Brewbaker Technology Magnet

Brewbaker Technology Magnet High School’s

Technology Student Association (TSA)

Chapter Founded August 2000 2

The 34th Annual Alabama TSA conference will be held on the campus of The University of Alabama, Tuesday May 1st and Wednesday May 2nd. The cost to attend will be $110.00 per person. The cost includes transportation to and from Tuscaloosa, a hotel room that four students will share, lunch both days of the trip and a t-shirt. Students will be responsible for dinner Tuesday night and breakfast Wednesday morning. Note: We will not stop for breakfast Tuesday morning when we leave.

Tentative Schedule Day Date Time Place Depart/ Arrive Tuesday March12th 6:00 AM BrewTech Beside room 318 Depart parking lot

Tuesday March 12th 8:00 AM Bryant Conference Center Arrive

Wednesday March 13th 5:30 PM Bryant Conference Center Depart

Wednesday March 13th 7:30 PM BrewTech Beside room 318 Arrive parking lot Contact: Steve Ballard Cell Phone Number 334-224-7909 School 334-284-7100

Hotel Information: Hotel Capstone 320 Paul W. Bryant Drive Tuscaloosa, Alabama 35401 (205) 752-3200 FAX (205) 759-9314

The conference will be held at the Bryant Conference Center on the campus of The University of Alabama Bryant Conference Center 320 Paul W. Bryant Drive Tuscaloosa, Alabama 35401 (205) 752-3200 FAX (205) 759-9314

Ground Transportation: We will be using Capitol Trailways for our transportation to to, Tuscaloosa, Alabama. 3 Capital Trailways 520 N Court Street Montgomery, Al 36104 1-334-832-4166 TSASTATE LEADERSHIP CONFERENCE CODE OF CONDUCT Alabama TSA wants every person to have an enjoyable experience with maximum attention on safety and comfort. Everyone will be expected to conduct himself/herself in a manner best represents this student organization. In order that everyone may receive maximum benefits from their participation, the “Code of Conduct”, as established by the National TSA Board of Directors, must be followed at all times.

1. The term “delegate” shall mean any TSA member, including advisors, attending the State TSA Leadership Conference.

2. Students having a good school record with the approval of school officials and their parents may attend the conference.

3. State and national dues must be paid by all delegates attending the conference.

4. Participant’s conduct shall be the responsibility of the Local TSA Chapter Advisor.

5. Participants shall be prompt and prepared for all activities/meetings.

6. Participants shall keep their Advisors/Directors informed of their activities and whereabouts at all times

7. Participants shall wear name badges at ALL times.

8. Participants shall not deface public property. Any damages to property or furnishings in hotel rooms or university buildings will be paid for by the individual or chapter responsible.

9. Participants from out of town shall spend the night or nights at hotels, in assigned rooms.

10. Participants shall be in their respective rooms and quiet at curfew.

11. Participants of the opposite sex will be allowed in the same hotel room only when the door remains wide (completely) open and the students involved have their advisor’s permission. Also, this will not be allowed after curfew.

12. Participants shall be prohibited from possessing or consuming alcoholic beverages, tobacco or drugs in any form other than doctor prescribed medications.

13. Student participants shall not leave the hotel unless under the supervision of their advisor/adult chaperone.

14. Participants shall attend all general sessions and activities for which they are assigned and registered

15. Participants shall adhere to the dress code at all times.

16. Conference delegates not staying at a hotel should be off the university campus immediately following the last scheduled event.

17. Delegates violating or ignoring any of the conduct rules will subject their entire delegation to being unseated and their candidates or competitive events entrants being disqualified. Curfew will be enforced.

18. Any offender will go before the TSA State Advisor immediately and letter mailed to the parent(s) and school principal involved explaining the nature of the offense. 4

19. Participants may be sent home at their own expense for violating any of these rules of conduct. 5 TSA CODE OF CONDUCT AGREEMENT 2013

School Name: Brewbaker Technology Magnet High School

SCHOOL APPROVAL: “I have read the CODES OF CONDUCT and accept their provisions. The students named on the attached list have my permission to attend the TSA Conference/Workshop.”

