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The Hawaii SA-1 form serves as an authorization for student participation and travel, required by the State of Hawaii Department of Education. It outlines arrangements for students’ off-island or overnight trips, including details on activities, modes of transportation, costs, and permissions from parents or legal guardians. For those planning or approving such educational journeys, filling out this form carefully is crucial. Click the button below to complete the form and ensure a safe and enriching travel experience for students.

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Overview

When a student in Hawaii is presented with the opportunity to participate in travel or overnight activities, such as educational trips or off-island competitions, the Hawaii Department of Education requires a specific protocol to ensure that all necessary permissions and acknowledgments are securely in place. This is where the Hawaii SA-1 form plays a pivotal role. This document is a comprehensive authorization form that serves to gather consent from a parent or legal guardian for their child's participation in a specific activity. Detailing everything from the nature of the activity, the school and organization involved, the location, dates, times, and mode of transportation, to the associated costs, the form ensures transparency and preparedness for all parties involved. It solicits crucial information about the student, including medical insurance coverage and permissions related to the mode of travel. Furthermore, it incorporates sections for parental permission, medical consent in case of emergency, and acknowledgment by the student's teachers regarding the absence from class and the makeup of missed work. As such, the SA-1 form embodies an essential administrative step, linking the school, students, parents, and teachers in a united effort to facilitate enriching experiences outside the classroom while prioritizing student safety and academic accountability.

Example - 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)

Document Information

Fact Detail
Form Title Parent/Legal Guardian Authorization for Student Participation and Travel
Governing Department State of Hawaii Department of Education
Primary Purpose To grant permission for a student to participate in overnight or off-island activities and travel.
Required Signatures Parent/Legal Guardian, Teacher/Advisor
Document Distribution Original to Chaperone, one copy each to the principal & parent/legal guardian
Key Information Included Activity details, mode of transportation, costs, medical insurance coverage, private vehicle usage.
Medical Coverage Section Parents indicate whether the student has medical insurance and provide plan details.
Private Vehicle Usage Permission Specifies whether the student can drive alone or must be driven by an adult to the activity.
Declaration of Release from Liability Parents release the State from liability for use of non-school vehicles according to HRS 286-181.
Governing Law Hawaii Revised Statutes (HRS) 286-181

Guide to Writing Hawaii Sa 1

Filling out the Hawaii SA-1 form is a necessary step for parents or legal guardians to authorize their child’s participation in school activities that involve travel, whether overnight or off-island. By carefully completing this form, you ensure that the school has the necessary permissions and information to keep your child safe and to respond appropriately in case of an emergency. The form also clearly outlines the financial responsibilities and travel arrangements involved in the activity. Let's walk through the steps needed to complete the form accurately.

  1. Enter the due date for the completed form and the advisor or teacher’s name to whom it should be submitted in the provided spaces at the top of the form.
  2. Fill in the details of the activity, including the name of the activity, school, organization, place, teacher or advisor's name, dates, times, and mode of transportation.
  3. Specify the costs related to transportation, entrance fees, other costs, and the total cost of the activity in the designated areas.
  4. Under the section titled "Parental Permission," enter the name of the student, home phone number, emergency contact name, emergency contact phone number, and their relationship to the student. Decide whether your son or daughter has permission to attend the activity and check the appropriate box.
  5. Indicate whether your child has medical insurance coverage by checking the appropriate box and providing the name of the insurance plan if applicable.
  6. For the section on private vehicle usage, check the appropriate box to indicate whether your child may drive alone to the activity or may ride in a vehicle driven by an adult. Remember, if you allow your child to drive to the activity, you must complete and attach Form BO-4, "Application for Use of Private Vehicle to Transport Students."
  7. Review the section granting permission for your child to participate in the listed activities and to travel as indicated on the form, and acknowledging release of liability for travel in non-school vehicles as per HRS 286-181.
  8. Print or type the parent’s or legal guardian’s name, then sign and date the form in the spaces provided at the bottom of the form.
  9. If the student will be missing class due to the activity, have the subject teachers acknowledge the absence by signing under the appropriate class period sections.

This comprehensive approach ensures your child's safe and informed participation in school activities requiring travel. Once filled out, the form serves as a clear agreement between the school and the parent or guardian about the specifics of the planned activity, including supervision, transportation, and medical arrangements. Remember to return the completed form by the specified date to ensure your child’s participation in the planned activity.

