may 9, 2016 the university of a · 2016-05-09 · information packet thoroughly. the packet...
TRANSCRIPT
May 9, 2016 USC Science Program students, parents, and guardians: It is my pleasure to welcome you to the 2016 High School Marine Science Lab program on Catalina Island. Your acceptance into this academic summer program is a testament to your academic achievement and personal character, and we are delighted that you have expressed interest in joining us this summer. When you arrive at the University of Southern California, counselors and staff from USC Sea Grant and Wrigley will greet you. While on the island, faculty and staff members of the Wrigley Institute for Environmental Studies as well as residential counselors will supervise the program. Ms. Linda Chilton, USC Sea Grant Education Programs Manager is the primary contact for the island. Linda’s contact information is enclosed, in case of emergency. With the Science Program quickly approaching, please read through the enclosed information packet thoroughly. The packet addresses everything you need to know about the program, from general information to details like what to pack and what to do before you arrive. Please pay close attention to the Before You Arrive Checklist and complete all forms by June 17, 2016. This will help us to make your summer experience fun and educational. Forms are included as attachments. Please mail, fax, or scan and email all forms to our office: USC
Sea Grant Program 3454 Trousdale Parkway, CAS 200 Los Angeles, CA 90089-0153 Fax: 213-740-5936 [email protected]
If you have any questions or concerns not addressed in the general information packet, please do not hesitate to call 213-740-1965 or email us at [email protected]. We look forward to spending an exciting (and educational) summer with you.
Sincerely,
Linda E. Duguay Director, USC Sea Grant Program
UNIVERSITYOFSOUTHERNCALIFORNIALosAngeles,California
�HighSchoolMarineScienceProgramonCatalina
GeneralInformation2016�
PleasereviewalltheinformationinthispacketcarefullyandcompletetherequiredformsbyFriday,June17,2016.�Formsareincludedinthispacket.Pleasemail,fax,orscanandemailallformstoouroffice:USCSeaGrantProgram3454TrousdaleParkway,CAS200LosAngeles,CA90089-0153Fax:[email protected]�CONTACTINFORMATIONPleasekeepacopyofthefollowingcontactinformationtoresolvequestionsorincaseofemergencybeforeorduringtheprogram.�EmergencyContacts:�LindaChilton,EducationProgramsManager:310-347-2751(cell)July5–14,2016�WrigleyMarineScienceCenter:310-510-0811(Mon–Fri:8:30am–4:30pm)��USCWrigleyInstitutefroEnv.Studies,afterhours:213-219-0367���USCSeaGrantProgram:213-740-1961(office),213-740-5936(fax),[email protected](Mon–Fri:8:30am–4:00pm)
Dropoff&PickupLocationsDROPOFF:July7,2016Studentswillmeetbetween2:00and3:30pmonJuly7attheUniversityofSouthernCalifornia,EntryGate3.Wewillmeetjustpasttheendoftheentryatthetablesontherighthandside.EntryGate3isonUSCMcCarthyWay,justoffofS.FigueroaSt.Drivingdirectionstowherewewillbemeetingaresimilartodirectionstotheadmissionsofficeandcanbefoundathttps://visit.usc.edu/maps-directions/university-park-campus/directions-to-the-usc-admission-center/Ifyouarejustdroppingoffyourstudent,youmaydrivethroughtheentryanddropoffyourstudentatthetables.Ifyouplantostayforabitonceyoudropoffyourstudent,parkinginthestructureis$12oratmetersonthestreetis$1/hour.Acampusmapcanbefoundathttp://web-app.usc.edu/maps/#upc/StudentswillspendthenightindormsontheUSCcampusandonJuly8,travelbyUSCtramtotheboatatSouthernCaliforniaMarineInstitute(SCMI)wheretheywillboardUSC’sboatMissChristieforthetriptoCatalinaIsland.PICKUP:July13,2016OnJuly13,at5:00pmstudentswillreturntoSCMIandbereadyforpickup.SCMIislocatedat820S.SeasideAvenue,TerminalIsland,CA90731.PleaseleaveplentyoftimetofindSCMIandarriveby5:00pmtomeetyourreturningstudent.Drivingdirectionscanbefoundathttp://www.scmi.net/contact-us/directions/
SPENDING MONEY: Spending money is at the discretion of students and their parents. Students only will need (optional) money for any souvenirs. A list of gift shop items will be forwarded. Students are urged not to bring large amounts of cash with them. PHONE & ELECTRONICS: Students are able to use cell phones and listen to music during free time. HEALTH SERVICES: At Wrigley Marine Science Center (WMSC), highly trained Los Angeles County Paramedics are on call 24-hours a day in the community of Two Harbors and a small hospital is located in Avalon. If necessary, patient can be evacuated by helicopter from WMSC to a hospital on the mainland. Additionally, WMSC has a hyperbaric chamber, and all staff have basic medical and first-aid training. Parents will be notified if their student becomes ill or injured. USC policy specifies that students under the age of 18 may not be treated without the written consent of their parents. In the event medical treatment is necessary the enclosed Parental Consent and Release Form and Medical History ad Consent Form will allow the students to receive medical care when and if needed. Each student must have personal health insurance. USC requires that each student carry his medical insurance information with them at all times. We will carry the forms you complete with us at all times.
