Homepage Blank Hawaii Sa 1 Form
Outline

Planning a school trip can be an exciting yet daunting task for both students and parents. One essential part of this process is the Hawaii SA 1 form, which serves as a crucial document for obtaining parental permission for student participation in various activities, especially those involving overnight or off-island travel. This form not only outlines the details of the event, such as the activity, school, and organization involved, but also addresses important logistical aspects like transportation modes and associated costs. Parents or legal guardians are required to provide their consent, indicating whether their child has permission to attend, while also confirming medical insurance coverage. The form includes sections for acknowledging any private vehicle usage and outlines the responsibilities of both the guardians and the school. Additionally, it requires teachers to acknowledge that the student will be missing class, ensuring that academic responsibilities are addressed. By understanding the components of the Hawaii SA 1 form, parents can confidently navigate the permissions process, ensuring their child’s safety and participation in enriching school experiences.

Sample - Hawaii Sa 1 Form

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)

Form Information

Fact Name Description
Governing Authority The Hawaii SA-1 form is governed by the Hawaii Revised Statutes (HRS) 286-181.
Purpose This form is used to obtain parental authorization for student participation in overnight or off-island travel activities.
Distribution Original copies are provided to the chaperone, with one copy each sent to the principal and the parent.
Submission Deadline The completed form and any applicable payment must be submitted by a specified date to the advisor or teacher.
Transportation Details Parents must indicate the mode of transportation and any associated costs, including entrance fees.
Medical Insurance Parents must disclose whether their child has medical insurance coverage and provide the name of the plan if applicable.
Private Vehicle Usage Parents can grant permission for their child to drive or ride in a vehicle driven by an adult.
Liability Release Parents release the State from liability for any incidents involving transportation other than school vehicles.
Teacher Acknowledgment Teachers must acknowledge that the student will miss class due to the activity and that all classwork must be made up.

Detailed Guide for Filling Out Hawaii Sa 1

Completing the Hawaii SA 1 form is a straightforward process that requires careful attention to detail. This form is essential for obtaining parental permission for a student’s participation in school activities, especially those involving travel. Follow these steps to ensure the form is filled out correctly and submitted on time.

  1. Begin by entering the date on which the form is due in the designated space.
  2. Fill in the name of the advisor or teacher who is overseeing the activity.
  3. Provide the details of the activity, including the name of the activity, the school, and the organization involved.
  4. Specify the location of the activity and the name of the teacher or advisor responsible.
  5. Indicate the dates and times of the activity.
  6. Detail the mode of transportation that will be used for the travel.
  7. List the costs associated with the activity, including transportation, entrance fees, and any other costs. Sum these amounts to get the total cost.
  8. In the parental permission section, write the name of the student and provide a home phone number.
  9. Include an emergency contact name and phone number.
  10. Check the appropriate box to indicate whether your child has permission to attend the activity.
  11. In the medical insurance section, indicate whether your child has medical coverage and provide the name of the insurance plan, if applicable.
  12. In the private vehicle usage section, indicate whether your child may drive alone or ride with an adult.
  13. Sign and print the name of the parent or legal guardian, and include the date of signing.
  14. If applicable, have the subject teachers acknowledge the student's absence by signing in the appropriate section.

Obtain Answers on Hawaii Sa 1

  1. What is the purpose of the Hawaii SA 1 form?

    The Hawaii SA 1 form is designed to obtain parental or legal guardian authorization for a student’s participation in school-related activities that involve overnight or off-island travel. This includes providing necessary information about the activity, the costs involved, and the mode of transportation. It ensures that parents are informed and have given their consent for their child to participate.

  2. What information do I need to provide on the form?

    When filling out the Hawaii SA 1 form, parents or guardians must provide:

    • The name of the student.
    • Details about the activity, including the school, organization, place, teacher or advisor, and the dates and times of the event.
    • Costs associated with the activity, such as transportation and entrance fees.
    • Emergency contact information.
    • Medical insurance coverage details.
    • Permission for private vehicle usage, if applicable.

