Choosing College Workshop Sept 2013 Packet

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Transcript of Choosing College Workshop Sept 2013 Packet

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    Choosing College Workshopforseniors

    www.youthink.org For questions & to RSVP please contact: Carolina @ 323-761-8356; [email protected] is a program of the Zimmer Childrens Museum

    www.facebook.com/youthinkzimmer

    Tuesday, Sept. 17th, 5:00 - 7:30pm | Dinner & Transportation ProvidedUniversity of Southern California

    As your senior year of high school begins, its time to begin making important

    decisions about college. Join us at this workshop on a college campus for fun

    activities and discussions to help you explore your options for higher education.

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    A program of the Zimmer Childrens Museum6505 Wilshire Boulevard #100 Los Angeles, CA 90048Phone: (323) 761-8311 Fax: (323) 761-8990www.youthink.org

    Engaging S tudents in Contemporary Issues and Civic Action Through ArtyouTHink Field Trip Permission Form

    I, _______________________, parent/ guardian of ___________________________ (student) hereby grantpermission for our son/daughter to participate in the following event:

    Destination: Choosing College WorkshopUniversity of Southern California3355 S. Hoover St., Suite C-11Los Angeles, California 90089Date: Tuesday, September 17th, 2013Departure Time: 5:00 pm Return Time: 7:30 pmI understand that transportation will be by: Bus/Shuttle .I understand that adequate and appropriate supervision will be provided. I recognize, however, thatunanticipated situations and problems can arise on any trip, which situations or problems are notreasonably within the control of the supervising youTHink and/or Zimmer Childrens Museum staff(including volunteers). In such instances, I agree that the Zimmer Childrens Museum and the supervising

    youTHink and/or Zimmer Childrens Museum staff (including volunteers) are not to be held legallyresponsible in the event of accident or injury and I will hold the Zimmer Childrens Museum and thesupervising youTHink and/or Zimmer Childrens Museum staff (including volunteers) harmless from anycosts, liability, or expenses related thereto.

    I also give permission for emergency medical attention to be administered should that be necessary whileon this fieldtrip.

    I also give my permission for photos of my child taken while participating in youTHink programs to beused in promotional materials for youTHink and the Zimmer Childrens Museum, which may include aninstitutional video, website, or brochures.

    Emergency Contact Information: During the fieldtrip, I can be reached at:If unable to contact parent/ guardian, in case of emergency, please call: (name, relationship and phonenumber)

    Parent/Guardian(s) Signature: Date:Print Parent/Guardian(s) Name: _______________ Home Phone Number: _____________Address:_________________________________________ City, State, Zip: _________________________

    http://www.youthink.org/http://www.youthink.org/
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    A program of the Zimmer Childrens Museum6505 Wilshire Boulevard #100 Los Angeles, CA 90048Phone: (323) 761-8987 Fax: (323) 761-8990www.youthink.org

    Engaging S tudents in Contemporary Issues and Civic Action Through ArtFormulario de permiso de paseo de youTHink

    Yo/Nosotros ________________________ los padres/guardianes de, ,una/un menor, comprendemos el tipo de viaje planeado a:

    Destino: Choosing College WorkshopUniversity of Southern California3355 S. Hoover St., Suite C-11Los Angeles, California 90089

    Fecha: Martes, 17 de Septiembre del 2013Hora de Salida: 5:00 pm Hora de Retorno: __7:30 pmEntendemos que el transporte sera a traves de: Autobus/CamionEntendemos que la supervisin adecuada y apropiada se proporcionar. Reconocemos, sin embargo, quesituaciones y problemas imprevistos pueden surgir en cualquier viaje, problemas no razonablemente bajo elcontrol del supervisor de youTHink/o Zimmer Childrens Museum (incluyendo voluntarios). En tales casos,nosotros concordamos que ni el Zimmer Childrens Museum ni el supervisante/s o voluntario/s de youTHink

    y/o Zimmer Childrens Museum debern ser tenidos legalmente responsable. En caso de accidente o herida,mantendremos al Zimmer Childrens Museum y todo personal de youTHink y/o el Zimmer Childrens Museum(incluyendo voluntarios) inocuo de cualquier costo, obligacin, o gastos relacionados a este.

    Yo/Nosotros otorgamos permiso de la administracin de cualquier atencin mdica en caso de una

    emergencia durante este paseo.

    Yo/Nosotros tambin otorgamos permiso de utilizar fotografas tomadas durante este paseo parapublicaciones y materiales promocinales de youTHink y el Zimmer Childrens Museum, al igual que videosinstitucionales, pagina de Internet folletos, y ocasionalmente, peridicos.

    Durante el paseo, podr ser contactada/o al: Si incapaz de contactar apadres/guardianes, en caso de emergencia, favor de llamar al _____(como esta relacionadaesta persona? To? Ta? Abuela? Etc.)

    Firma de padre(s)/guardin(es): ____________________________ Fecha: ____________________

    Nombre de padre(s)/guardin(es): _____________________ Numero telefnico: ____________________

    Domicilio___________________________ Ciudad, Estado, Cdigo Postal: ___________________________

    http://www.youthink.org/http://www.youthink.org/