If your child does not currently have health insurance, please contact me so we may purchase insurance for the week. To ensure medical care, it is essential that the completed Parental Consent and Release Form and Medical History and Consent Form be returned with completed application to the Sea Grant Office by June 17, 2016.
UNIVERSITY OF SOUTHERN CALIFORNIA Los Angeles, California
High School Marine Science Lab Summer 2016
BEFORE YOU ARRIVE CHECKLIST
Forms
All forms must be completed and returned to our office by Friday, June 17, 2016. Please keep a copy of all forms and return originals. Forms are attached. Forms that require a parent or guardian’s signature should be mailed, scanned/emailed or faxed to our office.
USC Sea Grant Program 3545 Trousdale Parkway, CAS 200 Los Angeles, CA 90089-0153 Fax: 213-740-5936 [email protected]
Forms Requiring Parent or Guardian’s Signature: ☐ Form 1 - Letter of Understanding – Student and Parent Signatures Required ☐ Form 2 - Release from Liability – Required ☐ Form 3 – Medical History and Consent – Required
(This will allow students to obtain urgent medical care if necessary) ☐ Form 4 – Photo Consent –returned form is Required
(we will share photos with families during the week,) Travel Arrangements
Driving directions to University of Southern California and to Southern California Marine Institute (SCMI)can be found in the general information page of this packet. Students arriving from out of the area will have
individualized travel plans to get to Los Angeles and back home.
UNIVERSITY OF SOUTHERN CALIFORNIA Los Angeles, California
High School Marine Lab Science Program
Summer 2016
PACKING CHECKLIST Clothing
Jacket
Windbreaker
Sweatshirt
T-shirts (long & short sleeved)
Jeans
Shorts
Sweatpants (to wear over shorts & easily removed for waterfront activities)
Swimsuit
Warm Pajamas
Socks
Closed toed shoes for the boat, and labs can also double as shoes for hiking
2nd pair of shoes for the waterfront (Wet shoes such as Aqua-socks, Teva-syle sandals or old tennis shoes are fine but need to attach to feet)
Necessities
Prescription Medications-including inhaler if needed (in pharmacy packaging)
Sunscreen (waterproof SPF 30 or higher)
Lip Moisturizer, Hair Ties (if you have long hair)
Wide-brimmed hat for the sun and stocking cap or beanie for warmth
Water Bottle – Write your name on the bottle (Refillable – Reusable)
Beach Towel – for waterfront activities (Bath towels and bed linens will be provided for use in room only)
Personal toiletries (toothbrush, toothpaste, shampoo, soap, lotion)
Alarm Clock, a clock is available in the room
Reusable Bags (for wet clothing)
Small Backpack, for day trips, hiking etc.
PACKING CHECKLIST continued
Optional
The below list is really optional, you can bring if you want Seasickness Medication (3 doses of Bonine or Marezine)
Allergy Medication
Camera (regular and/or underwater) labeled
Binoculars
Bird Identification Book
Personal Snacks in ziplock bag to prevent ants
iPod or other music device
Spending Money, I'll provide a list of what is available in the gift shop
Leisure Reading Material
Your own Pillow (one is provided)
Flip-Flops **to be worn in room only DO NOT BRING
Dramamine (causes drowsiness)
Portable Game Consoles
Computers
Jewelry
Large Amounts of Cash
Sleeping Bags
Bath / Wash Towel, are provided
Bedding, all bedding is provided
UNIVERSITY OF SOUTHERN CALIFORNIA Los Angeles, California
CATALINA LETTER OF UNDERSTANDING
High School Marine Science Program Summer 2016
Dear Catalina Participants and Parents:
To ensure the most beneficial and enjoyable experience for all, we require that certain minimum standards of conduct be observed. Our experience has shown that a prior understanding of these standards by students and their parents will help contribute to a more effective learning experience.
