Grade 12 Chinthe Expedition Parent Information & Authorization Request Form

Grade 12 Chiang Mai Chinthe Expedition: January 8-12

As we shared with you last week, the expeditions we had planned for different regions of Myanmar have been relocated to Chiang Mai, Thailand.

It is our intention that Chinthe Expeditions will return to Myanmar next school year and we are planning for this. For now, Chiang Mai is a reliable option in uncertain times that ensures that all Secondary School students get to experience a ‘Week Without Walls’ experience that they have not had since the pandemic.

We are very pleased to be able to confirm the following details of our Grade 12 Chiang Mai Chinthe Expedition:

ISY Teacher Chaperones:

Mr. Mick Amundson-Geisel(Expedition Leader)
Mr. Steven Jiang
Ms. Heather Farish
In addition, one Oway guide will accompany the group.

Location:

All of this year’s Chinthe Expeditions will be facilitated by the Traidhos Visiting Schools Program (VSP) in Chiang Mai. We partnered with VSP before the pandemic in providing Week Without Walls experiences for our students. We are very pleased to be working with them again.

Please click on the following links to get a sense of the fantastic location and facilities that we have access to in partnership with VSP:

Flights:

Grade 12 students will fly to Chiang Mai on Monday, January 8 and will return on Friday, January 12::

Air Asia via Bangkok (Don Mueang International Airport):
Yangon to Chiang Mai (departing Yangon at 08:45am on Monday, January 8): RGN-DMK FD252 0845-1030 / DMK-CNX FD3419 1225-1335: Students will meet at ISY and the bus will depart to the airport at 5:30am.

Chiang Mai to Yangon (returning at 17:05pm on Friday, January 12): CNX-DMK FD3448 1325-1445 / DMK-RGN FD253 1630-1705: Bus will return students to ISY to be picked up by parents. Parents can pick their child up from the airport with face-to-face permission from an ISY Teacher Chaperone.

Grade 12 students will be accompanied by our Grade 10 and 11 students.

Itinerary of Activities:

VSP is working with us to create, support, and supervise rich service, cultural, and adventure experiences for our students. Here is a draft itinerary of Grade 10,11 and 12 activities. A detailed itinerary of activities will be shared with you as soon as it is finalized.

Kit List - What to Bring:

VSP has provided us with this VSP Kit List 23-24 of items to bring.

Information and Authorization Request Form:

Please fill out this G12 Chinthe Expedition Parent Information & Authorization Request Form. This form collects important contact, passport, medical, dietary, and other information about your child. You will also upload a picture of your child’s passport details page. If your child is required to apply for a visa to travel to Thailand, you are responsible for applying for and acquiring a visa for your child. You will need documentation from ISY to apply. Once we have your child’s passport information, we will create the necessary documentation for you to make this application so that you can do it. Please have the visa completed and provided to us by Friday, December 15.

This Chinthe Expedition is an important part of our ISY program and we therefore expect all students to participate. However, if there are any circumstances that may make this difficult for your child, please email Mr. Simpson and he will be happy to meet with you.

Kind regards,

Mike Simpson
Secondary School Principal

Your child's full legal name(Required)

Please use the name on your child's passport.

Your child's nickname(Required)

The name that your child goes by at school.

What is your child's Date of Birth?(Required)

Your child's nationality(Required)

As per your child's passport.

Your child's passport number(Required)

As per your child's passport.

What is your child's passport expiry date.(Required)

As per your child's passport.

Please upload a picture of your child's passport details page.(Required)

Max. file size: 12 MB.

What is your child's T-shirt size?(Required)

Contact Details

Your Email Address(Required)

What is your name?(Required)

What is your relationship to your child?(Required)

e.g. mother, father

Alternative contact and mobile phone number.(Required)

This is another person we can contact if you are unavailable during an emergency.

What is your mobile phone number?(Required)

This is the number that we can contact you on in the case of an emergency. Please include their relationship to the child (e.g. mother, father, aunt, uncle, etc)

Medical Information & Authorization

Non-prescription medications listed below will be in the first aid bags to administer to students as appropriate: Please check any medications NOT to be given to your child by the Doctor or designated employee of ISY.

Medications

Special Medication

Please list any medication that your child will need to take on the retreat and how it is to be taken (how much, how often). Please note that ISY chaperones will collect and look after the medication to be given to your child.

Allergies

Please list any allergies that your child has

Medical Conditions

Please list and explain any medical conditions that your child has

Medical Insurance Details

Please provide the NAME of your child's medical insurance provider and the POLICY NUMBER

Authorization for Medical Treatment

In the event the school cannot contact you or your alternative contact, then I authorize ISY Chinthe Expedition Chaperones or VSP staff to make decisions regarding treatment and evacuation. I hereby authorize the school to provide, arrange for, or authorize necessary emergency medical treatment for my child. I further release, waive and agree to indemnify and hold harmless and reimburse the school its staff, and their successors and assignees from and against any claim which I, any other person, firm, corporation or entity may have or claim to have, known or unknown, directly or indirectly, from any losses, damages or injuries arising out of, during or in connection with my child’s participation in the Chinthe Expedition or the rendering of any emergency medical procedures or treatment.

Medical Treatment Agreement

Yes

Food Requirements(Required)

Please tell us if your child has any special food requirements or any foods that they are not to eat.

No food requirements

Vegetarian

Vegan

Halal

Other

Other Food Requirement

Additional information about your child

Can your child swim?(Required)

Proficient

Beginner

Cannot Swim

Can your Ride Bike?(Required)

Proficient

Beginner

Cannot Ride

Photo permission(Required)

For Traidhos Visiting Schools Program (VSP) to use photos in their publications and promotional materials, parental permission must have been received.

Yes

Anything else?

Please tell us anything you would like us to know about your child so we can ensure that their expedition is as enjoyable as possible.

Student Expectations(Required)

I have read and understand the Chinthe Expeditions Student Expectations.

Yes