GRAND CANYON ADVENTURE

GRAND CANYON

Landmark Christian School

Vince Cobb May 26 ndash 30

2012

The Benefits of Student Travel Encourages independence

confidence self-discipline and self-reliance

Allows students to analyze educational situations from multiple perspectives

Fosters personal development as students explore other geographical areas and meet new people

Teaches team-building and cooperative skills

Why Grand Canyon

Hoover Dam Grand Canyon National Park Colorado River Sedona Lowell Observatory Wupatki National Monument Sunset Crater National Monument

Unlimited educational opportunities with guided stops at

GRAND CANYON

Landmark Christian School

Vince Cobb May 26 ndash 30

2012

The Benefits of Student Travel Encourages independence

confidence self-discipline and self-reliance

Allows students to analyze educational situations from multiple perspectives

Fosters personal development as students explore other geographical areas and meet new people

Teaches team-building and cooperative skills

Why Grand Canyon

Hoover Dam Grand Canyon National Park Colorado River Sedona Lowell Observatory Wupatki National Monument Sunset Crater National Monument

Unlimited educational opportunities with guided stops at

The Benefits of Student Travel Encourages independence

confidence self-discipline and self-reliance

Allows students to analyze educational situations from multiple perspectives

Fosters personal development as students explore other geographical areas and meet new people

Teaches team-building and cooperative skills

Why Grand Canyon

Hoover Dam Grand Canyon National Park Colorado River Sedona Lowell Observatory Wupatki National Monument Sunset Crater National Monument

Unlimited educational opportunities with guided stops at

Why Grand Canyon

Hoover Dam Grand Canyon National Park Colorado River Sedona Lowell Observatory Wupatki National Monument Sunset Crater National Monument

Unlimited educational opportunities with guided stops at

Peace of Mind We are working

with the professional organization Grand Classroom to organize our tour

Grand Classroom employees will be with us in Arizona to ensure our trip runs smoothly

Registration includes medical insurance coverage

One Price Covers All

Round-trip airfare Hotels Three meals a day Deluxe transportation All guides and

admissions All educational and

adventure activities Medical Insurance

Day One Depart from home Arrive Las Vegas NV Lunch overlooking Lake

Mead Tour of Hoover Dam Depart for Flagstaff AZ Dinner Check into hotel

Day Two

Depart for Grand Canyon National Park

Guided hike on the South Kaibab Trail Lunch Other stops include

Desert View Watchtower Canyon View Informational

PlazaMather Point Cameron Trading Post

Dinner Depart for Flagstaff Return to hotel

Day Three Hotel Breakfast Museum of Northern Arizona Depart for Sedona Mountain Bike through the Red

Rocks of Sedona Lunch Slide Rock State Park for

swimming in Oak Creek (weather permitting)

Dinner and Free Time in Sedona Depart for Flagstaff Lowell Observatory Return to Hotel

Day Four Depart for Page AZ Sunset Crater Volcano National

Monument Visit 1000 year old volcanic

crater Wupatki National Monument

Tour Indian ruins left over 800 years ago

Lunch en route Smooth Water float trip on the

Colorado River See towering walls and 4000

year old pictographs Dinner in Flagstaff Rock climbing at indoor gym

Day Five Depart for Las Vegas

Lunch en route

Arrive at Circus Circus Adventuredome Las Vegas - Ride the rollercoaster and scream with delight at this indoor amusement park

