Spring Trip to Kings Dominion!!!

Friday, May 31st, 2019

The Silver Spring International Middle School will perform in a

Mid-Atlantic adjudicated festival at Kings Dominion. This trip will

allow each student to practice their art in a friendly competitive

setting outside of the school building. “Music in the Parks” provides

a fun atmosphere for each student to explore music through their

own performance and through performances of other groups in the

Mid-Atlantic Region. The day includes time in the park for students

and chaperones! I hope you will support your child and the SSIMS

Music Department.

Call for chaperones

Mr. Nassar and Mr. Dawson would like to invite you to

chaperone this trip. Please fill out the chaperone form if you are

interested. Chaperone space is limited and will be given on a

first-come first-served basis. If space is available on the buses,

those volunteers not selected to chaperone, may attend the trip for

$120 .

We need approximately 12 chaperones for the trip. Students will

be checking in with their chaperones at regular intervals. MCPS

staff chaperones will assist with medical and bus issues. As per

MCPS policy, all chaperone trip costs will be subsidized through

student participation fees. Chaperones are selected on a

first-come first-served basis.

Chaperones MUST feel comfortable with the following

duties in order to attend the trip: - Taking roll of your group and

other groups as needed before leaving each location of the trip -

Addressing minor behavior issues of SSIMS students - Keeping

track of the students in your group and making sure the students

check in with you throughout the day - Getting to the awards

ceremony with all students on time

*****Students will be performing on this trip, so they are expected

to come to school that morning



wearing concert attire. Students

shou



ld bring a change of clothes (appropriate for the weather and

the school dress code),

*Per MCPS policy, If prescribed medication needs to be administered ANY TIME during

the trip (5:00am - 11:00pm) MCPS Form 525-13 must be filled out by a parent or guardian

AND A PHYSICIAN and turned into the school nurse. Over-the-counter medication must

be NEW, in the original container with the manufacturer's dosage instructions, and

the safety seal must be INTACT. Signatures are needed and required. If your child

takes medication during the school day already you DO NOT need to make a

duplicate form. If you have any questions please contact the school’s nurse.

SSIMS Kings Dominion Trip Itinerary (tentative)

4:45 a.m. Parent Chaperone /



Staff meeting in the band room.

5:00 a.m. EAT BREAKFAST PRIOR TO ARRIVAL! Call

time for students to arrive at SSIMS. Students should arrive

wearing their concert dress of black bottoms and white tops

5:00 a.m. “Official” check-in #1 with chaperones

5:15 a.m. Load busses with instruments, equipment, and students

5:30 a.m. Buses depart for Doswell, VA

7:00 a.m. SNACK! Students should bring and eat a light snack for

performance fuel!

7:30 Arrive Caroline High School 19155 Rogers Clark Blvd Milford, Va 22514

11:30 a.m. BUSES depart for Kings Dominion

12:00 p.m. Arrive at Kings Dominion and enter park

5:15 p.m. “Official” check-in #



2 with chaperones

5:30 p.m. Award Ceremony at the Kingwood Amphitheater

7:30 p.m. DINNER! Students continue park activities and

purchase dinner in the park when

Appropriate.

8:30 p.m. “Official” check-in #



3 with

chaperones

8:45 p.m. Students and chaperones arrive at the

park exit 9:00 p.m. Load busses and depart for

SSIMS

11:00 p.m. Arrive at SSIMS and unload

instruments from buses

11:00 p.m. Parents pick-up students

In case of an emergency, all staff and chaperones will be provided with a phone

tree. Staff will be contacted by the involved chaperones and initiate the phone

tree.

Student Cost (



Cost of transportation, performance, park,

and lunch) : $141.00 per student

Don



ations will



be accepted to offset the cost for students in

need.

Scholarships are available for students with financial

hardship. Parent/



Guardian must submit the attached form if a

scholarship is needed. DEADLINE for scholarship eligibility

is March 1st.

DEADLINE for scholarship eligibility is March 1st.

*****Checks and Money Orders MUST be made out to Silver

Spring International Middle School. Please write your student's

name and the King Dominion in the memo line of each check or

money order. Parents are strongly encouraged to submit payment

online via the school’s website. (Directions to submit online

payment will provided at a later date). In case of cancellation, any

unspent and/or refundable money remaining will be available for

refund or donation to the program.

