• Field Trip Waiver and Medical Authorization

  • 8th Grade Field Trip: Catalina Island - CIMI Toyon Bay

    FIELD TRIP DATES: SEPTEMBER 7-9, 2026
    COST OF FIELD TRIP: $415
    TRANSPORTATION: CHARTER BUS & ISLAND FERRY

     

    Eighth grade students from Heritage Junior High School and Heritage Flex Academy are invited to attend our annual Catalina Island field trip from September 7 - 9, 2026. The cost of the field trip is $415 per person, which includes transportation via charter bus and ferry boat and all activities on Catalina Island. Permission slips and the initial deposit must be made online no later than Friday, May 8, 2026. Although payment in full may be made at any point by July 17, 2026, please note the following installment schedule for those who prefer to make payments:

     
    May 8, 2026: Initial Deposit of $215 Due

    June 12, 2026: First Installment Payment of $100 Due

    July 17, 2026: Final Installment Payment of $100 Due

     
    Special Instructions:

    • Students will not be permitted to take cell phones to Catalina. Valuables should also be left at home.
    • Students will be participating in water activities under the supervision of trained lifeguards and chaperones.
    • The possession or use of alcohol, narcotics, or illegal substances of any kind are strictly prohibited.
    • No weapons of any kind are allowed at camp for any reason. 
    • Participation in the Catalina field trip is a privilege and administration may prohibit students from participating at any time if the student has any discipline incidents administration deems disqualifying.

     

    I fully understand that my child is to abide by all rules and regulations governing conduct during the field trip. It is understood that any child determined to be in violation of these behavior standards may be sent home at the parent or guardians’ expense. I understand and acknowledge that consenting to allow my child to participate in this field trip, I shall, by law be deemed to have given up all claims against American Heritage Charter Schools and each of its officers, employees and agents (hereinafter referred to as AHCS) for any injury, accident, illness or death occurring during or by reason of the field trip. I also agree to relieve AHCS of responsibility for damage to or loss of my child’s property during or by reason of the field trip. In the event of any illness or injury, I hereby consent to whatever x-ray, examination, anesthetic, medical, dental or surgical diagnosis or treatment and hospital care from a licensed physician and/or surgeon as deemed necessary for the safety and welfare of my child. It is understood that the resulting expenses will be the responsibility of the parent(s), guardian(s), or participant. Whenever possible, attempts will be made to contact the parent/guardian prior to any medical action.

     

     

    DEADLINE TO COMPLETE FORM AND MAKE INITIAL DEPOSIT:
    Friday, May 8, 2026

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  • Student Health Form

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  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • If you answer YES to either of these questions, the device(s) MUST accompany your child to camp in order to participate in activities

  • Note: All medications are administered by the student’s school. Please provide your school with instructions and dosage for administration of medication.

  • IMPORTANT: A signature at the bottom of this form by a parent or legal guardian is required for participation at CIMI.

    EMERGENCY MEDICAL CONSENT: The Student’s medical conditions and information stated on this application is complete and correct. I give permission to the CIMI camp staff and School chaperones to, (1) administer the Student’s routine medications listed in this Application, as well as needed medications and over the counter medications for minor illness or discomfort; (2) in case of a medical emergency to provide appropriate first aid for minor injuries; and (3) seek further treatment from local physicians or hospitals if the medical condition warrants. In the event I cannot be reached in an emergency, I also give permission to the physician selected by CIMI or the School chaperone to examine, diagnose, and treat or secure proper treatment for the Student and hospitalize, and to order injection and/or anesthesia and/or surgery for the Student, as the physician shall determine proper and necessary under the circumstances. A photocopy of this Authorization shall be as valid and may be accepted as the original. This completed Application may be photocopied by CIMI and released to the physicians or hospitals if requested. This Consent is given pursuant to the provisions of California Family Code §6910. CONSENT AND RELEASE OF LIABILITY: I, in my legal capacity as parent/guardian of the minor named below (“Minor”), acknowledge and agree that any use of CIMI facilities, services, equipment and premises (“Facilities”) and any
    participation in CIMI programs and activities (“Programs”) comes with inherent risks including, but in no way limited to: (1) moderate and severe personal injury, (2) property damage, (3) disability, (4) death, and (5) sickness or disease, including but not limited to exposure to, contracting, or spreading COVID-19 or any virus. I voluntarily, for myself and Minor, accept and assume full responsibility for these risks as well as any and all other risks of the use of Facilities and participation in Programs. I agree that I have full knowledge of the nature and extent of all such risks and am not relying on all such risks being described in this document. In consideration of Minor’s use of Facilities and participation in Programs I, in my legal capacity as parent/guardian of Minor, agree on behalf of myself and Minor that CIMI, its officers, directors, agents, employees, volunteers, insurers and representatives (“Releasees”) will not be liable for any personal injury, property damage, disability, death, sickness or disease incurred by Minor, however occurring including, but not limited to, the negligence of Releasees. I understand that Minor and I will be solely responsible for any loss or damage, including personal injury, property damage, disability, death, sickness or disease sustained from the use of Facilities and participation in Programs. I further agree, in my legal capacity as the parent/guardian of Minor, on behalf of Minor, myself, and any and all legal successors and proxies, to release and HEREBY DO RELEASE, WAIVE AND COVENANT NOT TO SUE Releasees from any causes of action, claims, suits, liabilities or demands of any nature whatsoever including, but in no way limited
    to, claims of negligence, which Minor, myself, and any and all legal successors and proxies may have, now or in the future, against Releasees on account of personal injury, property damage, disability, death, sickness, disease or accident of any kind, arising out of or in any way related to the use of Facilities or participation in Programs, whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to, the negligence of Releasees. In further consideration of the use of Facilities and participation in Programs, I, in my legal capacity as parent/guardian of Minor, agree on behalf of myself and Minor to INDEMNIFY AND HOLD HARMLESS Releasees from any and all causes of action, claims, demands, losses, suits, liabilities or costs of any nature whatsoever, including claims of negligence, arising out of or in any way related to the use of Facilities and participation in Programs. I give permission for CIMI to use any photographs, video, or interview taken at camp to be used to illustrate, report, promote or advertise CIMI or Guided Discoveries programs or camps.

  • Rules for acceptance and participation in Guided Discoveries, Inc. programs are the same for everyone without regard to race, color, national origin, sex, or handicap.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • In the event of illness or accident and above contacts cannot be reached, please contact:

  • Format: (000) 000-0000.
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  • The total cost of the trip is $415 per student. You have the option to pay in full now, or make installment payments. If you choose to do the payment plan a deposit of $215 is required by May 8, 2026 followed by two more installment payments.

     

    Payment Plan Option:

    May 8, 2026: Initial Deposit of $215 Due

    June 12, 2026: First Installment Payment of $100 Due

    July 17, 2026: Final Installment Payment of $100 Due

     



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      Catalina Field Trip 2026
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