Dinner at Planet Hollywood

Depart for Las Vegas airport for departure home

Release Forms

Medical Information and Release Form

Behavior Contract

Rock Climbing Release Form

Medical Information

MEDICAL RELEASE AND HISTORY FORM School Name ________________________________ Tour Leader Name ____________________________ Student Name________________________________ Birth Date ___________________________________ ParentLegal Guardian Information ParentLegal Guardian __________________________Address ____________________________________ City State Zip _______________________________________________ Home _____________________ Cell _______________________ Work _________________________Office _____________________ Student Information Family Physician _______________________________________ Phone _____________________________ Alternative Emergency Contact ____________________________ Phone ____________________________ Please list any known Allergies _______________ List of current Medications _________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ Allergies Please ensure your child has an epinephrine pen ndash as this is an outdoor adventure Asthma Please ensure your child has two (2) inhalers one for your child to carry and one for the trip leader to carry Diabetes Please check with your childrsquos physician on insulin levels as there will be elevated activity throughout the trip Does your child have any medical implants_________ Wear Contacts_________ Pregnant _________ Circle and explain all of your childrsquos medical history (including but not limited to) Asthma Angina Altitude problems Allergic reactions Back problems Blackouts Chest pains Concussions Diabetes Drug reactions Dislocations Epilepsy Heart conditions Seizures Unusual blood pressure Please Explain ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please explain any conditions that may limit participation ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ As the parentlegal guardian of ______________________________________________________________ I request in my absence the above student be admitted to any hospital dentist and staff of duly licensed as Doctors of Medicine or Dentistry or licensed nurses or medical technicians to perform any diagnostic procedures treatment procedures operative procedures and x-ray treatment of the above minor ParentLegal Guardian Signature amp Date___________________________________________________

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

One Price Covers All

Round-trip airfare Hotels Three meals a day Deluxe transportation All guides and

admissions All educational and

adventure activities Medical Insurance

Day One Depart from home Arrive Las Vegas NV Lunch overlooking Lake

Mead Tour of Hoover Dam Depart for Flagstaff AZ Dinner Check into hotel

Day Two

Depart for Grand Canyon National Park

Guided hike on the South Kaibab Trail Lunch Other stops include

Desert View Watchtower Canyon View Informational

PlazaMather Point Cameron Trading Post

Dinner Depart for Flagstaff Return to hotel

Day Three Hotel Breakfast Museum of Northern Arizona Depart for Sedona Mountain Bike through the Red

Rocks of Sedona Lunch Slide Rock State Park for

swimming in Oak Creek (weather permitting)

Dinner and Free Time in Sedona Depart for Flagstaff Lowell Observatory Return to Hotel

Day Four Depart for Page AZ Sunset Crater Volcano National

Monument Visit 1000 year old volcanic

crater Wupatki National Monument

Tour Indian ruins left over 800 years ago

Lunch en route Smooth Water float trip on the

Colorado River See towering walls and 4000

year old pictographs Dinner in Flagstaff Rock climbing at indoor gym

Day Five Depart for Las Vegas

Lunch en route

Arrive at Circus Circus Adventuredome Las Vegas - Ride the rollercoaster and scream with delight at this indoor amusement park

Dinner at Planet Hollywood

Depart for Las Vegas airport for departure home

Release Forms

Medical Information and Release Form

Behavior Contract

Rock Climbing Release Form

Medical Information

MEDICAL RELEASE AND HISTORY FORM School Name ________________________________ Tour Leader Name ____________________________ Student Name________________________________ Birth Date ___________________________________ ParentLegal Guardian Information ParentLegal Guardian __________________________Address ____________________________________ City State Zip _______________________________________________ Home _____________________ Cell _______________________ Work _________________________Office _____________________ Student Information Family Physician _______________________________________ Phone _____________________________ Alternative Emergency Contact ____________________________ Phone ____________________________ Please list any known Allergies _______________ List of current Medications _________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ Allergies Please ensure your child has an epinephrine pen ndash as this is an outdoor adventure Asthma Please ensure your child has two (2) inhalers one for your child to carry and one for the trip leader to carry Diabetes Please check with your childrsquos physician on insulin levels as there will be elevated activity throughout the trip Does your child have any medical implants_________ Wear Contacts_________ Pregnant _________ Circle and explain all of your childrsquos medical history (including but not limited to) Asthma Angina Altitude problems Allergic reactions Back problems Blackouts Chest pains Concussions Diabetes Drug reactions Dislocations Epilepsy Heart conditions Seizures Unusual blood pressure Please Explain ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please explain any conditions that may limit participation ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ As the parentlegal guardian of ______________________________________________________________ I request in my absence the above student be admitted to any hospital dentist and staff of duly licensed as Doctors of Medicine or Dentistry or licensed nurses or medical technicians to perform any diagnostic procedures treatment procedures operative procedures and x-ray treatment of the above minor ParentLegal Guardian Signature amp Date___________________________________________________

