Save
The Bay
Canoes
In Sloughs
Participant Packet
Includes:
Dear Participant (and Parents):
You (or your child) will soon participate in a Canoes In Sloughs field trip with Save The Bay! Save The Bay is the oldest and largest membership organization working exclusively to protect, restore and celebrate San Francisco Bay—our programs are designed to give the community a hands-on opportunity to discover, enjoy and learn about the San Francisco Bay while taking an active role in keeping it healthy. Learn more about what we do on our Web site www.saveSFbay.org or by calling us directly at 510-452-9261.
Your upcoming field trip will enable you to participate in
outdoor activities, both on-land and on-the-water. To help make the field trip
a positive experience, you should be prepared to spend the day outside. Please
wear weather appropriate clothes that can get dirty and close-toed shoes to
protect your feet from sharp objects. Remember that the temperature is
generally 10 degrees cooler on the water than on land we encourage that you
wear layers. While we do our best to ensure that you stay dry, you might get
WET, DIRTY or MUDDY.
Please look through this packet carefully and follow all the instructions enclosed. The Participant Information Sheet and Checklist will help you prepare for the field trip. Note that the health form and waiver must be signed by your parent or guardian and turned in to your teacher prior to the field trip.
Being prepared will help make this a rewarding, fun, and
challenging experience. Thank you for your help. We look forward to meeting
you!
Sincerely,
The Education Staff at Save The Bay
You will notice that the health form/release waiver is
detailed and extensive. Save The BayÕs insurance policy requires us to use a
form of this nature. We would like you to know that Save The Bay and our Canoes
In Sloughs program have an impeccable safety record. In the six years since its inception, the
program has not experienced a single major accident or injury, and we plan to
keep it that way. All of our instructors are certified in CPR and Wilderness
First Aid. The safety and well being of our participants is always our primary
concern.
What to
Wear:
q
Close-toed shoes, or boots that can get WET and MUDDY.
No sandals, aqua socks, or bare feet!
q
If the weather is warm, shorts, short‑sleeved
shirts and a windbreaker are okay.
q
A hat and long‑sleeved shirt are recommended to
prevent sunburn.
q
If the weather is cool, bring a sweater, jacket, or
coat. Also a hat and extra socks as necessary.
q
Bring RAIN GEAR if bad weather is forecast (we will
still run the program if there is a light rain).
q
Dress in layers. It is better to overdress and shed
layers than to under-dress and be cold.
q
Remember, we will be outside all day. Dress for weather
on the water rather than for the weather at your home. It is often 10 degrees
colder and windier on the water than on land.
Lunch (we will eat lunch in the canoes):
q
Bring a bag lunch that is easy to carry and to keep dry
(wrap in Tupperware or plastic bags).
q
Bring at least one large re-sealable bottle full of
water
q
Avoid packaging that produces large amounts of waste
and please RECYCLE!
Bring:
q
Water resistant/proof bag(s) to put your lunch and
personal gear in.
q
Suggested: sunglasses, brimmed hat, lip balm,
handkerchief, and sunscreen.
q
Optional: camera, binoculars (use sealable plastic bags
and a great deal of care to keep these dry).
DonÕt Bring:
q
DonÕt bring textbooks, homework, papers, purses, or
backpacks unless they can get wet/muddy.
q
DonÕt bring anything of value including cell phones,
pagers, walkmans, Discmans, Ipods, etc.
Safety: Your trip leader is
certified in CPR, Wilderness First Aid, and as a canoeing instructor. All sites
have been scouted. There are no white‑water rapids – the water is
flat, protected and calm. We use 14'-18' We-No-Nah canoes, known for their
quality construction. Canoes, paddles, life jackets, and other safety gear are
inspected regularly and kept in excellent shape. All participants are required
to wear life jackets at all times.
Weather: If
severe weather or high winds are forecast, the trip may be cancelled. Your
teacher will contact you in the case of a cancellation. Light rain will not
cancel the trip!
We will enforce these rules for your safety. Your trip
leaders may add others rules at the trip site depending upon the circumstances.
We want you to enjoy yourself and be safe while learning on the water. Save The Bay instructors have the right and responsibility to
terminate the field trip if the groupÕs behavior warrants it or if they feel
the groupÕs safety is in jeopardy.
1.
All participants, regardless of swimming ability, must wear a
life jacket (personal flotation device) supplied by Save The Bay.
2. All school rules apply.
3.
All participants must have a completely filled-out and signed
health form and waiver. For participants under 18 years old, the waiver must be
signed by their guardian.
4.
