate discipline will be taken at school if any districtand/or school rules are broken.

3. I agree to attend and participate in ALL scheduled activities and in the case of a problem; I am to clear myabsence with my advisor in advance.

4. I agree to remain on the premises or with the group at all times; anyone leaving the “premises or site” or groupwithout permission will be sent home immediately at the parent’s expense and notice will be sent to theprincipal.

5. Out of respect for others and to allow everyone to feel safe, I agree to stay in my own room and out of the roomsof others. IF BOYS ARE FOUND IN GIRLS ROOMS OR GIRLS IN BOYS ROOMS, students will be senthome at the parents’ expense and notice will be sent to the principal.

6. I will abstain from the use or possession of alcohol, tobacco, and other drugs while attending the activity. Iunderstand that if alcohol, tobacco or other drugs are found in a room, everyone in that room may be subject todisciplinary action. I also understand that alcohol, tobacco or drug use will be treated the same as if I were onschool grounds.

7. I agree to abide by all curfews.8. If I have a cell phone, beeper or electronic media device, it will stay off during the activity and the district will

not be responsible for any loss or theft of these devices.9. I understand that in the event that I am staying in a hotel room, any additional expenses, such as telephone

charges, room service, etc. will be my responsibility and will not be paid by the school.10. I understand that violations of any of the above stated terms and conditions will subject me to immediate

disciplinary action and I will have no right of appeal until returning from this trip. My parents/guardians will benotified and if necessary, will be responsible for my transportation home.

11. I have read and reviewed the LEUSD Discipline Policy provided.

As a committed participant in this overnight school activity, I understand the rules and regulations as stated above.

Student Signature__________________________________________________ Date____________

As a parent, I understand the rules and regulations as stated above and will support the adult supervisors in the responsibility and judgment of caring for my child.

Parent Signature__________________________________________________ Date____________


E 6153(g)


(Green)

STUDENT RELEASE WAIVER-HEALTH HISTORY SCREENING

This form is to be completed by ALL individuals under 18 years of age who are attending camp!

GENERAL RELEASE WAIVER

The undersigned, or on behalf of said minor, has asked Mile High Pines Camp (hereinafter “MHP”) to be al-

lowed to participate in activities offered at MHP. Activities may include but are not limited to: archery, rock

climbing, aeroball, hiking, kayak or canoeing, swimming. The undersigned acknowledges that the activities

involve physical exertion and other risks; is aware of the possibility of risk of injury to individuals partici-

pating or observing the activities, including but not limited to permanent disability including blindness, or

death does exist; Recognizes the need to participate in the activities according to the rules which have been

given and to follow directions given by any staff member; Understands that it is each participants responsi-

bility to wear any safety gear deemed necessary by MHP; Warrants and acknowledges that his/her physical

and mental condition will enable him/her to participate safely in the activity. The undersigned, or on behalf

of said minor, hereby waves and releases any and all claims, demands actions, causes, of action and rights,

(contingent, accrued, inchoate, or otherwise), defends and hold MHP harmless from and against any and all

claims, liabilities, expenses, damages, losses, cause of action, and suits (including, without limitation, attor-

neys’ fees and cost) arising out of, or in any way related to the participation in activities at MHP, whether

caused by MHP’s active or passive negligence or otherwise.

IMAGE RELEASE WAIVER

The undersigned also gives permission to MHP to use any photographs and video and audio of him/her, or

said minor, for any promotional materials, including the MHP web site postings, without expectation of com-

pensation, including, but not limited to, any royalties, proceeds, and/or other benefits derived from such

photographs, videos, or audio recordings.

MEDICAL RELEASE WAIVER

The undersigned also gives permission to the Health Supervisor to provide or arrange necessary transporta-

tion and to secure and administer proper treatment as needed and gives permission to release any records

necessary for insurance purposes.

*Please continue on next page...