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Day One Depart from home Arrive Las Vegas NV Lunch overlooking Lake

Mead Tour of Hoover Dam Depart for Flagstaff AZ Dinner Check into hotel

Day Two

Depart for Grand Canyon National Park

Guided hike on the South Kaibab Trail Lunch Other stops include

Desert View Watchtower Canyon View Informational

PlazaMather Point Cameron Trading Post

Dinner Depart for Flagstaff Return to hotel

Day Three Hotel Breakfast Museum of Northern Arizona Depart for Sedona Mountain Bike through the Red

Rocks of Sedona Lunch Slide Rock State Park for

swimming in Oak Creek (weather permitting)

Dinner and Free Time in Sedona Depart for Flagstaff Lowell Observatory Return to Hotel

Day Four Depart for Page AZ Sunset Crater Volcano National

Monument Visit 1000 year old volcanic

crater Wupatki National Monument

Tour Indian ruins left over 800 years ago

Lunch en route Smooth Water float trip on the

Colorado River See towering walls and 4000

year old pictographs Dinner in Flagstaff Rock climbing at indoor gym

Day Five Depart for Las Vegas

Lunch en route

Arrive at Circus Circus Adventuredome Las Vegas - Ride the rollercoaster and scream with delight at this indoor amusement park

Dinner at Planet Hollywood

Depart for Las Vegas airport for departure home

Release Forms

Medical Information and Release Form

Behavior Contract

Rock Climbing Release Form

Medical Information

MEDICAL RELEASE AND HISTORY FORM School Name ________________________________ Tour Leader Name ____________________________ Student Name________________________________ Birth Date ___________________________________ ParentLegal Guardian Information ParentLegal Guardian __________________________Address ____________________________________ City State Zip _______________________________________________ Home _____________________ Cell _______________________ Work _________________________Office _____________________ Student Information Family Physician _______________________________________ Phone _____________________________ Alternative Emergency Contact ____________________________ Phone ____________________________ Please list any known Allergies _______________ List of current Medications _________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ Allergies Please ensure your child has an epinephrine pen ndash as this is an outdoor adventure Asthma Please ensure your child has two (2) inhalers one for your child to carry and one for the trip leader to carry Diabetes Please check with your childrsquos physician on insulin levels as there will be elevated activity throughout the trip Does your child have any medical implants_________ Wear Contacts_________ Pregnant _________ Circle and explain all of your childrsquos medical history (including but not limited to) Asthma Angina Altitude problems Allergic reactions Back problems Blackouts Chest pains Concussions Diabetes Drug reactions Dislocations Epilepsy Heart conditions Seizures Unusual blood pressure Please Explain ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please explain any conditions that may limit participation ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ As the parentlegal guardian of ______________________________________________________________ I request in my absence the above student be admitted to any hospital dentist and staff of duly licensed as Doctors of Medicine or Dentistry or licensed nurses or medical technicians to perform any diagnostic procedures treatment procedures operative procedures and x-ray treatment of the above minor ParentLegal Guardian Signature amp Date___________________________________________________

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Day Two

Depart for Grand Canyon National Park

Guided hike on the South Kaibab Trail Lunch Other stops include

Desert View Watchtower Canyon View Informational

PlazaMather Point Cameron Trading Post

Dinner Depart for Flagstaff Return to hotel

Day Three Hotel Breakfast Museum of Northern Arizona Depart for Sedona Mountain Bike through the Red

Rocks of Sedona Lunch Slide Rock State Park for

swimming in Oak Creek (weather permitting)

Dinner and Free Time in Sedona Depart for Flagstaff Lowell Observatory Return to Hotel