Frequently Asked Questions

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

    The Hawaii SA-1 form serves as an authorization document from a parent or legal guardian, allowing their child to participate in school-related activities, especially those requiring overnight or off-island travel. It encompasses permission for participation, details regarding the trip (including transportation, costs, and contact information), and medical insurance coverage. It also includes sections for teacher acknowledgment of the student's absence from class due to the activity.

  2. Who needs to fill out the Hawaii SA-1 form?

    The form must be completed by the parent or legal guardian of the student who will participate in the specified activity. It is the responsibility of the parent or legal guardian to provide all required information accurately and ensure that the form is submitted by the specified due date to the advisor or teacher organizing the activity.

  3. What information is required on the Hawaii SA-1 form?

    The form requires information about the activity (including the name, school, organization, location, teacher/advisor, dates, and times), mode of transportation, and associated costs. Additionally, it includes sections for parental permission, emergency contact information, medical insurance coverage detail, and consent for transportation methods. The parent or legal guardian must sign and date the form, providing their contact information and acknowledging their child's participation and acknowledgment from the student's teachers regarding their absence from class.

  4. How is the total cost for the activity calculated on the form?

    The total cost for the activity, as outlined on the form, includes a breakdown of transportation expenses, entrance fees, and any other costs associated with the activity. Each component is listed with a space for the corresponding amount, culminating in a field for the total cost. This total should reflect all charges the student may incur during the trip.

  5. What does the medical insurance coverage section entail?

    In the medical insurance coverage section of the form, parents or legal guardians must indicate whether their child is covered by a medical insurance plan and provide the name of the plan (e.g., HMSA, Kaiser, Military, etc.). If the child is not covered by any medical insurance plan, this should be clearly marked. This information is crucial in case medical treatment is necessary during the activity.

  6. What implications are there for transportation permissions?

    The form asks parents or legal guardians to specify the allowed mode of transportation for their child, including whether the child may drive alone or must be accompanied by an adult. If a student is permitted to drive to the activity alone, an additional form, the BO-4 "Application for Use of Private Vehicle to Transport Students,” must be completed and attached. This section ensures the safety and compliance with regulations regarding student transport.

  7. What happens if the form is not submitted by the due date?

    Failure to submit the Hawaii SA-1 form by the specified due date may result in the student being unable to participate in the planned activity. Timely submission is crucial to ensure all necessary arrangements are made and to comply with the school's and the Department of Education's policies and procedures. Parents or legal guardians should make every effort to meet the deadline to avoid disappointment.

Common mistakes

When filling out the Hawaii SA-1 form for student participation and travel authorization, it is crucial to avoid common mistakes to ensure the process goes smoothly. Here are four frequent errors that individuals often make:

  1. Not Providing Complete Information:

    Every section of the form requires attention. Leaving blanks or providing incomplete information, particularly in sections related to the activity details (like dates, times, and mode of transportation), the student’s name, and emergency contact information, can lead to processing delays. Ensure that all requested details are filled in comprehensively.

  2. Ignoring the Cost Details:

    The form requires a breakdown of the trip's costs, including transportation, entrance fees, and other expenses. Not specifying these costs accurately can result in misunderstandings about the financial responsibilities and commitments involved.

  3. Overlooking Medical Insurance Coverage Section:

    Indicating whether the student has medical coverage and the details of the insurance plan is critical. Some parents or guardians skip this section or fail to declare the absence of a medical insurance plan. This mistake can significantly impact the response in the event of a medical emergency during the activity.

  4. Failing to Complete the Parental Permission Correctly:

    Parents or guardians must mark the appropriate permission box to indicate whether their child has permission to attend the event. Sometimes, this critical step is missed or incorrectly marked, leading to confusion about the student's participation eligibility. Additionally, the signature of the parent or legal guardian along with the date confirms their approval and should never be omitted.

Ensuring all sections of the form are thoroughly and accurately completed, including the explicit consent regarding student travel, medical information, and acknowledgment of the cost and permission details, plays a vital role in the seamless organization of school-sponsored activities.

