The Hawaii SA 1 form is a crucial document used by the Department of Education in Hawaii to obtain parental consent for student participation in overnight or off-island travel activities. This form not only outlines the details of the event but also collects necessary information regarding transportation, costs, and medical coverage. By ensuring that parents or legal guardians authorize their child's involvement, the form plays a vital role in facilitating safe and organized school-related excursions.
The Hawaii SA 1 form is an essential document for parents and guardians of students participating in overnight or off-island school activities. This form facilitates the authorization process, ensuring that all necessary permissions and information are collected prior to the event. Parents must provide details about the activity, including the name of the school, the organization involved, and the specific dates and times of the trip. Additionally, the form outlines the costs associated with transportation and entry fees, allowing for transparency in financial obligations. A section for parental permission requires guardians to indicate whether their child can attend, while also addressing medical insurance coverage. If applicable, the form includes provisions for private vehicle usage, ensuring that parents consent to their child driving or riding with an adult. Furthermore, it contains a teacher acknowledgment section, confirming that the student will be missing class and must make up any missed work. By completing the Hawaii SA 1 form, parents play a vital role in safeguarding their child's participation in school-sponsored activities.
Completing the Hawaii SA 1 form is a crucial step for parents or guardians wishing to authorize their child's participation in school activities. However, several common mistakes can hinder the process. One significant error occurs when individuals neglect to provide complete information regarding the activity. Missing details such as the activity name, school, or dates can lead to confusion and delays in approval. It is essential to ensure that all sections are filled out accurately to avoid unnecessary complications.
Another frequent oversight involves the parental permission section. Parents may forget to check the appropriate box regarding their child's participation. This simple act is vital, as it clearly communicates consent or denial. A failure to indicate permission may result in the student being unable to attend the planned activity, causing disappointment and logistical issues.
Additionally, many parents overlook the medical insurance coverage section. It is important to specify whether the child has medical coverage and, if so, to provide the name of the insurance plan. Failing to do so can create complications in case of an emergency. If a child requires medical attention during the activity, having this information readily available can significantly expedite the process of care.
Lastly, another common mistake occurs with the signature and date section. Parents or guardians sometimes forget to sign the form or provide the date of their signature. This omission can render the form invalid, causing further delays in the approval process. To prevent this, double-checking the entire form before submission is advisable, ensuring that every required field is completed accurately and thoroughly.
STATE OF HAWAII
DEPARTMENT OF EDUCATION
Distribution for overnight or off-island travel:
Original - Chaperone; 1 copy each to principal & parent
Parent/Legal Guardian Authorization for
Student Participation and Travel
This completed form and payment (if applicable) are due on or before:
_____________________________ to ____________________________________________________________.
(Date)
(Advisor/Teacher)
Permission is requested for your child to participate in the following:
Activity: _____________________________________
School: _____________________________________
Organization: ________________________________
Place: ______________________________________
Teacher/Advisor: _____________________________
Dates: ___________________ Times: ____________
Mode of Transportation: ______________________
a. Transportation... ($ __________ )
b. Entrance Fee..... ($ __________ )
c. Other Costs....... ($ __________ )
d. Total Cost.......... ($
__________0
)
Parental Permission
(To be completed by Parent/Legal Guardian)
Name of Student: _________________________________________________ Home Phone: _____________
Emergency Contact: ____________________________________________________ Phone: _____________
Check as appropriate:
(Please include relationship)
My son/daughter has permission to attend the above activity.
My son/daughter DOES NOT have permission to attend the above activity.
Medical Insurance Coverage
My child has medical coverage with: _______________________________________________________
(Name of plan, e.g., HMSA, Kaiser, Military, etc.)
My child is not covered by any medical insurance plan.
Private Vehicle Usage
My son/daughter may drive to the activity alone. (Form BO-4, “Application for Use of Private Vehicle to Transport Students” must be completed and attached to this form.)
My son/daughter may ride in a vehicle driven by an adult to the activity.
Igrant permission for the above named student to participate in the activity/activities listed above, and to travel by private or commercial car, bus, train, airplane, and other means of transportation as required.
Ifurther give permission to travel by the mode indicated above. I release the State from liability resulting from the use of other than school vehicles pursuant to HRS 286-181.
In the case of illness or injury to above named student, I hereby consent to and authorize such treatment as deemed necessary, and agree to pay for such medical and dental costs if incurred.
_____________________________________________________________
Print or Type Parent’s/Legal Guardian’s Name
__________________________
Parent’s/Legal Guardian’s Signature
Date
Teacher Acknowledgment for Student Travel (To be completed by subject teachers, if applicable)
Please sign below to acknowledge that the above student will be missing class because of the activity mentioned above. He/She understands that all class work shall be made up at YOUR convenience.
Home Room: _______________________________ Period 4: ___________________________________
Period 1: ___________________________________ Period 5: ___________________________________
Period 2: ___________________________________ Period 6: ___________________________________
Period 3: ___________________________________ Period 7: ___________________________________
Form SA-1, Rev. 9/09 RS 10-0308 (Rev. of RS 10-0167)
Hawaii Food Establishment Permit - Maintain updated information on food items being sold throughout the event period.
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