American Village Field Trip

Objective: To provide students with an

authentic experience of colonial life
leading up to the American Revolution

To include in the Field trip section, Tab #7, of your unit: (Include a
cover sheet in your unit with field trip location and trip objective)
Name Ellie Knox
Due Date: Hard copy to Mrs. B
(Stapled together with this page on front) Create a field trip folder and
upload onto your web page:______
1. _____Completed FT work ticket.
2. _____Parent letter : include permission slip return portion, cost,
date, arrival, departure, details about trip, lunches, snacks, what
can I take on the trip, electronics?, when $ is due, will parents
go?,

how will excess funds be applied, are there criteria to

attend, spending money, etc.

3. _____How will you prepare the class before the trip- special rules,
content, etc.
4. _____Safety- Emergency/ First Aid/ Medicine Plan (administering
meds, in event of accident, injury, designated meeting location
for lost student-parent,etc)
5. _____Management Plan (will students wear anything special,
groups, chaperone to student ratio, special rules, bus rules, etc.)
6. _____Lunch and snack plan
7. _____Schedule for the day (This page should look like the one
that you will give parents, other teachers, administration, etc.)
8. _____Communication between teachers, bus drivers, parents,
school- cell phones, meeting locations on site and at school,
contact list, etc.)
9. _____Assessment of learning: pre-post test, pictures pre-post,
test, scavenger hunt, journals, questions to answer, etc.
10.
_____Follow up (thank you notes, pictures, etc.)

Dear parents,
I am so excited to announce that we will be going on a field trip on
April 29 to the American Village. We will go to celebrate the ending of
our unit on the causes of the American Revolution! We will walk
through American Village as well as attend the Liberty program, an
engaging program for elementary students! Students who have
completed the summative assessment and are in good standing with
their due assignments are welcome on the field trip. We will leave
Trace Crossings at 8:15 and will arrive back at school at 2:00. The cost
of this field trip is $20 per student, which will cover the bus fee as well
as the American Village program fee. If you are willing to donate to
help cover the fee of another student, please check the box and
include the amount you are willing to give. If you are unable to pay this
fee, please write the amount that you are able to pay for the trip. The
students will not need to bring spending money on the field trip. I will
need a lunch tally for the cafeteria, so please write below if your
student will bring a lunch or needs one from the cafeteria. Students
can bring a snack, but they will leave it in the classroom for after the
field trip. Parents are welcome to come, but they will need to pay $10
for American Village. Absolutely no electronics are allowed on this trip.
I do not allow them, and they are not allowed at American Village. I will
check students before they enter the bus, so please check your
student before they come to school to make sure their electronics are
at home. Students should wear tennis shoes, a red shirt, blue jeans,
and bring a rain jacket for inclement weather. Please complete the
form below, cut it out, and have your student turn it in as well as the
$20 by April 22. If your student does not submit this in time, they will
stay back with another fifth grade classroom. Thank you all in advance
for responding early!
Sincerely,
Miss Knox
--------------------------------------------------------------Student:___________________________
Will your student bring lunch or need one provided?
_____________________
Would you like to chaperone the field trip? ____________________

How much can you pay for the field trip? _____________
Can you pay extra to donate to other students? ______________
Do you have anything you want me to know about your student for the
field trip? __________________________________________________________
Dear parents,
I appreciate your willingness to help chaperone this trip. Without your
help, this field trip would not be possible. The responsibilities of a
chaperone can be demanding both mentally and physically. If you have
any, or potential, limitations that may prohibit or minimize your ability
to carry out the responsibilities of a chaperone, please discuss this with
Ms. Knox prior to the trip. The information provided will assist in
planning.
Chaperones should immediately alert Ms. Knox under the following
circumstances:
Student becomes ill or injured or reports feeling ill or injured;
Student becomes unmanageable in any way;
Students behavior makes the chaperone feel uncomfortable;
Student will not stay with the group or follow directions of the
chaperone;
Student becomes lost;
Another chaperone seems to be having difficulty dealing with
a student
A few important rules for our field trip to keep in mind:
Please follow Ms. Knoxs instructions.
Students should not share food with one another due to
allergies. Chaperones should not share food with students.
As exercise care to ensure student safety in the rest rooms.
Chaperones may not smoke or consume alcohol before this
field trip
Head counts are encouraged and should be taken throughout
the field trip.
Bring your cell phone to stay in contact with the teacher and
other chaperones.
Please read and sign below:
I understand that Trace Crossings shall not be held responsible for my
injury and/ or loss of my personal property due to my voluntary
involvement in an activity that is not required as part of my
responsibilities as a chaperone.
I have read, understand and can perform responsibilities/ duties of a
chaperone for the field trip to American Village. I give permission for

my cell phone number to be shared with other chaperones and staff to

ensure safety and communication on this trip.