Shoes must be worn at all times. Glass and other sharp debris
can cut bare feet.
5.
No radios, tape players, walkmans, Discmans, cell phones, Game
Boys, pagers, etc. allowed.
6.
No horseplay: no splashing, no rocking canoes, no racing, no
swimming.
7. No drugs, alcoholic beverages, or smoking.
8.
No pets.
This must be completed for all participants
School/Group__________________
Teacher/Group Leader__________________
Date of trip__/__/__
Name:____________________ ________________ Date of Birth:___/___/___ Gender: M__ F__
Last First
Parent(s) or Guardian (for student participants only)______________________________________
Work Phone (_______) ____________________ Home Phone (_______) _______________________
Home Address _______________________________________________________________________
City ___________________________________ State _________ Zip Code _____________________
Insurance Company ________________________ Policy and/or ID Number ___________________
In an emergency, please notify: Check here if same as the above _______________
Name___________________________________ Relationship_________________________________
Work Phone (_______) _________________ Home Phone (________) _________________________
Home Address _______________________________________________________________________
City____________________________________ State__________ Zip Code _____________________
Family Physician:_____________________________ Phone (_______) ________________________
Current Medications __________________________________________________________________
Other Health Related Information_______________________________________________________
______________________________________________________________________________
_____________________________________________________________________________________
ParticipantÕs Health History
Does the participant have a current tetanus shot? Yes No Date of Shot: _____/_____/_____
Please circle any allergies participant may have: Insect Stings, Hay Fever, Asthma, Food__________________, Penicillin, Other______________________________________________
Please describe known reaction to circled _______________________________________________
Please circle any of the following diseases participant has had or has now: Heart Defect/Disease, Epilepsy, Diabetes, Bleeding/Clotting Disorders, Hypertension.
Describe circled from above_____________________________________________________
This must be completed for all participants
(Please read the
following carefully before signing below)
In consideration of the services of Save The Bay, its agents,
employees, trustees, officers, contractors and all other persons or entities
associated with it (collectively referred to as ÒSTBÓ), I agree as follows:
I am familiar with the program for which I am
registering. I have had all my
questions about the nature of the activities, the conditions, and the location
where the program will take place answered. I understand that this program has risks, including certain
risks which cannot be eliminated without fundamentally altering the unique
character of this program. The
same elements that contribute to the unique character of this program can be
the cause of loss or damage to my belongings, accidental injury, and illness
or, in extreme cases, permanent trauma, disability or death. I understand that STB believes it is
important for me to know in advance what to expect and to be informed of the
programsÕ inherent risks. The
following describes some, but not all, of those risks.
STB courses involve travel out of doors where participants
are subject to numerous risks, environmental and otherwise. Activities vary from program to
program, and may include canoeing, restoration projects, and hiking.
STB programs frequently occur in remote places where
communication and transportation are difficult. Consequently emergency
evacuations and medical care may be delayed.
Travel is by canoe, on foot and by other means, over
rugged, unpredictable off-trail terrain, which may include Bay waters, rivers,
slippery rocks, ocean tides and currents, and waves, and floating obstacles. Participant risks include falling,
capsizing, and drowning, as well as environmental risks.
Environmental risks and hazards include rapidly moving,
deep, or cold water; insects, snakes; lightning and other unpredictable forces
of nature, including weather which may change to extreme conditions without
notice. Possible injuries and
illnesses include hypothermia, sunburn, heatstroke, dehydration, allergy
attacks, and other mild or serious conditions.
Instructors may be required to make decisions under
difficult circumstances, based on a variety of perceptions and evaluations,
which by their nature are imprecise and subject to error.
I understand this description of the risks involved is not
complete and that other unknown or unanticipated risks may result in property
loss, injury or death. I agree to
assume responsibility for all the risks inherent in the activities that
comprise these programs. My
participation in this program is purely voluntary, no one is forcing me to
participate, and I elect to participate with full knowledge of the inherent
risks.
I hereby agree to permit Save The Bay employees, agents,
and other guests to take photographs and make film records of the trip without
further recourse. I understand that such items may be used for commercial
and/or promotional purposes.
I and my parent(s) or guardian, if I am a minor, represent
that I am fully capable of participating in this program. Therefore, I, and my parent(s) or
guardian, if I am a minor, assume and accept full responsibility for me and for
the injury, death, loss of personal property, and expenses suffered by me
and/or them as a result of my voluntary participation in this program, as well
as for any loss, injury or death resulting from my own negligence.
Signature: ___________________Date:________________________________
(Participant/Student)
Signature: ___________________Date:________________________________
(Parent or Guardian)