MILLIAM COUNTY SCHOBIS * 1807 Hickman County Schools Trip Request Name of School: HCHS Name of Club/Group: TNStrong Trip Requested: Youth Summit Purpose: Toequipstandents with confidence to reactiont to peers about Holaccot vapause Date and Time frame: July 19-21 Number of students: 12-16 agenda attached Number of Chaperones: Male 1 Female 1-2 Mr.Griego megan Bailey Jennie Morley Costs associated: Attachments (any information or permission slips that are sent home with students) Has the cafeteria been notified? N/A Number of Lunches needed? N/A state pays How will the students travel? State provided transportation for vans to be N/A Rented Is a transportation request attached if system transportation is needed? Signature Signature of of Principal person Roby requesting the trip Emason Signature of Instructional Supervisor age Manor 4/7/26 Signature of Director of Schools *Per Hickman County Board of Education policy 4.302, any requested trip that has an out-of-state destination and/or is planned for overnight must have prior approval by the Board of Education. 2025/2026 Hickman Co. High School Request for Field Trip This form is to be completed for ALL field trips, including academic or athletic competitions at any level. It must be filled out completely at least one month before the field trip, Including a roster and an Itinerary from the time you leave until you return. If the field trip is approved, you will fill out the District Field Trip Request. This request is for a National or State Competition This request is for an athletic competition This request is for an academic event. CTSO Career Development Events OTHER Teacher's name: Griego Subject Area: TNStrong How is this trip an integral part of an approved course of study? Provides students with the Kowledge + confidence to help reduce the tobacco Uape use of Students in HC Before this field trip, the class will be involved in the following preliminary activities to prepare for this trip: TN strong members participate in anti-tobacco r vape activities Follow-up activities for this unit will include the following activities: Students will develope new ways to reach their peers. What is the Date of the Trip? July 19-21 Departure Time? 9am Return Time? 4pm Will a substitute be required? No Have you completed the subform on Google Classroom? NO What are the plans for the students who are not going on the trip? N/A Have you notified the cafeteria if you will need sack lunches or if your students will not be present for lunch? N/A Do you need a transportation form? N/A Have you notified Mrs. Plunkett to place it on the calendar? N/A Do you have your student authorization to attend field trip form ready for other teachers to sign? N/A Principal Approval: Roby Emascn Date: 4-6-26 CTE Director Approval: N/A Date: TNStrong Youth Summit Chattanooga, TN July 19-21, 2026 Students at HCHS are invited to attend the 2026 Youth Summit in Chattanooga TN. Approximately 21.6% of Tennessee high school students vape, more than double the national rate of roughly 10%. TNStrong works to discourage the use of vapes and tobacco usage by encouraging their peers to live healthy, clean lives. The Youth Summit helps students build the knowledge, skills, and confidence to lead the fight. Over the course of this three-day conference, students will have the opportunity to hear from leading tobacco prevention experts as well as network with like-minded peers from across the state. The goal is that students will depart feeling fueled and equipped to reach peers and adults in the continuing effort to protect people from the harmful effects of tobacco use. Students will stay at a hotel close to the Chattanooga convention center. All accommodations, transportation, and meals are provided by TNStrong. 1 male and at least 1 female HC employee will chaperone the event. Given time and availability, students may also be allowed to visit Chattanooga historical sites and attractions https://www.tn.gov/healtif/health-program-areas/fhw/iennessee-tobacco-progrant/th-strong/thst ong-youth-summit.htmi Current students showing interest. Kathryn Qualls Zachery Yeager Olivia Ashley Preston Carden Jasmine Simmons Lalayla Haney Chevy Brown Morgan Forshee Destiny Workman Carson Vaughn Johnny Chapman KyΓa Decaney Jose Ocampo Vivianne Fralick Kayleigh Fralick Izzy Pillars Agenda Sunday - Jul 19, 2026 9:00 meet at HCHS 9:30 Departure 1:00 Chattanooga experience 3-4:00 Hotel Check-in Conference center check-in 4:00 - 7:30 Dinner Chaperone Meeting Summit Kick-Off 8:00pm - 10:00pm - Youth Summit Scavenger Hunt / City Tour Monday July 20 8:00am - 7:30pm - Break out sessions and Activities 8:00pm - 10:00pm - Youth Summit Scavenger Hunt / City Tour Tuesday July 21 7:30 am - Hotel Check out 8:00 - 12:30 Youth Summit Breakout sessions and Activities 1:00 - Depart Chattanooga Chattanooga Experience ## Table 1 | Name of School: | | HCHS | | --- | --- | --- | | Name of Club/Group: | | TNStrong | | Trip Requested: | | Youth Summit | ## Table 2 | Kathryn Qualls | Zachery Yeager | | --- | --- | | Olivia Ashley | Preston Carden | | Jasmine Simmons | Lalayla Haney | | Chevy Brown | Morgan Forshee | | Destiny Workman | Carson Vaughn | | Johnny Chapman | KyΓa Decaney | | Jose Ocampo | Vivianne Fralick | | Kayleigh Fralick | | | Izzy Pillars | | | | |