Download - Pitzer College Packet 6-20-13

7/28/2019 Pitzer College Packet 6-20-13

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Col lege V is i t :Col lege V is it : Monday, February 20, 2012*

9am - 3 pmCalifornia State University Channel IslandsOne University DriveCamarillo, CA 93012

*Public schools are CLOSED for Presidents Day

www.youthink.org

Transportation and lunch will be provided. Please RSVP to Tasha Johnson at [email protected] or

323-761-8914 by Thursday, February 16th.

More college visits to come! youTHink is a program of the Zimmer Childrens Museum

A walking tour of the campus

Question & Answer lunch

An opportunity to learn about campus life

The visit includes:The visit includes:The visit includes:

Col lege V is i t :Col lege V is it : Thursday, June 20th, 2013

10 am - 2 pmPitzer College

1050 North Mills Avenue

Claremont, CA 91711

www.youthink.org

Transportation and lunch will be provided. Please RSVP to Tasha Johnson at [email protected] or

323-761-8914 by Monday, June 17th.

More college visits to come! youTHink is a program of the Zimmer Childrens Museum

A walking tour of the campus

Question & Answer lunch

An opportunity to learn about campus life

The visit includes:The visit includes:The visit includes:


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A program of the Zimmer Childrens Museum6505 Wilshire Boulevard #100 Los Angeles, CA 90048

Phone: (323) 761-8311 Fax: (323) 761-8990www.youthink.org

RETURN THIS NO LATER THANMonday, June 17th, 2013

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

I hereby grant permission for my child to participate in the following activity:

Destination: Pitzer College1050 North Mills Ave.Claremont, CA 91711

Date: Thursday, June 20, 2013Departure Time: 10:00 am Return Time: 2:00 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 ofaccident 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 related expenses.

I give permission for emergency medical attention to be administered should that be necessary while onthis fieldtrip. I also give my permission for photos of my child taken while participating in youTHinkprograms to be used in promotional materials for youTHink and the Zimmer Childrens Museum, which

may include an institutional 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)

Students name: __________________________ School: ______________________________Address: _________________________________ City _____________________ State_____ Zip _________Grade: _________ Track: ______ Birth date: _____________________ Date: ___

Parent/Guardian(s) Signature: Home : ______Print Parent/Guardian(s) Name: _______________ Cell Number: ____________________

Return to Tasha:Scan and send [email protected].

Please note: Submitting a permissionslip does NOT guarantee yourchilds

participation at the event. Space is limitedand youTHink Staff reserves the right

to select students based ontransportation capacity and other

program considerations.
mailto:[email protected]:[email protected]:[email protected]


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6505 Wilshire Boulevard #100 Los ngeles, CA 90048Telfono: (323) 761-8911 Fax: (323) 761-8990www.youthink.org

ENTREGAR ESTA FORMA ANTES DELLunes 17 de junio, 2013Iniciando a los estudiantes en temas modernos y accin cvica a travs de Arte

Permiso para el paseo con youTHinkYo/Nosotros otorgamos permiso para que mi hija/hijo participe en el taller de arte:

Destino: Pitzer College1050 North Mills Ave.Claremont, CA 91711

Fecha: Jueves 20 de noviembre del 2013Hora de Salida: 10:00 am Hora de Retorno:2:00 pmEntendemos que el transporte ser a travs de: CaminEntendemos se proporcionar supervisin adecuada y apropiada. Reconocemos sin embargo, quepueden surgir situaciones y problemas imprevistos en cualquier viaje, problemas que no estn bajo elcontrol del supervisor de youTHink o del Museo Infantil Zimmer (incluyendo sus voluntarios). En talescasos, nosotros convenimos en que ni el Museo Infantil Zimmer ni el supervisor o los voluntarios de

youTHink y/o del Museo Infantil Zimmer debern ser hechos legalmente responsables. En caso deaccidente o herida, mantendremos a todo el personal de youTHink y/o el al Museo Infantil Zimmer(incluyendo a los voluntarios) libre de cualquier costo, obligacin, o gastos relacionados a este.

Yo/Nosotros otorgamos permiso para que se administre cualquier atencin mdica en caso de unaemergencia durante este paseo. Yo/Nosotros tambin otorgamos permiso de utilizar fotografas tomadas

durante este paseo para publicaciones y materiales promocinales de youTHink y del Museo InfantilZimmer, al igual que videos institucionales, pgina de Internet folletos y ocasionalmente peridicos.

Durante el paseo, podr ser contactada/o al: En un caso de emergencia enel que no sea posible contactar a padres/guardianes, favor de llamar a al nmero

(como esta relacionada esta persona? To? Abuela? Etc.)

Nombre del estudiante: Escuela: ____________Domicilio __ Ciudad, Estado, Cdigo Postal: _Grado: ______ Ciclo (A, B, C, TRAD): ______ Fecha de nacimiento: ________________________Nmero telefnico: Numero celular: ______Nombre en imprenta de padre(s)/guardin(es):Firma de padre(s)/guardin(es): Fecha:

VOLVER a Tasha:[email protected].

Por favor tenga en cuenta que presentar una

forma de permiso NO garantiza la participacion

su hijo/a en el evento. El personal youTHink,

reserva el derecho de seleccionar a los estudian

en base de la capacidad del transporte y los

objetivos del evento.
mailto:[email protected]:[email protected]:[email protected]