Chapter Advisor’s Signature: ______Date: ______Principal’s Signature: ______Date: ______NOTE: Please attach a list of names, of all students attending the conference, so that the principal signs this agreement only once. *********************cut and copy for each participant, have copy at conference**************** STUDENT NAME (All students attending must have signed agreement) STUDENT AGREEMENT: “I have read and understand the provisions of the CODE OF CONDUCT and agree to comply with them.” Student’s Signature:

Parents Signature:______Date : ______Brewbaker Technology Magnet High School TRIP PERMISSION MONTGOMERY PUBLIC SCHOOLS Dear Parent or Guardian, Your child is afforded the opportunity to participate in a school-sponsored trip as outlined below for the purpose of attending The Alabama TSA Conference. Transportation will be by __ Capitol Trailways The group will be supervised by Steve Ballard , Your child will be expected to cooperate fully with those named above. DATE OF THE TRIP March 12 th -13 th 2013 DESTINATION Tuscaloosa, Al DEPARTURE TIME _Tuesday March12th 2013 th at 6:00 AM APPROXIMATE RETURN TIME Wednesday March 13 th around 7:30 PM Authorized School Representative ______

My child, ______, m ay participate in the trip outlined above Print Name of Student ______, ______Signature of Parent /Guardian Date 6 TSA CONSENT AND RELEASE-MINOR 2013

______(Print Student’s Name)

I hereby grant consent, authority, and permission to The Alabama Technology Student Association, and to those acting with the authority of that organization, to use, reuse, publish, republish, the name, statements or comments, likeness, picture, photographic image, or videotape or electronic image, or videotape or electronic image of the minor (under the age of 19 years) below, in whole or in part, or composite or distorted, without restriction as to changes or alterations, without prior approval, in conjunction with original or reproductions in color or otherwise, in printed or electronic form, made though any medium or media, for illustration, promotion, advertising, trade, or any other purpose whatsoever.

I understand and agree that I will not receive any compensation for the use consented to herein. I hereby release, and discharge all persons acting under the consent granted above from all liability, cause of action or claim civil or criminal, by virtue of any distorted or use, intentional or otherwise, that may occur or produced in the taking or subsequent processing or publication of my name, statements, comments, or the images covered herein.

I hereby warrant that I am of legal age and have the right to contract, consent, or grant release for the minor in the above regard. I also warrant that I have read the above consent and release, prior to its execution, and that I am fully familiar with the contents thereof. This consent and release shall be binding upon me, my heirs, legal representatives and assigns.

______SIGNATURE OF WITNESS DATE

______PARENT/GUARDIAN/CUSTODIAN DATE

______MINOR DATE 7 TSA MEDICAL INFORMATION FORM 2013 CONFIDENTIAL

Chapter name: BrewTech H.S.______Advisor name: Steve Ballard______

Student name: ______Parent name: ______

Student’s Cell Phone: ______

Home address: ______

Home phone: ______Parent’s Cell phone: ______

Physician name: ______Physician phone: ______

Insurance name: ______Policy number: ______

ICE name: ______ICE phone: ______

Medical information:

List any known allergies ______

List any known drug allergies ______

List any current medications ______

List any known conditions such as heart, asthma, diabetes, epilepsy, etc. ______

______

List any physical restrictions ______

List any other pertinent information ______

I hereby give permission for emergency medical treatment of the above named student while attending Alabama Technology Student Association events/activities.

______Signature of parent/guardian 8 TSA PERSONAL LIABILITY/MEDICAL RELEASE FORM

STATE ASSOCIATION: ALABAMA

NAME: LEVEL I LEVEL II X

HOME ADDRESS:

TELEPHONE NUMBER: ( ____ )

NOTE: All persons under legal age must have a parent and/or guardian agree to affix their signature to this form. ALL participants must sign this form.

I hereby agree to release the Alabama TSA Association, its representative, agents, servants, and employees from liability for any injury to the above-named person, resulting from any cause whatsoever occurring to the above-named person at any time attending the Alabama TSA conference.