    Completing all sections accurately is crucial for the form to be valid.

  3. What happens if my child does not have medical insurance?

    If your child is not covered by any medical insurance plan, you must indicate this on the form. By doing so, you acknowledge that you understand the risks involved in your child participating in the activity. It is essential to be aware that you may be responsible for any medical expenses that arise during the event.

  4. When is the Hawaii SA 1 form due?

    The completed form must be submitted along with any applicable payment by the specified due date. This date is typically indicated on the form itself. It is important to adhere to this deadline to ensure your child’s participation in the planned activity.

Common mistakes

Filling out the Hawaii SA-1 form can seem straightforward, but many people make common mistakes that can lead to delays or complications. One of the most frequent errors is not providing complete information. Every section of the form is important, from the activity details to the emergency contact information. Omitting any part can result in the form being returned for corrections, which can cause unnecessary stress.

Another common mistake is failing to sign the form. Parents or legal guardians must provide their signature to authorize their child's participation. Without this crucial step, the form is incomplete. It's essential to double-check that all required signatures are in place before submitting the document.

Some individuals overlook the payment section, which can lead to misunderstandings later. If there are costs associated with the activity, it's important to fill in the amounts clearly. Whether it's transportation fees or entrance costs, providing accurate financial information helps avoid confusion and ensures that all necessary payments are made on time.

Additionally, many people forget to specify the mode of transportation. This detail is vital for understanding how students will get to the activity. Whether it's a school bus, private vehicle, or another means, this information should be clearly indicated to ensure safety and proper planning.

Another mistake involves the medical insurance section. Some parents either leave this section blank or fail to provide accurate details about their child's coverage. It's crucial to either confirm that your child has insurance or indicate that they do not have coverage at all. This information is important for the safety and well-being of the student during the activity.

Finally, not keeping a copy of the completed form can lead to issues later on. Parents should always retain a copy for their records. This ensures they have all necessary information at hand and can refer back to it if any questions arise. Keeping a copy also helps in case there are any discrepancies or if the school needs to verify details after submission.

Documents used along the form

When planning for student participation in activities that require travel, several important forms and documents often accompany the Hawaii SA 1 form. Each of these documents serves a specific purpose to ensure the safety and proper authorization for students. Below is a list of commonly used forms that may be required in conjunction with the Hawaii SA 1 form.

  • Form BO-4: Application for Use of Private Vehicle to Transport Students - This form is necessary when a student intends to drive themselves or ride with an adult in a private vehicle. It provides details about the vehicle and the driver, ensuring that safety measures are in place.
  • Medical Authorization Form - This document grants permission for medical treatment in case of an emergency. It includes important medical history and emergency contact information, which can be crucial during travel.
  • Field Trip Permission Slip - Often used for off-campus activities, this slip allows parents to give consent for their child to participate in a specific field trip, detailing the event's purpose and logistics.
  • Student Emergency Contact Form - This form collects essential contact information for parents or guardians and any alternate contacts. It ensures that someone can be reached quickly in case of an emergency.
  • Insurance Information Form - Parents provide details about their child's medical insurance coverage. This information is vital for ensuring that students receive necessary medical care during travel.
  • Behavior Contract - This document outlines the expectations for student behavior during the activity. It serves to remind students of their responsibilities and the consequences of not adhering to the agreed-upon standards.
  • Travel Itinerary - A detailed schedule of the trip, including departure and arrival times, locations, and activities planned. This helps parents stay informed about their child's whereabouts during the trip.

Using these forms alongside the Hawaii SA 1 form helps ensure that all necessary precautions are taken for student travel. Each document plays a role in safeguarding students and providing peace of mind for parents and guardians.

