5th Grade – Documents

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Documents

Download all of the forms required for the trip right here! The Cover Page includes more detail about the forms.

• 2022 Documents – Cover Page

Hard copy forms should be mailed to:

Oya No Kai, Inc.
Attn: 5th Grade Japan Cultural Exchange Coordinator
PO Box 13786
Portland, OR 97213

We can also arrange to meet you at the school to pick up forms. Please email 5gculturalexchange@oyanokai.org to set up a date and time.

Electronic (scanned) copies of forms can be emailed to: 5gculturalexchange@oyanokai.org. Please be sure that scanned copies are legible!

Notarized forms (hard copies due November 15)

• Behavioral Expectations and Discipline Code 2022
• Release of Liability 2022
• Power of Attorney 2022

Participant forms (hard copies or electronic copies due November 15)

• Participant Agreement 2022
• Student and Family Readiness 2022
• Homestay Agreement 2022

Health forms (hard copies or electronic copies due December 31)

• Health Clearance Form 2022

Application forms

• Chaperone Application 2022 (due October 30)
• Scholarship Application 2022  (due November 15)

Other forms and documents

• Trip Preference Form (due October 30)
• 2 color copies each of student passport and one parent passport (hard copies or electronic copies due December 31)
  • A copy of the passport application will suffice if the passport has not yet arrived.

Portland Public Schools does not fund, sponsor, or endorse this travel study program. The District is not responsible for conducting or supervising this trip. Portland Public School employees who participate in travel study programs are not acting in their capacity as District employees and do so at their own risk. Students participating in travel study programs do so at their own risk.