7TH GRADE
CAMP AT MT. ST. HELENS
Mr. Bloedel has planned
another exciting camping trip for our class! This year we will be going to Mt. St. Helens volcanic area
from May 22-24, spending 3 days and 2 nights studying and enjoying this region
of Washington State.
Planned activities will include stargazing,
spelunking Ape Cave, hiking an old lava flow, exploring an ancient forest
covered by lava, and eyewitness from Johnson Ridge to the devastation of the
May 18, 1980 eruption.
Base camp will be at Beaver Bay campground, in a
group campsite isolated from the rest of the park. All food and gear will be stored at the campground under
parental supervision while we are off adventuring. In the afternoons, if weather permits and students have signed
parental permission, inviting dips in the lake are scheduled.
Transportation for the trip will be by a
combination of 15-passenger vans and private vehicles. Tour buses cannot take us to all the
areas of geological interest. TOPS
parents will be driving vans and private vehicles. Each van will carry 13 students, a driver and a
chaperone. Mr. Bloedel will assign
students to vehicles and students are expected to follow the directions of all
parent chaperones.
The cost of this trip is projected at $90.00 per
person. In addition to financial
help, we need parental support before and during the trip. If you have not already done so, please
contact Linda Downing at TOPS (252-3518), home (367-0615) or e-mail ldowning@seattleschools.org)
and complete and return the enclosed “CAN YOU HELP?” form.
*************************************************************************************
(Due to Mr. Bloedel by
May 10, 2002)
My
child ___________________________ has my permission to attend TOPS 7th
grade camp on May 22-24, 2002.
Payment:
____
I am enclosing $90.00.
____
I am enclosing $_____ for scholarships.
____
I cannot pay now, but will send the money in on __________.
____
I can pay $_____ of the $90.00.
____
My child has my permission to be transported in a van by other TOPS parents.
____ My child has my
permission to hike the extensive, moderately strenuous, upper section of Ape
Cave. (Do not check if your child
has an extreme fear of dark enclosed places.).
____
My child has my permission to swim according to Mr. Bloedel’s
instructions.
Parent
Signature:
__________________________________
Date: _________________ Phone:
_________________________
E-mail:
_________________________________
7TH GRADE
CAMP AT MT. ST. HELENS
CAN YOU HELP?
**********Please
check any of the following if you are interested and available**********
Return to Mr. Bloedel
by May 10. Thank you!
Name:
_________________________________________________________________
Phone:
_________________________
E-mail:
_________________________________
____ I can chaperone at
camp.
____
Wednesday
____
Wednesday p.m.
____
Thursday
____
Thursday p.m.
____
Friday
____ I can drive a 15
passenger van
____
to Camp on Wednesday
____
from Camp on Friday
____
both ways
____ I can drive my
personal vehicle
____
to Camp on Wednesday
____
from Camp on Friday
____
both ways
____
# seatbelts, excluding driver
____ I can help prepare
food prior to Camp
____ I can help prepare
food during Camp
Please
list any special diet issues:
______________________________________
________________________________________________________________
Please
list any allergies to medication, foods, plants, etc. _____________________
________________________________________________________________
for Tuesday,
May 7 at 6:30 p.m. in Mr. Bloedel’s classroom.
Please plan to
attend.
HEALTH INFORMATION
FORM
Parents: Please complete this form and sign the
authorization below.
To provide a quality learning experience for all 7th
graders at Camp, it is necessary to understand the health needs of each
individual child. Please complete
the following information and return to Mr. Bloedel by May 10. (All information will be kept
confidential.)
STUDENT’S NAME
___________________________________________________
Where can you be reached in case of emergency?
Day Phone ____________ Evening Phone ____________ Cell/Pager _____________
Who can be contacted if you are NOT available?
Name
____________________________________ Phone_____________________
Are there
any medications your child will need to take while at Camp?
Medications
must be well marked with NAME, DOSAGE, DOCTOR and any SPECIAL DIRECTIONS.
_______________________________________________________
___________________________________________________________________
Are there
any special diet issues? _________________________________________
Please list
any special instructions _________________________________________
___________________________________________________________________
Does your
child have any special physical problems that should be noted? (recent surgery,
illness, broken bones, weak ankles or arches, etc.)
_____________________________
___________________________________________________________________
Please list
any allergies to medications, foods, plants, etc. _______________________
___________________________________________________________________ Please list any special instructions
_________________________________________
___________________________________________________________________
Date of last
tetanus vaccination
__________________________________________
If needed,
may your child have ( ) aspirin, ( ) Tylenol? ( ) No
THE
FOLLOWING INFORMATION IS NEEDED TO PROTECT YOUR CHILD FROM EMBARRASSMENT:
a) Sleep
habits: ( ) light ( ) heavy ( ) sleep walker
( ) nightmares
b) Bed
wetter: ( ) yes ( ) no
c) Other
comments:
__________________________________________
__________________________________________________________________
Your
child’s swimming abilities are:
( ) good ( ) fair ( ) poor ( ) cannot swim
I HEREBY
AUTHORIZE MEDICAL ATTENTION AND MEDICATION FOR MY CHILD IN THE EVENT OF ILLNESS
OR INJURY.
_____________________________________________ Date ________________
Signature of
Parent/Guardian
Type of
Insurance _______________________
Policy/Group No. ______________
(Please indicate
none if none.)