_____________________________
Printed full name of chaperone

____________________
Signature/Date

Lunch and Snack Plan

Prepping for the Field Trip
The teacher will turn in the names of students who need lunch to the lunchroom five days
prior to the field trip. The teacher will check with Ms. Ida one day before the field trip to
ensure that the lunch count is accurate and ready for the field trip. The teacher will send
two students to the cafeteria the morning of the field trip to collect the lunches. The
teacher will provide a cooler to store the lunches in the bus.
Lunch at American Village
After Liberty program, we will go to the picnic area for lunch. Chaperone A will go get
the lunches from the bus 20 minutes before the program ends. Ms. Knox will take watch
over this chaperones students. She will take the lunches to the picnic tables. The group
will meet the chaperone at the picnic tables at 12:15 for lunch. The students will have 30
minutes to eat their lunches at the picnic area.
Snack Plan
There will be no snack time for the students, but they will have a snack when they return
to school. Students will leave their snacks in the classroom. The students who eat lunch
from the cafeteria will be able to take one piece of food out of their bag for snack before
the field trip departs.

Class Preparation
KWL Chart
The teacher will do a KWL chart with the class over the American Revolution. She will
complete the K and W sections before the field trip.
Classroom Contract
The teacher will share her expectations for the class. She will establish the rules. She will
restate the class rules for the class as well as share her rules for the field trip. She will
have the students complete the behavior contract in class after she reviews it with them.
As she does this, she will share the qualifications that students must meet for the field
trip.
Website Tour
The teacher will show the students the website to American Village. She will play the
Liberty Experience video for the students to give them a glimpse of what they will
experience.
Map Tour
She will show the students the map included in the field trip guide. She will show the
students the different areas on the map such as the Meeting House and the courthouses.
The teacher will share her expectations for the class. She will establish the rules. She will
restate the class rules for the class as well as share her rules for the field trip. She will
share her expectations as well as share what their post test will be, so they know what to
listen for during the program.

Beginning of the War

The teacher will play the video Schoolhouse Rock!: America- The Shot Heard Round the
World to the class. This video provides an introduction to the beginning of the
Revolutionary War.
Journals
The teacher will introduce the composition notebooks for the students. They will take
notes during the program and will use these for the post test.
Vocabulary
The teacher will introduce these terms through a Frayer model activity. The Frayer model
is attached.

Courthouse
Continental army
Justice
Liberty
Stocks and Pillary
Self government

Frayer Model

Definition:

Picture:

Sentence:
Description of key term
in four words:

Word:

Important People to

Know

The teacher will introduce these characters with images. She will have them match the
character to a statement of the character who it matches. She will give a brief summary of
each person based on the phrases that the students will match below.

George Washington
James Madison
Benjamin Franklin
Crispus Attucks
Patrick Henry

George
CrispusMadison
James
Attucks
Washington

Benjamin Franklin

Patrick Henry

Name:
Directions: Match the historical figure to the sentence that describes
them. Each person will be used only once.
A.
B.
C.
D.
E.

James Madison
Patrick Henry
George Washington
Benjamin Franklin
Crispus Attucks

_____ 1. The black man who was killed along with other colonists when
British soldiers fired shots on them during the Boston Massacre.
Known as the first one killed in the American Revolution.
_____ 2. The General in the American Revolution who later was elected
President of the Constitutional Convention.
_____ 3. Made the statement Give me liberty or give me death! and
also helped create the Virginia Conventions Resolves for
Independence.
_____ 4. A delegate to the Constitutional Convention who compared the
United States to a rising sun.
_____ 5. The General in the American Revolution who later was elected
President of the Constitutional Convention.

Classroom
Contract
I, __________________________, understand that I am going on a
field trip. I understand that I must have my forms submitted
as well as my payment turned in before I can go on this field
trip. I know that I will stay at school if I do not provide these
documents. I agree to follow the classroom rules and listen
to the chaperones at all times. I realize that my actions
reflect Trace Crossings. If I do not follow the rules on the field
trip, I understand that I am risking my chance at attending
the next field trip. I promise to behave myself to the best of
my abilities and to respect the leaders, teacher, and others.
I have read this contract and agree to it.