Day Four Depart for Page AZ Sunset Crater Volcano National

Monument Visit 1000 year old volcanic

crater Wupatki National Monument

Tour Indian ruins left over 800 years ago

Lunch en route Smooth Water float trip on the

Colorado River See towering walls and 4000

year old pictographs Dinner in Flagstaff Rock climbing at indoor gym

Day Five Depart for Las Vegas

Lunch en route

Arrive at Circus Circus Adventuredome Las Vegas - Ride the rollercoaster and scream with delight at this indoor amusement park

Dinner at Planet Hollywood

Depart for Las Vegas airport for departure home

Release Forms

Medical Information and Release Form

Behavior Contract

Rock Climbing Release Form

Medical Information

MEDICAL RELEASE AND HISTORY FORM School Name ________________________________ Tour Leader Name ____________________________ Student Name________________________________ Birth Date ___________________________________ ParentLegal Guardian Information ParentLegal Guardian __________________________Address ____________________________________ City State Zip _______________________________________________ Home _____________________ Cell _______________________ Work _________________________Office _____________________ Student Information Family Physician _______________________________________ Phone _____________________________ Alternative Emergency Contact ____________________________ Phone ____________________________ Please list any known Allergies _______________ List of current Medications _________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ Allergies Please ensure your child has an epinephrine pen ndash as this is an outdoor adventure Asthma Please ensure your child has two (2) inhalers one for your child to carry and one for the trip leader to carry Diabetes Please check with your childrsquos physician on insulin levels as there will be elevated activity throughout the trip Does your child have any medical implants_________ Wear Contacts_________ Pregnant _________ Circle and explain all of your childrsquos medical history (including but not limited to) Asthma Angina Altitude problems Allergic reactions Back problems Blackouts Chest pains Concussions Diabetes Drug reactions Dislocations Epilepsy Heart conditions Seizures Unusual blood pressure Please Explain ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please explain any conditions that may limit participation ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ As the parentlegal guardian of ______________________________________________________________ I request in my absence the above student be admitted to any hospital dentist and staff of duly licensed as Doctors of Medicine or Dentistry or licensed nurses or medical technicians to perform any diagnostic procedures treatment procedures operative procedures and x-ray treatment of the above minor ParentLegal Guardian Signature amp Date___________________________________________________

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Day Three Hotel Breakfast Museum of Northern Arizona Depart for Sedona Mountain Bike through the Red

Rocks of Sedona Lunch Slide Rock State Park for

swimming in Oak Creek (weather permitting)

Dinner and Free Time in Sedona Depart for Flagstaff Lowell Observatory Return to Hotel

Day Four Depart for Page AZ Sunset Crater Volcano National

Monument Visit 1000 year old volcanic

crater Wupatki National Monument

Tour Indian ruins left over 800 years ago

Lunch en route Smooth Water float trip on the

Colorado River See towering walls and 4000

year old pictographs Dinner in Flagstaff Rock climbing at indoor gym

Day Five Depart for Las Vegas

Lunch en route

Arrive at Circus Circus Adventuredome Las Vegas - Ride the rollercoaster and scream with delight at this indoor amusement park

Dinner at Planet Hollywood

Depart for Las Vegas airport for departure home

Release Forms

Medical Information and Release Form

Behavior Contract

Rock Climbing Release Form

Medical Information

MEDICAL RELEASE AND HISTORY FORM School Name ________________________________ Tour Leader Name ____________________________ Student Name________________________________ Birth Date ___________________________________ ParentLegal Guardian Information ParentLegal Guardian __________________________Address ____________________________________ City State Zip _______________________________________________ Home _____________________ Cell _______________________ Work _________________________Office _____________________ Student Information Family Physician _______________________________________ Phone _____________________________ Alternative Emergency Contact ____________________________ Phone ____________________________ Please list any known Allergies _______________ List of current Medications _________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ Allergies Please ensure your child has an epinephrine pen ndash as this is an outdoor adventure Asthma Please ensure your child has two (2) inhalers one for your child to carry and one for the trip leader to carry Diabetes Please check with your childrsquos physician on insulin levels as there will be elevated activity throughout the trip Does your child have any medical implants_________ Wear Contacts_________ Pregnant _________ Circle and explain all of your childrsquos medical history (including but not limited to) Asthma Angina Altitude problems Allergic reactions Back problems Blackouts Chest pains Concussions Diabetes Drug reactions Dislocations Epilepsy Heart conditions Seizures Unusual blood pressure Please Explain ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please explain any conditions that may limit participation ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ As the parentlegal guardian of ______________________________________________________________ I request in my absence the above student be admitted to any hospital dentist and staff of duly licensed as Doctors of Medicine or Dentistry or licensed nurses or medical technicians to perform any diagnostic procedures treatment procedures operative procedures and x-ray treatment of the above minor ParentLegal Guardian Signature amp Date___________________________________________________