Documents used along the form

When organizing travel and participation for students in school-related activities, the Hawaii SA-1 form serves as a critical document for securing parental or legal guardian authorization. This form is often not the sole document required to ensure a smooth, well-documented process that safeguards all parties involved. Several other forms and documents usually accompany the SA-1 form to address various aspects of student participation and travel comprehensively. These additional documents not only reinforce the SA-1 form's permissions and acknowledgments but also cater to specific needs that may arise before, during, or after the activity.

  • BO-4 Form, “Application for Use of Private Vehicle to Transport Students”: This form is essential when private vehicles are used to transport students to an activity. It ensures that the vehicle meets safety standards and that the driver is authorized to provide transportation, adding a layer of security and liability management.
  • Medical Consent and Release Form: Although the SA-1 form includes a section for medical insurance coverage, a comprehensive medical consent and release form provides detailed authorization for medical treatment in case of an emergency. It typically includes information about the student’s medical history, allergies, and specific consent for types of emergency treatments.
  • Field Trip Itinerary: An itinerary outlines the schedule of activities, transportation details, contact information, and locations visited. While not a formal consent form, it is crucial for keeping parents informed and for assisting educators and chaperones in managing the trip effectively.
  • Photo Release Form: This form gives the school permission to use photographs or videos of the event that include students. It serves a dual purpose of protecting the student's privacy while allowing the school to document activities for educational or promotional use.

In addition to these forms, schools and organizers may require further documentation based on the nature of the trip, the destination, and the specific activities planned. Collectively, these documents create a thorough framework that ensures student safety, informs parents and guardians, and facilitates the educational objectives of school trips. It's important for educators and administrators to diligently gather and manage these documents to address liabilities and concerns while fostering enriching experiences for students.

Similar forms

The Hawaii SA-1 form, providing authorization for student participation and travel, shares characteristics with a range of other documents utilized for student activities and permissions in educational settings. This form is a crucial tool for ensuring that parents and guardians are informed about school-related trips and that they consent to their children's participation. The structure and intent behind the SA-1 form find similarities with other forms within the educational ecosystem, each serving a specific purpose to facilitate student engagement in activities safely and under parental or guardian approval.

Field Trip Permission Slips
The Hawaii SA-1 form is quite similar to standard field trip permission slips used by many schools across the United States. Just like SA-1 forms, field trip permission slips typically include detailed information about the trip, such as the destination, the date and time, the mode of transportation, and the costs involved. Furthermore, they require parental consent for the child's participation, much like the SA-1. The primary goal is to ensure that parents are fully aware of the details and safety measures of the trip, allowing them to make an informed decision about their child’s participation. Both documents serve as a communication bridge between schools and families, emphasizing safety and accountability for student activities outside of the traditional classroom setting.

Medical Release Forms
Another document similar to the Hawaii SA-1 form is the medical release form that is frequently used for school activities, especially those requiring travel. Both forms contain sections where parents must disclose their child’s medical insurance coverage and consent to medical treatment in case of an emergency. This information is crucial for the safety and well-being of students during school-sponsored trips or activities. By providing details about insurance coverage and allowing consent for emergency medical treatment, these forms ensure that students receive necessary care without delay, minimizing risks and liabilities for both parties involved.

Liability Waiver Forms
Liability waiver forms, widely utilized for extracurricular activities, sports, and field trips, also share similarities with the Hawaii SA-1 form. These waivers often include a release of liability clause, where parents agree not to hold the school or organization accountable for injuries or damages that might occur during the event or activity. Similarly, the SA-1 form includes a section where parents release the state from liability, specifically when transportation other than school vehicles is used. Both forms seek to clearly communicate the risks involved in participation, ensuring that families are informed and agree to the terms set forth, covering a range of potential legal liabilities.

Dos and Don'ts

When you're completing the Hawaii SA-1 form, which is necessary for authorizing student participation in school activities that involve overnight or off-island travel, attention to detail matters. By following a set of dos and don'ts, you can ensure that the process is smooth and that your child's travel experience is secured and well-documented. Below is a guide to help you through this process:

  • Do ensure that you fill out every section of the form completely. Missing information can lead to delays or even prevent your child from participating.
  • Don't wait until the last minute to submit the form. Make note of the due date and plan to submit it well in advance.
  • Do review all the activity details included on the form, such as the mode of transportation, costs involved, and dates, to ensure they match what you've been told or have read in related materials.
  • Don't overlook the section on medical insurance coverage. It's important to accurately state whether your child has coverage and from which provider, as this can be critical in case of an emergency.
  • Do carefully consider the permissions regarding private vehicle usage. If you allow your child to drive themselves or to ride with an adult, make sure the respective box is checked, and attach any necessary additional forms.
  • Don't forget to sign and date the form. An unsigned form is considered incomplete and will not be processed.
  • Do make a copy of the completed form for your records. This can be helpful if there are any questions or issues that arise later.
  • Don't hesitate to contact the teacher or advisor listed on the form if you have any questions or concerns about the trip or the information requested on the form.