Including travel to and from the conference, expecting only such injury or damage resulting from willful acts of such representative, agents, servants, and employees.

I do voluntarily authorize the State TSA Director, assistants, and/or designees to administer and/or obtain routine or emergency diagnostic procedures and/or routine or emergency medical treatment for the above-named person as deemed necessary in medical judgment.

I agree to indemnify and hold harmless the Alabama TSA Association, State TSA Director, and/or assistants and designees for any and all claims, demands, actions, rights of action, and/or judgment by or on behalf of the above-named person arising from or an account of basic procedures and/or treatment rendered in good faith and according to accepted medical standards.

Having read and understood completely the terms within this form, I do hereby agree to follow the procedures and practices described. I fully understand that this is an educational activity and will, to the best of my ability, apply myself for the purpose of learning and uphold at all times the finest qualities of a person representing the Technology Student Association.

Parent or Guardian’s Signature Date

Participants (Student’s) Signature Date 9 TSA DRESS CODE 2013

Chapter and state advisors, and parents and chaperones, are responsible for seeing that all TSA student members wear official TSA attire, professional TSA attire, or business casual TSA attire as occasions may require. Official TSA attire, professional TSA attire, and business casual TSA attire are considered appropriate dress for related conference activities and public appearances. Since advisors, parents, and guests serve as role models at TSA conferences and activities, they are expected to dress appropriately for all related occasions they attend. Students must adhere to the TSA dress code requirements as listed below.

During general sessions at the state and national conference, student members must wear official TSA attire, professional TSA attire, or business casual attire. Adults should dress appropriately as well.

TSA contestants must refer to the Total TSA Competitive Events Guides for specific attire required for each competition and in the Competitive Events Attire section of the general rules.

Official TSA Attire (most formal) Blazer: navy blue with official TSA patch Ties: scarlet red imprinted with official TSA logo for males, females no longer have to wear a scarf or tie Shirt or blouse: white, button-up with turn down collar or new blue TSA dress shirt/blouse Pants or skirt: light gray Dark socks: males only (black or dark blue) Shoes: black dress shoes (unacceptable: athletic shoes, combat or work boots) Females only may wear black open toe shoes

Professional TSA Attire (less formal) Shirt: males or females, button-up with turn down collar (unacceptable: t-shirt, polo or golf shirt) Blouses: females only Ties: males required, females optional Dress pants (unacceptable: jeans, baggy pants, exterior pocket pants) Dresses/skirts: females only (minimum length even with tips of one's fingers) Dark socks: males only (black or dark blue) Shoes: dress shoes or boots(unacceptable: athletic shoes, combat or work boots) Females only may wear open toe shoes

Business Casual TSA Attire (least formal) Same as professional attire, however a tie is not required, and the shirt or blouse may be a polo or golf shirt. (Unacceptable: t-shirt or shorts)

PLEASE NOTE

Please be advised that personal items brought to the conference for use at the conference are the sole responsibility of the attendee who chooses to bring the items. If a participant chooses to bring items of value, he/she is responsible for their safekeeping at all times. This includes any item of monetary or personal value, including items used in competitive events. Alabama TSA, Brewbaker Technology Magnet High School nor the chapter advisor accepts no responsibility for replacement of lost, misplaced, or stolen item and will not replace such items. This policy applies to all attendees and includes the conference management team, event coordinators, and chapter advisors. ROOM ASSIGNMENTS Please make a copy of this completed form for your records.