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Day Four Depart for Page AZ Sunset Crater Volcano National

Monument Visit 1000 year old volcanic

crater Wupatki National Monument

Tour Indian ruins left over 800 years ago

Lunch en route Smooth Water float trip on the

Colorado River See towering walls and 4000

year old pictographs Dinner in Flagstaff Rock climbing at indoor gym

Day Five Depart for Las Vegas

Lunch en route

Arrive at Circus Circus Adventuredome Las Vegas - Ride the rollercoaster and scream with delight at this indoor amusement park

Dinner at Planet Hollywood

Depart for Las Vegas airport for departure home

Release Forms

Medical Information and Release Form

Behavior Contract

Rock Climbing Release Form

Medical Information

MEDICAL RELEASE AND HISTORY FORM School Name ________________________________ Tour Leader Name ____________________________ Student Name________________________________ Birth Date ___________________________________ ParentLegal Guardian Information ParentLegal Guardian __________________________Address ____________________________________ City State Zip _______________________________________________ Home _____________________ Cell _______________________ Work _________________________Office _____________________ Student Information Family Physician _______________________________________ Phone _____________________________ Alternative Emergency Contact ____________________________ Phone ____________________________ Please list any known Allergies _______________ List of current Medications _________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ Allergies Please ensure your child has an epinephrine pen ndash as this is an outdoor adventure Asthma Please ensure your child has two (2) inhalers one for your child to carry and one for the trip leader to carry Diabetes Please check with your childrsquos physician on insulin levels as there will be elevated activity throughout the trip Does your child have any medical implants_________ Wear Contacts_________ Pregnant _________ Circle and explain all of your childrsquos medical history (including but not limited to) Asthma Angina Altitude problems Allergic reactions Back problems Blackouts Chest pains Concussions Diabetes Drug reactions Dislocations Epilepsy Heart conditions Seizures Unusual blood pressure Please Explain ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please explain any conditions that may limit participation ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ As the parentlegal guardian of ______________________________________________________________ I request in my absence the above student be admitted to any hospital dentist and staff of duly licensed as Doctors of Medicine or Dentistry or licensed nurses or medical technicians to perform any diagnostic procedures treatment procedures operative procedures and x-ray treatment of the above minor ParentLegal Guardian Signature amp Date___________________________________________________

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Day Five Depart for Las Vegas

Lunch en route

Arrive at Circus Circus Adventuredome Las Vegas - Ride the rollercoaster and scream with delight at this indoor amusement park

