Jan 13, 2015 - to once again top our numbers from last year. According ... E-mail
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Norwin Reality Tour Begins Its Third Year As we begin our third year presenting the Norwin Reality Tour, the Norwin Lions would like to make our community members aware of the serious drug problem that exists in our area. Our main purpose is to educate and prepare you and your children about drug awareness and prevention, and to open up the lines of communication. Unfortunately, the drug and alcohol problems are not going away anytime soon. Parents often tell us “my child will never do that….” They may not and we hope that is true. However, if they are ever faced with a situation that involves drugs and alcohol, wouldn’t you want them to be prepared on how to get out of there safely? During the last two years, we have had students and their parents attend from 15 different school districts. More than 560 adults and 410 students have gone through our tour. We hope to once again top our numbers from last year. According to recent statistics from the Westmoreland County Coroner’s Office, there have been 63 drug overdose deaths this year in Westmoreland County, including 29 from heroin and an additional seven possible overdose deaths still pending final results. That’s not counting the hundreds of overdose cases involving people who fortunately lived. Please attend with your child(ren). If you’ve been through once, please come again. It may be the best 2 ½ hours you spend with your child. Urge coaches and leaders to bring their team as a group (all students must be accompanied by a parent or guardian). A registration page for the 2014-15 school year follows. Please contact Gina Davis at
[email protected]. Pre-registration is required.
Site: JB’S Bright Beginnings (Formerly Scull Elementary School), 780 Brush Hill Road, North Huntingdon, PA 15642 6:30pm-9pm Arrive: 6:00 Indicate 1st & 2nd choice of dates to attend Reality Tour 2014 2015
September 9_______ October 14_______ November 11 _______ December 9_______ January 13_______ February 10_______ March 10______
School District: __________________________
April 14_______ May 12_______
Name of School: ________________________________
I agree to allow my child/children _____________________________________ age/ages___________________ to participate in CANDLE, Inc.’s Reality Tour program & surveys. I understand the program is appropriate for children ages 10-18 and the child’s parent / legal guardian must be present. A.) I will accompany my child. Or B.) Name child’s legal guardian if attending:____________________ I have read the above and agree not to hold Norwin Lions Club, JB’s Bright Beginnings, CANDLE, Inc. or its affiliates liable for any claims, damages, demands, actions or lawsuits that could arise as a result of my participation or my minor child’s participation in Reality Tour. I am aware news cameras and/or reporters may be present. Some sections of Reality Tour are emotionally charged and I understand parental guidance is a must.
Your signature on this form indicates you understand that the Reality Tour includes the following: (Circle to opt out) Peer Pressure
Emergency Room / Overdose
X
Funeral Scene
Arrest / Prison
Surveys
X
X
SIGNATURE OF PARENT OR LEGAL GUARDIAN Address: Phone #
PRINT NAME HERE City
DATE State
Zip
E-mail Enter name, age & grade of youth.
1. 2.
3. 4.
List all adults attending as well: 5. 6.
IF YOU ARE ATTENDING AS A TEACHER AND WANT ACT 48 CREDIT RECEIPT CHECK BOX:
NOTE: SCHOOL OR COURT REFERRALS MUST PHONE 724-679-6612 FIRST TO REGISTER AND ARRANGE PAYMENT.
NO EXCEPTIONS!
CHECK HERE IF CONFIRMATION OF ATTENDANCE IS REQUIRED BY SCHOOL OR COURT?
REGISTRATION = $5.00 (EACH ADULT & EACH CHILD) (NO CHARGE IF ON FREE OR REDUCED LUNCH. WRITE ‘LUNCH’) TOTAL PERSONS ATTENDING
X $5.00 = $
Donation to support the Reality Tour = $ (Tax deductible)
______
Total amount enclosed = $ Make checks payable to: Norwin Reality Tour
Return to: Your Norwin School Principal OR Mail to: 100 Pennsylvania Ave., Suite 4, Irwin, PA 15642 Note: Your reservation date will be confirmed by postcard one week prior to tour date.
Sponsored by Norwin Lions Club A s o u r f a c i li t y is n o t h a n d ic a p a c c e s s ib le , if n e e d e d we c a n r e f e r y o u t o t h e G r e e n s b u r g C o u r t h o u s e s it e . P l e a s e e m a i l g in a d a v is .r t @g m a i l. c o m f o r f u r t h e r in f o r m a t i o n .
For more information phone: 724-493-5553 VISIT www.RealityTour.org E-mail
[email protected]