Matia Island/Sam Tso - June 5th, 2024

Dear Parent/Guardian:

Your child has been asked to participate in an educational experience and accompany his/her peers on a day trip to Matia Island to learn about the gifts of Camas. As we continue to strive to make sure that all of our students are in a safe and comfortable environment, we are asking you to fill in the form below and return it back to school by 6/5/24.

About: Gifts of Camas- A day trip to Matia Island to learn about and harvest Camas, hike the island, and spend time in the traditional waters and lands.

For rising Seniors (11th graders).

TRANSPORTATION TO AND FROM EVENT PROVIDED.
8:15 AM - Departing Lummi Nation School
8:45 AM - Departing Squalicum Harbor
9:30 AM - Arrive at Matia Island
1:00 PM - Depart Matia Island
1:45 PM - Arrive at Squalicum Harbor
2:15 PM - Arrive back at Lummi Nation School

School Teacher(s): School Chaperone(s): Sam Tso

*****IMPORTANT TO PLEASE CONTACT THE SCHOOL NURSE (360) 758-4369 TO ENSURE ANY MEDICATIONS ARE UP TO DATE*****

Student's Name (First M.I., Last)*

Teacher's Name*

Grade*

Parent/Guardian Name*

Address*

City, State, Zip Code*

Phone Number*

I give permission for my child to attend this field trip.*

YesNo

PARENT/GUARDIAN SIGNATURE*

DATE

Date

My Child/Student has a health condition/medical condition - if yes, please list, it no please put "none":*

EMERGENCY CONTACT INFORMATION:

NAME*

PHONE*