________________________
Signature

__________________
Date

Schedule

8:15-8:50

Travel from Trace to American

Village

9:00-9:25

Ms. Knox check in with the program

while the class has a bathroom break
and views the Liberty Garden and
Colonial Chapel

9:30-12:00

Liberty program

12:10-12:45

Lunch at the Picnic area and

bathroom break

12:45-1:15

Visit the Randall Museum

1:15-2:00

Travel back to Trace Crossings

Safety and Emergency Plan

Medical Forms and Medicine
The teacher will have all parents complete the attached form for each student. She will
turn these forms into the nurse. If students require medicine, the teacher will bring a bag
with the students medicine. She will speak with the nurse beforehand to receive training
on the students medications. The chaperones will also have a list of the students with
specific medical needs, but the teacher will keep these students in her group at the
museum.
Meeting Place
If students are lost or chaperones get separated, the designated meeting place is the front
of the Visitors Center. In case of an accident or injury, the students will report to the
Visitor Center with a chaperone. They will then proceed as needed. The chaperones and
teacher will all have their phones and a contact sheet.
Accident or Injury
Students must find a chaperone in case of an accident or injury, and the chaperone will
take them to the Visitors Center. The teacher will complete an injury report form
included. The chaperone will then contact the teacher via cell phone. The teacher will
have the nurses number in her phone to contact her in the case of medical emergency. In
case of a needed evacuation of the American Village, the teacher will contact the school
and inform them of the situation. The school will follow the communication protocol
established in the communication section. The teacher will call the bus driver and take the
class back to school. In case of a bus accident, the teacher will alert the school to follow
the school protocol.

FIELD TRIP HEALTH FORM

(Mandatory for student and multi-day adult participants)
Trip Date __ / __ / __
Participant Name: _______________________ Last____________________________ First
Home Phone: ( ) ________________
Age: ____
Sex: F / M
Home Address: ___________________ City: ______________ State: ____
Zip:____________
Family Physician:_________________________________
Office Phone: ( ) _____________
Insurance Company: _____________________________
Policy # / ID #: ________________
Parent/Guardian:__________________
Wk Phone: ( )________ Cell Phone: ( )__________
(minor participants only)

In an emergency, please notify:

Check here if same as above.
Name: ___________________________
Work Phone: ( ) ________ Home Phone: (
Home Address: ________________________________________
City: ______________ State: _______________ Zip Code: ______________
Relationship: _________________

Cell Phone: (

) ____________________

Health History
1. Check all allergies participant my have and briefly describe the reaction:

Insect stings/bites ______________________

Asthma (allergy induced) ________________

Hay Fever ____________________________

Other _________________________________________________________________

Check below if participant currently has or has had any of the following:
CONDITION
Heart Defect/Disease Diabetes
Hypertension
Epilepsy
Bleeding/Clotting Disorders Asthma Other:________________
Past Currently Has
Seafood _________________ Food (wheat/nuts) _________
Penicillin ________________
Health History, Continued
Complete the following:
1. Are there any specific activities to be encouraged, limited or avoided?
YES NO
If yes, please
explain:_____________________________________________________
______________________________________________________________________
2.

Is participant able to swim? YES NO Circle level of ability: beginner

intermediate advanced

3.

Does participant have a current tetanus shot? YES NO Date of shot:

__/__/__

4.

List current medications (please send with directions to be

administered during trip):
_______________________
______________________
________________________

5.

I give permission for me/my child to be administered the following as

needed for minor
discomfort while on the educational field trip: (check all that apply)
Tylenol Advil Cough drops Sudophin Antacid Other:__________

6.

Do you/your child have any special dietary considerations? YES NO

If yes, please provide detailed information:
____________________________________________________

7.