Dinner at Planet Hollywood

Depart for Las Vegas airport for departure home

Release Forms

Medical Information and Release Form

Behavior Contract

Rock Climbing Release Form

Medical Information

MEDICAL RELEASE AND HISTORY FORM School Name ________________________________ Tour Leader Name ____________________________ Student Name________________________________ Birth Date ___________________________________ ParentLegal Guardian Information ParentLegal Guardian __________________________Address ____________________________________ City State Zip _______________________________________________ Home _____________________ Cell _______________________ Work _________________________Office _____________________ Student Information Family Physician _______________________________________ Phone _____________________________ Alternative Emergency Contact ____________________________ Phone ____________________________ Please list any known Allergies _______________ List of current Medications _________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ Allergies Please ensure your child has an epinephrine pen ndash as this is an outdoor adventure Asthma Please ensure your child has two (2) inhalers one for your child to carry and one for the trip leader to carry Diabetes Please check with your childrsquos physician on insulin levels as there will be elevated activity throughout the trip Does your child have any medical implants_________ Wear Contacts_________ Pregnant _________ Circle and explain all of your childrsquos medical history (including but not limited to) Asthma Angina Altitude problems Allergic reactions Back problems Blackouts Chest pains Concussions Diabetes Drug reactions Dislocations Epilepsy Heart conditions Seizures Unusual blood pressure Please Explain ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please explain any conditions that may limit participation ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ As the parentlegal guardian of ______________________________________________________________ I request in my absence the above student be admitted to any hospital dentist and staff of duly licensed as Doctors of Medicine or Dentistry or licensed nurses or medical technicians to perform any diagnostic procedures treatment procedures operative procedures and x-ray treatment of the above minor ParentLegal Guardian Signature amp Date___________________________________________________

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Release Forms

Medical Information and Release Form

Behavior Contract

Rock Climbing Release Form

Medical Information

MEDICAL RELEASE AND HISTORY FORM School Name ________________________________ Tour Leader Name ____________________________ Student Name________________________________ Birth Date ___________________________________ ParentLegal Guardian Information ParentLegal Guardian __________________________Address ____________________________________ City State Zip _______________________________________________ Home _____________________ Cell _______________________ Work _________________________Office _____________________ Student Information Family Physician _______________________________________ Phone _____________________________ Alternative Emergency Contact ____________________________ Phone ____________________________ Please list any known Allergies _______________ List of current Medications _________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ Allergies Please ensure your child has an epinephrine pen ndash as this is an outdoor adventure Asthma Please ensure your child has two (2) inhalers one for your child to carry and one for the trip leader to carry Diabetes Please check with your childrsquos physician on insulin levels as there will be elevated activity throughout the trip Does your child have any medical implants_________ Wear Contacts_________ Pregnant _________ Circle and explain all of your childrsquos medical history (including but not limited to) Asthma Angina Altitude problems Allergic reactions Back problems Blackouts Chest pains Concussions Diabetes Drug reactions Dislocations Epilepsy Heart conditions Seizures Unusual blood pressure Please Explain ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please explain any conditions that may limit participation ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ As the parentlegal guardian of ______________________________________________________________ I request in my absence the above student be admitted to any hospital dentist and staff of duly licensed as Doctors of Medicine or Dentistry or licensed nurses or medical technicians to perform any diagnostic procedures treatment procedures operative procedures and x-ray treatment of the above minor ParentLegal Guardian Signature amp Date___________________________________________________

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Medical Information

MEDICAL RELEASE AND HISTORY FORM School Name ________________________________ Tour Leader Name ____________________________ Student Name________________________________ Birth Date ___________________________________ ParentLegal Guardian Information ParentLegal Guardian __________________________Address ____________________________________ City State Zip _______________________________________________ Home _____________________ Cell _______________________ Work _________________________Office _____________________ Student Information Family Physician _______________________________________ Phone _____________________________ Alternative Emergency Contact ____________________________ Phone ____________________________ Please list any known Allergies _______________ List of current Medications _________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ _________________________________________ ________________________________________ Allergies Please ensure your child has an epinephrine pen ndash as this is an outdoor adventure Asthma Please ensure your child has two (2) inhalers one for your child to carry and one for the trip leader to carry Diabetes Please check with your childrsquos physician on insulin levels as there will be elevated activity throughout the trip Does your child have any medical implants_________ Wear Contacts_________ Pregnant _________ Circle and explain all of your childrsquos medical history (including but not limited to) Asthma Angina Altitude problems Allergic reactions Back problems Blackouts Chest pains Concussions Diabetes Drug reactions Dislocations Epilepsy Heart conditions Seizures Unusual blood pressure Please Explain ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please explain any conditions that may limit participation ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ As the parentlegal guardian of ______________________________________________________________ I request in my absence the above student be admitted to any hospital dentist and staff of duly licensed as Doctors of Medicine or Dentistry or licensed nurses or medical technicians to perform any diagnostic procedures treatment procedures operative procedures and x-ray treatment of the above minor ParentLegal Guardian Signature amp Date___________________________________________________