Last name, first name M/F M/F ROOM 1 ROOM 7 Kenny Ledyard Ryan Wicher Aldenero Dixon Hunter Meadows Brandon Sewell Geoffrey Percival Connor Burroughs Taylor Bowles

ROOM 2 ROOM 8 Kory Taylor Adriane Winslow Matthew Bailey Sydney Parker Jay Patel

ROOM 3 ROOM 9 Deandre Harris D’Maree Jackson Jonathan Nettles Tina Le Orlando Durr Takia McCurry Nick Chappell

ROOM 4 ROOM 10 Taye Alexander Gary Taylor (Bus driver) Amik Khamken Spencer Bounphouansy Chas Shipman

ROOM 5 ROOM 11 John Treat Mr. And Mrs. Ballard - (Advisor/Chaperone) Ben Powell Chandler Bise Nick Dowdey

ROOM 6 ROOM 12 Kyle Robinson Mrs. Ludwigsen Chris Kruggel Jeremiah Bell

ROOM 14 11

Students attending the 2013 TSA State Conference

1. Taye Alexander 19. Tina Le 2. Matthew Bailey 20. Kenny Ledyard 3. Kaitlyn Beans 21. Quintez Long 4. Jeremiah Bell 22. Takia McCurry 5. Chandler Bise 23. Hunter Meadows 6. Taylor Bowles 24. Jonathan Nettles 7. Spencer Bounphouansy 25. Sydney Parker 8. Connor Burroughs 26. Jay Patel 9. Nick Chappell 27. Sherman Peek 10. Aldenero Dixon 28. Ben Powell 11. Nick Dowdey 29. Geoffrey Percival 12. Orlando Durr 30. Kyle Robinson 13. Jesse Duncan 31. Brandon Sewell 14. Deandre Harris 32. Chas Shipman 15. Victoria Houlton 33. Kory Talley 16. D’Maree Jackson 34. John Treat 17. Amik Khamken 35. Ryan Wicher 18. Chris Kruggel 36. Adriane Winslow

Alabama TSA Trip –2013

1. Personal Money At least $35.00 to include coins and dollar bills for dinner Tuesday night, snacks and drinks 2. Clothes Pack extra clothes 3. Suitcases One large suitcase and a carry-on/Backpack 4. The bus will be Bring jacket, blanket and perhaps a pillow cold 5. Videos VHS Rated “G” or “PG” (Only) 6. Bring snacks For the trip and for snacking in the rooms 7. Lunch will be provided free both Tuesday and Wednesday. We plan to eat dinner away Food from the conference area Tuesday night. Breakfast will be on your on Wednesday morning lunch on Wednesday is provided. We will stop for fast food on the way home. 8. Rooms are (4) If you prefer bring sleeping bags, pillows etc. Persons per room 9. Room inspections On Wednesday Morning 9:00 AM before we leave 10. Food Bring extra money we will stop at fast food places only 11. Curfew Curfew is 12 Midnight NO EXCEPTIONS! 12. Rules Violations Any State TSA, BrewTech or MPS rule violation will be cause for the party or parties incurring the infraction to be sent home immediately at the their own expense. 13. Lost or Stolen TSA, BrewTech, MPS nor I will be responsible for anything lost stolen or broken while on the trip. You are an adult keep up with you stuff 12 14. 15. Responsibility You are representing yourself, your parents, your school, community, State and TSA don’t do anything to harm or cast in a bad light all those things that you are representing

Teacher/Student Fieldtrip Absence Form Daytrips which do not require funds --or-- to be completed in addition to any other required form.

Class/Teacher _Alabama TSA State conference______Dates of Fieldtrip __Tuesday March12th – Wednesday March 13th, 2013____ Fieldtrip to __The University of Alabama, Tuscaloosa Al. ______Time from ______to ______or _1st-7th___ block(s)

Type of Transport Check: School Bus Parents’ Cars Teacher’s Car

Walking Charter Bus Students’ Cars Other x

This student will be out of class on the above fieldtrip. It is the responsibility of the student to complete all scheduled assignments and tests or to have made arrangements to do so before leaving on any fieldtrip. Students must return this form to the fieldtrip sponsor two days prior to the trip.

Student Name: ______

This student is in good standing (includes academics, attendance, and conduct). If this student is not in good standing, please notify the fieldtrip sponsor immediately.

Period Subject Teacher Signature

1. ______2. ______3. ______4. ______5. ______6. ______7. ______

03-06-2013 Date given to student Date returned with signatures 13