All participants are expected to follow the schedule provided to them at the beginning of the program. Attendance and participation at all classes and organized functions is required. Participants that are not willing to follow the schedule may be asked to leave the program at their parent’s expense.
Participants are expected to clean up after themselves during the program. Participants are expected to rinse and put away wetsuits, snorkel gear, and kayaks after each outing.
Participants are expected to be respectful & courteous to fellow students, staff and scholars on the island. Participants are not to touch or tamper with projects and personal belongings of others. Racial and/or derogatory remarks to others will not be tolerated and may result in being asked to leave the program at their parent’s expense.
Participants are not to bring any portable game devices to campus. Students are not allowed to use cellular phones or other communication device during classes, meetings, or academic field trips. Use of cell phones or other electronics are allowed during free time. If a student doesn’t have a cell phone opportunities can be provided for them to use a phone. Violation of these rules will result in confiscation of the item until the end of the program.
Participants are not allowed to leave the campus without permission from a staff member. Under no circumstances are students allowed to leave the campus alone. Participants are not allowed to snorkel, go swimming, or kayaking without a counselor or instructor.
Alcoholic beverages and narcotics or other controlled substances are not permitted. Participants found to have bought, consumed, used, or possessed such items will be required to leave the program at their parent’s expense.
Possession or use of firearms, ammunition, BB guns, air rifles, firecrackers, explosives, slingshots, knives, or other weapons of any description is prohibited. Participants found in violation of this rule will be required to leave the program and may be subject to prosecution.
These regulations should not be considered all-inclusive and participants should conduct themselves in accordance with all laws. The success of the Catalina Program requires the cooperation of everyone involved.
Additional rules regarding individual conduct may be given. Violation of any of these rules or the additional rules may result in disciplinary action up to and including termination from the Program. It is understood and agreed by the undersigned student and parent that any photos, video and audio taken by USC photographers or staff during the program may be used for promotional purposes.
Please sign below to indicate your understanding and acceptance of these regulations. Return the signed copy of this letter to the Sea Grant Office with the forms packet and keep a copy for your reference.
PRINT Student Name Student Signature
Parent/GuardianSignature Date
RELEASE FROM LIABILITY (University of Southern California)
As the parent/guardian, I, the undersigned, acknowledge and agree that in consideration for permission to participate in the Activities (defined below), I, my spouse, assignees, heirs, guardians, and legal representatives hereby voluntarily indemnify, release from liability, agree to defend, and hold harmless the University of Southern California, The USC Wrigley Institute for Environmental Studies and any organization affiliated therewith, including all of their respective agents, employees, administrators, representatives, officers, trustees, students and assigns (collectively “USC”), for any accident, injury, illness, death, loss, theft, damage to person or property, or other consequences arising or resulting directly or indirectly from any activities which I may engage in, on, about or by access through any property owned, operated or managed by USC (whether permitted or not permitted by USC), including, without limitation, activities such as laboratory experiments where hazardous chemicals or other substances may be present, hiking, swimming , diving, snorkeling, scuba diving, wading , or boating and transportation to and from those activities (collectively, the “Activities”), including but not limited to claims arising from or related to USC’s negligence and/or products liability, including strict products liability. In the event that I am injured, I agree to assume any financial obligation, either through my health insurance, or through some other means, for any medical costs that I incur. USC assumes no responsibility for any medical expenses, injury or damage suffered by me in connection with my participation in the Activities. IT IS MY INTENTION BY SIGNING BELOW TO EXPRESSLY ASSUME ALL RISK OF PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE UPON MYSELF, TO THE EXCLUSION OF USC, AND TO EXEMPT AND RELEIVE USC FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH. By signing this agreement, I waive my right to bring any legal action now or at any time in the future to recover compensation or obtain any other remedy for any injury to myself or my property or for my death, however caused, arising out of my participation in