Online Payment Form 1 SHOW AT A TIME (trip 4 out of series of 5 trips)

Location: Destination: Queensborough College Performing Arts Center

Address: 222-05 56th Ave, Queens, NY 11364

Trip Coordinator: Kelly Barton, Grade 6 Assistant Principal

Date: WEDNESDAY, May 15th, 2024

African Breaking Hip Hop dance by ARTS on STAGE

Departure Site: MS 202 138-30 Lafayette Street

Return Site: MS 202 138-30 Lafayette Street

Departure Time: 10:45 am (approximately)

Return Time: Approximately 1:30pm

Mode of Transportation: Yellow Bus (free)

Purpose of Trip: Multicultural Artistic Presentation

Cost: $12.00

***NOTE: A small service/convenience fee charged by Edlio is added to the final cost. If your trip needs to be refunded, a refund will only include the cost of the trip and will not include the service fee.

TRIP DETAILS:

Students should bring bagged lunch OR school lunch can be provided

(students will eat in school prior to departure)

Students are to be ready at school for 8:00am

Chancellor’s Regulation A-670

Parent/Guardian Consent:

https://www.schools.nyc.gov/school-life/health-and-wellness/covid-information/health-and-safety-in-our-schools/school-trips/#daytrip

This trip will include the following physical and sports activities (e.g. swimming, horseback riding, ice skating, skiing, boating): NA

I understand that there are risks of injury associated with the above-listed physical and sports activities and I consent to my child’s participation in all these activities except for the following: NA

I agree that in the event of an emergency injury or illness, the staff member(s) in charge of the trip may act on my behalf and at my expense in obtaining medical treatment for my child.

I understand that my child is expected to behave responsibly and to follow the school’s discipline code and policies.

I understand that I am responsible for getting my child to and from the departure and return sites identified above. I understand that my child shall be accompanied by staff member(s) during the trip, including while traveling from the departure site to the destination site, and from the destination site to the return site.

I understand that alcoholic beverages and/or illegal drugs are prohibited and have discussed this prohibition with my child. I understand that if my child is found in possession of these substances, they will be subject to school disciplinary procedures and possible criminal prosecution.

I understand that students who violate the school’s discipline code may be excluded in the future by the school from participating in a trip.

I agree and understand that I am responsible for the actions of my child. I release the school from all claims and liability that arise in connection with the trip, except if due to the negligence of school officials.

Online Payment Form GRADE 6 (One show at a time): Wednesday, May 15th African Breaking Hip Hop dance by ARTS on STAGE