Similar forms

  • Field Trip Permission Slip: Similar to the Hawaii SA 1 form, a field trip permission slip is used to obtain parental consent for students to participate in school-sponsored activities outside the classroom. Both documents require details about the event, including dates, location, and mode of transportation, ensuring parents are informed and can provide necessary permissions.
  • Medical Release Form: This document allows parents to authorize medical treatment for their child in case of an emergency during school activities. Like the SA 1 form, it emphasizes parental consent and includes details about medical insurance coverage, ensuring that students' health needs are addressed while participating in school events.
  • Chaperone Agreement: A chaperone agreement outlines the responsibilities and expectations for adults supervising students during school activities. It parallels the SA 1 form by detailing the event's logistics and ensuring that all parties understand their roles in maintaining student safety and well-being during travel.
  • Transportation Release Form: This form is used to grant permission for students to travel using various transportation methods, similar to the SA 1 form. It requires parents to acknowledge the mode of transportation and accept any associated risks, reinforcing the importance of informed consent when students travel off-campus.

Dos and Don'ts

When filling out the Hawaii SA-1 form, it is crucial to ensure accuracy and completeness. Here are some essential dos and don'ts to keep in mind:

  • Do provide complete information about the activity, including the name of the student, school, organization, and dates.
  • Do ensure that all required signatures are obtained, especially from the parent or legal guardian.
  • Do double-check the total costs listed, including transportation and entrance fees, to avoid any discrepancies.
  • Do indicate whether your child has medical insurance and provide the name of the plan if applicable.
  • Don't leave any sections blank; incomplete forms can lead to delays or denial of participation.
  • Don't forget to submit the form by the specified deadline to ensure your child's participation.

Misconceptions

Understanding the Hawaii SA 1 form can be tricky, and there are several misconceptions that often arise. Here are ten common misunderstandings, clarified for better comprehension:

  1. It's only for field trips. Many believe the form is exclusively for field trips, but it also covers various activities, including overnight or off-island travel.
  2. Only the principal needs to sign it. In reality, the form requires signatures from parents or legal guardians, as well as acknowledgment from teachers if the student will miss class.
  3. Medical insurance is not necessary. Some parents think insurance coverage isn’t a requirement. However, the form asks for medical insurance details to ensure the student’s safety during the activity.
  4. It can be submitted anytime. There's a deadline for submission. Parents must submit the form and any required payments by a specified date.
  5. Students can drive themselves without permission. Students may only drive if they have completed an additional form (Form BO-4) and received permission from their parents.
  6. All costs are covered by the school. Parents often assume the school covers all expenses. The form outlines various costs, including transportation and entrance fees, which may need to be paid by the family.
  7. It’s a one-size-fits-all form. Each form must be tailored to the specific activity, including details like the activity name, location, and dates, making it unique for each event.
  8. Signature implies automatic approval. A parent’s signature does not guarantee participation; it indicates consent, but students must still meet any other requirements set by the school.
  9. Emergency contact information is optional. This information is crucial and must be provided to ensure the school can reach someone in case of an emergency.
  10. The form is only for students. While it primarily concerns students, it also involves parents and guardians, emphasizing their role in the approval process.

By addressing these misconceptions, parents and guardians can better navigate the Hawaii SA 1 form and ensure their child’s participation in school activities is smooth and well-prepared.

Key takeaways

When filling out and using the Hawaii SA 1 form, keep the following key takeaways in mind:

  • Complete All Sections: Ensure that every section of the form is filled out completely. Missing information can lead to delays or issues with approval.
  • Submit on Time: The form and any required payment must be submitted by the specified deadline. Late submissions may result in your child not being able to participate.
  • Parental Permission: It is crucial to indicate whether your child has permission to attend the activity. This section must be clearly checked and signed.
  • Medical Insurance Information: Provide accurate details about your child’s medical insurance coverage. This information is important in case of an emergency.
  • Teacher Acknowledgment: If your child will miss class, make sure teachers acknowledge this on the form. This helps ensure that your child can make up any missed work.