the Activities. I further agree that I, my spouse, assignees, heirs, guardians, and legal representatives will not make any claim against, sue or attach the property of USC for any loss or damage resulting from my participation in the Activities. I understand that none of the Activities are endorsed, sanctioned, guaranteed, supervised or monitored by USC. I acknowledge and affirm that I am not required to participate in any of the Activities as a condition to obtaining any academic degrees. I further acknowledge and affirm that I am not to be considered and employee of USC and that no benefits customarily afforded to employees of USC will be extended to me by virtue of my participation in the Activities. As an individual who actually IS employed by USC in a capacity unrelated to the Activities, I acknowledge that participating in the Activities is not a condition of my employment. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE OF THE POTENTIAL DANGERS INCIDENTAL TO THE ACTIVITIES, THAT THIS IS A RELEASE OF LIABILITY, A WAIVER OF MY LEGAL RIGHT TO COLLECT DAMAGES IN THE EVENT OF INJURY, DEATH, OR PROPERTY DAMAGE AND A CONTRACT BETWEEN MYSELF AND USC AND SIGN IT OF MY OWN FREE WILL. I EXPRESSLY AGREE THAT THIS RELEASE IS INTENDED TO BE AS BROAD AND INCLUSIVE AS THE STATE OF CALIFORNIA WILL ALLOW AND THAT IF ANY PORTION IS HELD INVALID, I AGREE THAT THE BALANCE SHALL, NOT WITHSTANDING, CONTINUE IN FULL LEGAL FORCE AND EFFECT. Participant’s SIGNATURE Date NAME (PRINT) If participant is a minor (under 18 years of age): Parent/Legal Guardian’s SIGNATURE Date Name (print)
UNIVERSITY OF SOUTHERN CALIFORNIA Los Angeles, California
CONFIDENTIAL CATALINA MEDICAL HISTORY & CONSENT
High School Marine Science Program Summer 2016
To be completed by parent or legal guardian if participant is 17 years of age or younger PLEASE PRINT OR TYPE
Participant Name: Cell Phone:
Street Address: Unit / Apt. No.
City State / Zip
Male Female Height Weight Birthdate
Insurance Carrier Social Security No: XXX-XX-_ _ _ _
Policy Number Expiration Phone Number
Does Participant have Asthma? Other Medical Conditions?
Currently taking medications? (use back if needed) Please List and bring necessary medications Medication Dosage Frequency 1.
2.
3. Any special Dietary Requirements: (Vegetarian, no red meat, food allergies, etc.)
Emergency Contact: Relationship to Student Day / Evening Phone
Alternate Contact: Relationship to Student Day / Evening Phone
The above name participant or parent/legal guardian, hereby authorize the University of Southern California (USC), to provide diagnostic treatment of illnesses and/or injuries, as deemed necessary for the above named participant by a medical practitioner. I further authorize USC, or representative thereof, to refer the above name participant to an outside facility for emergency medical treatment, as deemed necessary. I hereby release the USC, it trustees, officers, faculty and employees from any and all claims arising out of the admission to, or treatment administered by, such outside facility.
Student Signature Date Parent/Guardian Signature Date
Photo Consent for High School Marine Lab Experience The high school marine lab experience is a collaboration of USC’s Wrigley Institute for Environmental Studies, USC Sea Grant and The Center for Dark Energy Biosphere Investigations.
USC Wrigley Institute for the Environment’s mission is to encourage responsible and creative decisions in society by providing an objective source of marine and environmental science and fostering an understanding of the natural world among people of all ages.
USC Sea Grant’s primary responsibility is to contribute to solving the problems of the Urban Ocean, while recognizing the opportunities of coastal commerce, recreation and improving the quality of life in coastal regions such as Southern California. USC Sea Grant does this by funding research of the coastal regional and disseminating the results to educators, policy makers, and the public.
The Center for Dark Energy Biosphere Investigations is a National Science Foundation funded Science and Technology Center whose mission is to explore life beneath the seafloor and make transformative discoveries that advance science, benefit society, and inspire people of all ages and origins.
To provide outreach and to report on the program we request your consent to use your likeness. Signing this form gives your consent for the use of photographs, video or other images that may represent your likeness in published materials like newspaper articles, magazine articles, brochures, video, etc., on television, or on internet sites as a part of our research, education and public outreach to others.
I hereby irrevocably consent that my likeness may be used by the University of Southern California and the Center for Dark Energy Biosphere Investigations for such purposes as may be needed in connection with, or a part of research, writing, and professional activities, even though such use may be for advertising purposes of trade.
☐ Yes, I consent ☐ No, I do not consent
Print Student’s Name and Signature Date
Parent/Guardian’s signature