Provide any other important health related information about

yourself/your child:
________________________________________________________________________

Read and sign the following:

This health history provided in this document is correct so far as I know. I
understand that participation in this field trip and classroom activities is
entirely voluntary. I understand that the field trip may involve: swimming,
wading, boating (by canoe and/or motor), hiking, camping, fishing and other
outdoor activities. I know and understand the risks and dangers involved in
the above-named activities and I know and understand that unanticipated
dangers might arise. Field trip staff will do everything possible to minimize
potential hazard or risk.
_____________________________________________________
Parent/guardian signature or adult participant signature
___________________
Date

INJURY REPORT
Name of
Student:
Grade
:

Age:
Teacher
:

Date of
Injury:

School
:

Sex:
Trace
Crossings

Time
:

First
Responder:
Nature of Injury
Abrasion
Asphyxia
Burn
Fracture/Sprain
Head Injury
Laceration
Other

Body Part Injured

Abdomen
Foot
Ankle
Hand
Arm
Head
Back
Knee
Chest
Leg
Eye
Teeth
Face
Wrist

Describe what
happened:

Were parents
notified?

Yes

No

Describe treatment and

disposition:

Signature of Teacher, Principal, or

Nurse
Management Plan
Clothing
The students will all wear red shirts. They should wear a pair of jeans as well. The
chaperones and teacher will abide by this dress code as well.
Grouping
The students will stay whole group for the majority of the day; however, students must all
have a partner throughout the entire field trip. The teacher will ask every student before
they get on the bus to tell her their partner. They must remain with the partner all day. On
the bus, the students may pick their bus partner. This will be the partner they stay with all
day. As many parents who wish to come are welcome, but there must be at least three
other chaperones with the teacher. The class will remain whole group the majority of the
day, but from 9-9:25 and 12:45-1:15, the students will have some time to explore. The
chaperones are responsible for their group. There should be at least one chaperone per 4
students. Each chaperone is responsible for the four assigned students. Ms. Knox will
have five students in her group. The chaperone grouping is included.
Rules
The teacher will review the rules during the class preparation. She will put the attached
sheet in each of the chaperones folders. If students violate the rules on the field trip, the
teacher will pull them from their group and move them to her group. Students will also
have disciplinary consequences at school. The teacher will give each chaperone the form
to report student behavior. The teacher will have the bus driver list his rules before the
bus leaves. Students must obey each of these rules, or the teacher will mark it on the
behavior sheet.

Chaperone Groups

Ms. Knoxs Group

Phone Number:

Amy Hoaglunds Group

615-427-9417
Phone Number: 205-335-

9104

Student
Student
Student
Student
Student

A
B
C
D
E

Student F
Student G
Student H
Student I

Karen Birkenfelds Group

Tarsha Bluietts Group
Phone Number:
205-329-9616
Phone Number: 205-4926878

Student
Student
Student
Student

J
K
L
M

Student
Student
Student
Student

N
O
P
Q

Ms. Knoxs Fieldtrip Rules

1. Be respectful of the teacher, chaperones, adults,
and others at all times
2. Listen to directions
3. Use kind words
4. Always walk
5. Keep your voice at a classroom level the entire
time on the field trip
6. Follow all rules that American Village gives us
7. Students may not have any technology with
them in the bus or at American Village
8. Students must always tell a chaperone where
they are going during the field trip
9. Be responsible

Behavior Checklist
Student

Behavior

Communication
Contact List
The teacher will give the chaperones and bus driver a contact list. The contact sheet will
have her number on it as well as the other numbers. The teacher will have the numbers of
the school and nurse in her phone in case they are needed.
Phone Tree
In case of emergency, the teacher will contact the school. The school will then contact the
parents according to the phone tree. The teacher will check with the front office to ensure
that they have contact information for each student before the field trip departs. She will
turn in the list of numbers provided in the forms turned in by the parents. The chaperones,
teacher, and bus drivers will all have cell phones. The phone tree is attached.

Chaperone and Bus Meeting Place

The chaperones and bus driver will meet at the front office before the field trip begins. At
the site, the designated meeting place will be the Visitors Center. The bus will drop off
and pick up at the Visitors Center. The bus will wait in the bus parking lot during the
field trip.
Directions
The teacher will provide the bus driver with a list of directions from Trace Crossings to
American Village and the return trip. These are provided below.

Directions to American Village

S
S
S

Start out going east on Learning Ln toward Buccaneer Dr.

Make a U-turn at Buccaneer Dr onto Learning Ln.

S
S

Turn right onto Stadium Trace Pkwy.

S
S

Turn left onto John Hawkins Pkwy/AL-150.

S
S

Merge onto I-459 N toward Birmingham/Montgomery.

S
S

Merge onto I-65 S via EXIT 15 toward Montgomery.