1 of 4

Name: _____________________________ Science Teacher: Lessley Mobley Quinn Barackman

(Yellow)**Please return to your science teacher**

STUDENT RELEASE WAIVER-HEALTH HISTORY SCREENING (continued)

EMERGENCY CONTACT INFO

Camper’s Name:______________________________ Birthdate (mo./day/yr.):_________________________

Gender: Male Female Age at Date of Attendance:________________________________

School:_____________________________________ Dates Attending Camp:__________________________

Primary Emergency Contact: Mr. Mrs. Ms. Dr. ___________________________________________________

Relationship to the minor:___________________________ Day Phone:______________________________

Evening Phone:_______________________________ Email:_______________________________________

Address:__________________________________________________________________________________

City/State/ZIP:_____________________________________________________________________________

Secondary Emergency Contact: Mr. Mrs. Ms. Dr. _________________________________________________

Relationship to the minor:___________________________ Day Phone:______________________________

Evening Phone:_______________________________ Email:_______________________________________

Address:__________________________________________________________________________________

City/State/ZIP:_____________________________________________________________________________

Health Information

1. Is your child allergic to any food, medication, insects (bees), plants or other materials? If so, state the de-

gree of severity and treatment required:

______________________________________________________________________________________

2. Does your child have any physical limitations? If so, please describe:

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

3. Is your child taking any medicine with him / her to camp? NO YES

List any physical conditions or difficulties that your child has, and give specific instructions for care. (include

health conditions such as diabetes, epilepsy, kidney disease, any other continuing conditions, bedwetting,

sleepwalking, car sickness, etc.)

_________________________________________________________________________________________

___________________________________________________________________________________

*Please complete and sign on next page...2 of 4

Name: _____________________________________ Science Teacher: Lessley Mobley Quinn Barackman

Canyon Lake Middle School May 9th to May 12th, 2017


C.O.D.E.S. School at Mile High Pines | 909-794-2824 | [email protected]

www.CODESschool.com | 42739 State Hwy 38, Angelus Oaks, CA 92305 3 of 4

STUDENT RELEASE WAIVER-HEALTH HISTORY SCREENING (continued)

5. Approximate date of last tetanus booster ________________________________. It is advised that for

camp the child’s last tetanus booster be within the past 10 years, or the period of time advised by your physi-

cian.

6. Date of latest physical examination:

_________________________________________________________________________

To protect your child from possible embarrassment, but not to exclude him / her from the program, the fol-

lowing information is needed:

1. Do you consider your child to be in good health generally? YES NO

2. Please check below if your child is or has suffered from the following:

____ Allergy ____Ear Trouble ____Tuberculosis

____ Asthma ____Heart Disease ____Child wears glasses or contact lenses

____ Convulsions ____Hernia (Rupture) ____Eye Trouble

____ Bronchitis ____Menstrual Cramps ____Any other serious illness or operations

____ Diabetes ____Kidney Disease ____Rheumatic Fever

____Stomach Aches ____Child has been exposed to someone with a communicable disease

Please explain any items checked:_______________________________________________________________________________

___________________________________________________________________________________________________________

If the child has severe anaphylactic shock reaction to wasp or bee stings, please send 2 epinephrine kits with the child —one for the

student and one for the camp’s medical monitor. Both kits will be returned.

Please note any health problems your child may have experienced in the month prior to attending CODES School.

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

I understand that should my child be sent home because of illness, injury, disciplinary, or other reason, no amount of the fees

paid to Mile High Pines for my child to attend CODES School shall be refunded if my child attended the program for at least 24

hours.

With the understanding that a certified teacher will at all times be on site and available, I give permission for my child to attend

C.O.D.E.S. School at Mile High Pines and to participate in the activities involved. Further, I give my permission for the camp di-

rector to obtain qualified medical / surgical assistance in case of accident / illness to my child with the understanding that I will

be contacted as soon as possibly if any medical / surgical attention is necessary.

Parent/Guardian Signature_________________________________________________________ Date_______________________



MEDICATION FORM

This form is to be completed by ALL individuals under 18 years of age who are bringing medications to camp.

Child’s name:______________________________________________ School:____Canyon Lake MIddle School___________

Teacher:__________________________________________________

If your child is to take medication while at outdoor school:

I. Education Code 49423 requires:

A. Signed order from you physician, an parent consent.

B. Signed parent’s permission for camp medical monitor, director or your child’s teacher to assist in carrying out the physicians instruc-tions.

C. Medication in a bottle from a pharmacy labeled with the child’s name, dosage, and generic name of the drug. All over the counter medication sent to outdoor science school must be labeled with the child’s name, the medication name and dosage, as well as times to be given. No unlabeled medication can be administered.