By following these straightforward guidelines, you can help ensure that your child is all set for their travel experience, with all necessary permissions and information clearly communicated and documented.;

Misconceptions

When it comes to the Hawaii SA-1 form, which is used by the Department of Education for student travel authorization, there are several misconceptions that can cause confusion for parents, students, and educators. Understanding these aspects is crucial for a smooth travel authorization process.

  • Misconception 1: The form is only needed for international travel. In reality, this form must be completed for any school-sanctioned overnight or off-island trips, not just those that are international.

  • Misconception 2: Parental permission is optional. Contrary to this belief, a parent or legal guardian's signed permission is absolutely mandatory for a student to participate in the activity and travel.

  • Misconception 3: Medical insurance details are not important. This section is vital as it informs the school about the student’s medical coverage and ensures they are prepared for any medical needs that may arise during the trip.

  • Misconception 4: Any adult can drive students to the activity. The form clearly specifies that if a student is traveling in a private vehicle, it must be with permission, and certain requirements, like the BO-4 form, must be met.

  • Misconception 5: The total cost estimate is final. Costs can vary, and this estimate is provided to give parents an idea of the trip's expense. It's important to stay informed about any changes or additional costs.

  • Misconception 6: The teacher’s acknowledgment for student travel is just a formality. This acknowledgment ensures that teachers are aware of the student's absence and agree to the arrangement for making up missed work.

  • Misconception 7: Filling out the form guarantees participation. Submission of this form is the first step, but participation is contingent upon meeting all specified requirements and receiving final approval.

  • Misconception 8: Permission once given cannot be withdrawn. Parents can communicate with the school to revoke permission under certain circumstances, although it may involve certain procedures.

  • Misconception 9: Students without medical insurance cannot participate. While the form asks for insurance information, lack of medical insurance does not automatically disqualify a student from participating. However, parents might need to arrange for coverage or discuss alternatives with the school.

  • Misconception 10: The form is the only document needed for student travel. Depending on the trip, additional forms and documentation, such as medical forms, waivers, or passports, may be required.

Understanding these key points about the Hawaii SA-1 form helps ensure that all requirements are met, and students can safely enjoy their educational travel experiences. It's essential for parents and guardians to thoroughly review and accurately complete every section of the form to prevent any misunderstandings or issues.

Key takeaways

Understanding and accurately completing the Hawaii SA-1 form is crucial for parents and legal guardians who are authorizing their child's participation in overnight or off-island school activities. This document facilitates a smooth process for both the educational institutions organizing the travel and the students participating. The following key takeaways provide a guide to ensure all necessary steps are followed:

  • A detailed breakdown of the activity, including its nature, location, and duration along with the mode of transportation, is provided to offer clear insight into the student's engagement outside of school. It is imperative to review this information thoroughly to ensure transparency and safety for all involved.
  • Costs associated with the activity are itemized, encompassing transportation, entrance fees, and other related expenses, offering a comprehensive view of financial obligations. This helps in better financial planning and confirms the total investment required for the student's participation.
  • The section requiring parental permission is designed to explicitly capture the consent (or lack thereof) of the parent or legal guardian for the child's participation. This includes decisions related to medical insurance coverage and the usage of private vehicles, emphasizing the need for informed consent and responsibility for any associated costs.
  • The legal release section, wherein the parent or legal guardian agrees to release the state from liability for the use of non-school vehicles, as well as consents to medical treatment in case of illness or injury, underscores the importance of understanding the legal implications of allowing their child to partake in the activity. This safeguard ensures the wellbeing of the student while minimizing legal risks for the parties involved.

Proper completion and submission of this form play a foundational role in ensuring that students are given the opportunity to participate in enriching activities beyond the classroom, with the safety, costs, and legal obligations carefully considered and agreed upon by their guardians.

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