S
S

Take the US-31 exit, EXIT 238, toward Alabaster/Saginaw.

S
S

Merge onto US-31 N/AL-3/1st St S toward Alabaster.

S
S

Turn left onto Highway 119 S/AL-119/County Hwy-11. Continue to

follow Highway 119 S.

S
S

Highway 119 S becomes AL-119.

S
S

American Village, 3727 HIGHWAY 119 is on the right.

Directions from American Village

S Start out going east on Highway 119/AL-119 toward Alex Mill Rd.
Continue to follow AL-119.
S
S

Turn right onto 1st St S/US-31 S/AL-3.

S
S

Merge onto I-65 N via the ramp on the left toward Birmingham.

S
S

Take the AL-150 exit, EXIT 10, toward Hoover/Bessemer.

S
S

Keep left to take the ramp toward Hoover Metropolitan

Stadium/Hoover.

S
S

Turn left onto AL-150/John Hawkins Pkwy.

S
S

Turn right onto Stadium Trace Pkwy.

S
S

Turn left onto Learning Ln.

S
Trace Crossings Elementary, 5454 LEARNING LN is on the right.

Phone Tree

Mrs.
Stone

Ms. Knox

Office

Mrs.
Barber
Mrs.
Smith
Nurse
Dewberry

Contact List

Student
A-D's
parents
Student
N-Q's
parents
Student IM's
parents
Student EH's
parents

Ms. Knox:
(615) 427-9417
Chaperone 1 [Amy Hoaglund]
(205) 335-9104
Chaperone 2 [Karen Birkenfeld]
(205) 329-9616
Chaperone 3 [Tarsha Bluiett]
(205) 492-6878
Trace Crossings
(205) 439-2700
Bus Driver
(205) 219-0073

Assessment
Pre test:
The teacher will use both the blog posts and the summative test to serve as the pretest.
She also will have the students complete the letter below. She will check for their
understanding of the perceived injustices and how these set the colonists up for the
American Revolution.
Journals
During the field trip, the students will take notes in their composition notebooks. The
students will keep these journals with them and take notes over the material in the Liberty
program as well as the museum.
Post test:
The teacher will have the students compose a response journal to the Liberty program.
She will ask them to include specific information that they learned during the program as
well as include how they could see the colonists living during the time. The students will
share how the field trip gave them a deeper understanding of how the colonists felt
leading up to the Revolution. She will assess this post test based on details provided and
the effort put into the journal entry.
KWL Chart
The teacher will have each student write what they learned to contribute to the KWL
chart.

Pre Test
Imagine yourself in this situation:
You are a citizen living in Boston, Massachusetts. It is the spring of
1775 (just before the battles of Lexington and Concord). You own a
small inn in Boston and depend on the business to support your family.
Your customers include Patriots, Loyalists, British soldiers, and British
officers. As you serve food and drink, you often hear conversations,
information, and angry debate about the growing tensions between the
American colonies and England.

Instructions:
Write a letter to your cousin who lives on the western frontier and
doesnt know what is going on in the colonies. In your letter, discuss
these things:

What are the problems in Boston at this time? Include

three facts.

Do you support the colonies becoming a new country,

or staying with England? Why?

How is this conflict affecting your life?

How does this make you feel? Why?

What sacrifices have you made or expect to make?

What risks are you willing to take?

Name:
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Post Test
Name:
Directions: Write a reflective journal response about our field trip.
Include specific details that you learned on our field trip. Discuss how
this field trip gave you a better glimpse at colonial life leading up to
the Revolution.

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Follow Up
Pictures
The teacher will post pictures that the class takes on the class website for the parents.
Thank You Notes
She will have the students write thank you cards for the chaperones and for American
Village. She will give the students the template attached. The students in each chaperone

group will write their chaperone a thank you note. The teacher will have every student
write a thank you note for American Village. She will include a picture from the class
with the thank you notes.
Chaperone Survey
At the end of the field trip, the teacher will also ask the chaperones to complete a quick
survey about the field trip to hear their input. She will use this information to guide her
for the next field trip.

Chaperone Survey
Name:
Thank you so much for your willingness to chaperone our
field trip! We could not have done this without your help!

Please list three highlights of this field trip:

1.
2.
3.

Please list two recommendations for the next field trip:

1.
2.

If you have a creative field trip idea that you would like
me to look into, please list that below:

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Thank You Note Template