II. Education Code 49480 gives the school medic with parent consent, permission to communicate with the physician and counsel with the science school personnel regarding possible effects of medication.

III. Please sign below. Your signature indicates your consent as required in the above Education Code Sections 499423 and 49480

My child has my permission to take the medications to camp (indicated below) and for the camp first aid personnel, director or teacher to assist and/or allow my child to take the medication as indicated for:

____________________________________ _____________________ __________________________________

Reason for Medication Date Parent/Guardian Signature

For the additional protection of your child and other children, we request that only essential medicine be sent to camp. The camp first aid person-nel/director/or teacher may give aspirin or Tylenol to your child for minor illness complaints only with your signed consent and may apply cala-mine lotion, or equivalent, for plant-related rash reactions. In cases where accident or illness complaints indicate, medical care will be obtained from a qualified medical personnel.

Some children may have prescribed medication to take while in residence at the camp. State laws E.C. 49423 and 49480 are quite specific in stating that the school personnel must be given instruction as to method, amount, frequency, and condition for which it is indicated. If your child is to take medication, please read and complete the attach Medication Form. Medication must be given to the teacher the day the student goes to camp. This form must be turned in with medication.

CONSENT FOR SPESIFIC MEDICATIONS (If left blank, we assume “no”)

I give the permission for the school teacher/camp director/first aid personnel to give my child the following in the case of illness.

1. The correct dosage of Tylenol or Advil, or equivalent, determined by the child’s weight. YES ______ NO ______

2. The correct dosage of Sudafed (decongestant) or equivalent, determined by child’s weight. YES______ NO_______

In the event that the student is required to be sent home due to medical or disciplinary reasons, at the discretion of the Outdoor Education Direc-tor, the parent or guardian agrees to pick up their child at the CODES School at Mile High Pines facility. Furthermore parents understand, that should their child be sent home due to illness, injury, disciplinary, or any other reason, no amount of fees paid to CODES for your child to attend shall be refunded only if they attend camp for less than 24 hours.

____________________________________________________________________ _________________________

Parent/Guardian Signature Date

To be completed by a physician:

Date: ___________________________________ Patient’s Name:_____________________________________________________

Medication(s):_______________________________________________________________________________________________

Dosage:__________________________________________ Frequency:_________________________________________________

Precautions, special instruction, possible adverse effects, comments: __________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________


(Yellow)

4 of 4**Please return to your science teacher**

YOU: Circle one: boy or girl (*needs to be same as below)

Your Name:__________________ _______________________ First Name Last Name

Your Science Teacher’s Name: __________________________________

YOUR Buddy: Circle one: boy or girl (*needs to be same as above)

His/Her Name:__________________ _______________________ First Name Last Name

Their Science Teacher’s Name: __________________________________


Camp Buddy Request Form

Student Name: _________________________________ Science Teacher: Lessley Mobley Quinn Barackman

(Blue)

Included

Student’s Name:__________________ _____________________ (Print First Name) (Print Last Name)

Camp T-shirt : Included Camp T-shirts *adult sizes

Size: ___ xs (youth lg) ___*sm ___*med ___*Lg ____XL


2018 6th Grade Science Camp T-shirt

Student Name: ________________________________ Science Teacher: Lessley Mobley Quinn Barackman

(Pink)

Please return to **CLMS Bookkeeper @ ASB Window**

Student’s Name: __________________ Last Name: _________________

Extra T-shirt ($10)

Size & Quantity: ___ xs (youth lg) ___*sm ___*med ___*Lg ____XL

Extra Long Sleeve T-shirt ($15)


Camp Sweat Shirt ($25)


Camp Group Picture

Quantity: ____ $6 sm (8x10) ______ $10 Lg (12 x 18)

**Optional EXTRA CAMP STUFF

2018 6th Grade Science Camp Order Form


(Goldenrod)

CLMS Student-Parent Packet 2016...Student/Parent Pack 6th Grade Science Camp 2018 May 8th to May...

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Transcript of CLMS Student-Parent Packet 2016...Student/Parent Pack 6th Grade Science Camp 2018 May 8th to May...