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Behavior Contract Behavior Contract I _____________________________________ (print studentrsquos name) understand that traveling with my classmates is a great opportunity and responsibility As I travel with my peers I agree to behave in a mature way at all times I will abide all rules as set by my tour leaders In addition I will adhere to local laws If I break the rules as determined by my tour leader I understand that I can be sent home before the end of the trip at the expense of my parentguardian I have read the terms and conditions of travel (in the registration brochure or on wwwgrandclassroomcom) and have read the Grand Classroom Behavior Guidelines sheet and agree to the terms _______________________________________________________ Student Signature Parent Signature Date PLEASE RETURN TO TRIP LEADER

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Rock Climbing Release Form PARTICIPANT AGREEMENT RELEASE AND ASSUMPTION OF RISK In consideration of the services of Northern Arizona Rock Climbing Facility dba Vertical Relief Climbing Center their agents owners officers volunteers participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as VRCC) I hereby agree to release indemnify and discharge VRCC on behalf of myself my children my parents my heirs assigns personal representative and estate as follows 1 I acknowledge that climbing on an artificial climbing wall entails known and unanticipated risks that could result in physical or emotional injury paralysis death or damage to myself to property or to third parties I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity The risks include among other things falling off the wall loose andor damaged artificial holds rented equipment failure falling to the ground on other users or being fallen on by other users abrasions from the walls ropes pads or the floor equipment failure belay andor belayer failure climbing out of control or beyond ones personal limits the negligence of other climbers visitors participants or other persons who may be present musculoskeletal injuries andor over training head injuries or my own negligence Furthermore VRCC employees have difficult jobs to perform They seek safety but they are not infallible They might be unaware of a participants fitness or abilities They may give inadequate warnings or instructions and the equipment being used might malfunction 2 I expressly agree and promise to accept and assume all of the risks existing in this activity My participation in this activity is purely voluntary and I elect to participate in spite of the risks 3 I hereby voluntarily release forever discharge and agree to indemnify and hold harmless VRCC from any and all claims demands or causes of action which are in any way connected with my participation in this activity or my use of VRCCs equipment or facilities including any such Claims which allege negligent acts or omissions of VRCC 4 Should VRCC or anyone acting on their behalf be required to incur attorneys fees and costs to enforce this agreement I agree to indemnify and hold them harmless for all such fees and costs 5 I certify that I have adequate insurance to cover any injury or damage I may cause of suffer while participating or else I agree to bear the costs of such injury or damage myself I further certify that I am willing to assume the risk of any medical or physical condition I may have 6 I agree that if any portion of this agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity I may be found by a court of law to have waived my right to maintain a lawsuit against VRCC on the basis of any claim from which I have released them herein I have had sufficient opportunity to read this entire document I have read and understood it and I agree to be bound by its terms

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Packing List GRAND CANYON TRIP

SUMMER PACKING LIST 1048713 Identification 1048713 One suitcase with luggage tag 1048713 One backpack (to carry-on) 1048713 Waterproof jacket 1048713 Hat 1048713 Pair of comfortable shoes 1048713 Water shoes ndash no flip flops Shirts and T-shirts 1048713 Sweatshirt or fleece 1048713 A pair of pants 1048713 Shorts 1048713 Underwear and socks 1048713 Camera 1048713 Battery Charger or extra batteries 1048713 Good water bottle - 32oz minimum 1048713 Ziploc bags 1048713 Swimsuit 1048713 Small towel 1048713 Toiletriesmedication 1048713 Portable snacks 1048713 Sunscreen 1048713 Lip Balm with SPF 1048713 Pajamas 1048713 Bandana 1048713 Wristwatch 1048713 Spending money for souvenirs

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already

Thanks for coming We look forward to

providing a very fun and educational trip for the students

Please feel free to stay after if you have additional questions

Remember to fill out the sign-in sheet if you havenrsquot already