Payment due dates: (Student Performers)

Option A

Deposit $50.00 due by February 28th

Payment #1 March 28th, $45.50

Payment # 2 April 25th, $45.50

Option B

Payment in Full

Chaperones/V



olunteers

We will accept chaperone applications on a first come, first

served basis. MCPS chaperone/



volunteer policy requires that

chaperones attending this trip must complete the Online Training

for Volunteers and Contractors: Recognizing and Reporting

Child Abuse and Neglect



and must be fingerprinted by MCPS.

Additional information will be provided to Chaperones and

Volunteers for this trip. The cost to attend for adults not selected

to chaperone is $120.

Please Return this form to RSVP for Kings Dominion

_________________________________________________(Student Name)

Has my permission to perform and travel with the SSIMS to participate and perform in the Music in

the Parks Festival at Kings Dominion on May 31, 2019.

(please indicate your payment option with an “x”

_______ enclosed is my $50 deposit and I will submit $45.50 on March 28th and April 25th.

_______enclosed is my full payment of $141

_______ enclosed is request for a scholarship for my student to attend(Deadline for scholarship

requests will be March 1st)

______ I am enclosing an additional $_________ please use this donation to fund scholarships.

_____ I would like to volunteer as a chaperone

_____ I am attending with my child as an adult volunteer (non-chaperone and have enclosed $120

_______________________________parent/guardian signature

__________date

Financial Hardship Request

MCPS remains committed to providing all students, regardless of

their economic circumstances, with full access to all the courses,

the instructional materials required for those courses, and the

instructional program.

Student Name_______________________________

On behalf of this student I am requesting

_________ extended payment schedule

________reduced payment

________ full waiver

___________________________parent/guardian signature

___________date

Chaperone Form – DUE March 1st

Chaperones MUST feel comfortable with the following duties in

order to attend the trip: - Taking roll of your group and other groups as

needed before leaving each location of the trip - Addressing minor behavior

issues of SSIMS students - Keeping track of the students in your group and

making sure the students check in with you throughout the day - Getting to the

awards ceremony with all students on time

PLEASE RETURN THIS COMPLETED FORM WITH YOUR FIRST

PAYMENT! We will inform you whether or not you have been chosen as

a chaperone. If you are not chosen and there is extra space on the bus,

you may still attend the trip for $89 (admission/



bus ride)

Name of Chaperone:

Relationship to

Student:

Home

Phone:

Cell

Phone:

Address:

Please return the signed form with your initial payment

I, ____________________________________ a participant in the Music in the Parks

festival on May 31, 2019, sponsored by Silver Spring International MS (SSIMS) and

approved by Montgomery County Public Schools (MCPS), agree to all of the

following as a condition of participating in the trip:

● I agree to abide by all rules, regulations, and policies of the Board of Education of MCPS,

policies of SSIMS, and policies set forth by Mr. Dawson, Mr. Nassar, and the trip chaperones.

● I will follow instructions of the chaperones in all instances. I understand that the safety and

welfare of the group is of utmost importance. I understand that I am expected to participate in all

group activities.

● In the event of any violation of the rules, the chaperones reserve the right to make a decision

about any initial consequences and may, if deemed appropriate, contact Mr. Dawson, Mr. Nassar,

or the SSIMS administrator. Mr. Dawson and Mr. Nassar may decide to exclude a student from

park activities if any action(s) were deemed to be detrimental to the safety or well-being of our

program, students, or other parties. If such an infraction occurs, parents /



guardians will be

contacted immediately. If legal action occurs, MCPS policy will be in effect and parents may be

required to pick up their child from police custody.

● I agree to act in a responsible, ethical, and positive manner so as to derive the greatest benefits

from the program and make a valuable contribution to it. The SSIMS PBIS philosophy is

expected to be implemented and used by every student at all times.

I have read and understand this behavior agreement and I agree to abide by

all points. Student

Signature______________________________________date

Parent Agreement: I certify that I am a parent or legal guardian of the student

named above and that I have read, understand, and agree to this agreement.

Specifically, I agree to assume financial and legal responsibility if necessary,

Parent / G



uardian Signature: Date: