Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 59 views

    C19 StudentPermissionSlip

    Uploaded by

    Sulphia Iqbal
    The document is a permission slip for a student named Sulphia Iqbal from South Brunswick High School to attend Rutgers Model Congress from April 4-7, 2019. It gives permission for the student's photo and information to be used for promotional purposes. It also notes that the school is responsible for transportation and supervision of the student. The permission slip reviews conduct policies such as prohibiting drug and alcohol use, and states that violations will result in immediate dismissal from the program. Emergency contact information is provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    C19 StudentPermissionSlip

    Uploaded by

    Sulphia Iqbal
    59 views1 page
    The document is a permission slip for a student named Sulphia Iqbal from South Brunswick High School to attend Rutgers Model Congress from April 4-7, 2019. It gives permission for the student's photo and information to be used for promotional purposes. It also notes that the school is responsible for transportation and supervision of the student. The permission slip reviews conduct policies such as prohibiting drug and alcohol use, and states that violations will result in immediate dismissal from the program. Emergency contact information is provided.

    Original Description:

    Permission to attend RMC Conference

    Original Title

    C19-StudentPermissionSlip

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document is a permission slip for a student named Sulphia Iqbal from South Brunswick High School to attend Rutgers Model Congress from April 4-7, 2019. It gives permission for the student's photo and information to be used for promotional purposes. It also notes that the school is responsible for transportation and supervision of the student. The permission slip reviews conduct policies such as prohibiting drug and alcohol use, and states that violations will result in immediate dismissal from the program. Emergency contact information is provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    59 views1 page

    C19 StudentPermissionSlip

    Uploaded by

    Sulphia Iqbal
    The document is a permission slip for a student named Sulphia Iqbal from South Brunswick High School to attend Rutgers Model Congress from April 4-7, 2019. It gives permission for the student's photo and information to be used for promotional purposes. It also notes that the school is responsible for transportation and supervision of the student. The permission slip reviews conduct policies such as prohibiting drug and alcohol use, and states that violations will result in immediate dismissal from the program. Emergency contact information is provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    PO Box 387, New Brunswick, NJ 08903 Ÿ modelun.com Ÿ idia.

    net

    STUDENT PERMISSION SLIP

    I hereby give permission for my child _______________________________,


    Sulphia Iqbal a student at
    _________________________________________
    South Brunswick High School, to attend Rutgers Model Congress from 4-7 April 2019. I
    understand that Rutgers Model Congress is a program of The Institute for Domestic & International Affairs, Inc. (IDIA),
    a non-profit corporation in the State of New Jersey.

    As the parent/guardian of the above student, I understand that the student’s school board is responsible for
    arranging transportation to and from the conference facility. I further understand that the student’s school board
    and/or Faculty Advisor remain responsible for my child at all times during Rutgers Model Congress experience and
    that IDIA does not assume this responsibility. I am aware that my son/daughter may be leaving the Wyndham Hotel
    for meals and/or activities and give my permission accordingly.

    I grant unlimited permission to the conference sponsors, to use, publish, and republish for purposes of advertisement
    and trade and for uses it may determine, information and reproductions of my child’s likeness and statements related
    to my child’s involvement with Rutgers Model Congress. I understand that such uses will not identify my child
    wherever possible.

    I have reviewed the following rules and regulations with my child and agree that in the event that ANY of the rules are
    broken, my child will be immediately dismissed from the Rutgers Model Congress program. Should such a dismissal
    occur, I understand that I will be required to IMMEDIATELY pick up my child from the conference facility at my own
    cost.
    Polices and Code of Conduct

    § The use and/or possession of narcotic drugs is strictly prohibited under federal and state law. Any student found
    possessing or using an illegal substance will be reported to their Faculty Advisor and immediately removed from
    Rutgers Model Congress.
    § The legal drinking age in the state of New Jersey is twenty-one. Accordingly, no student may possess or
    consume any alcoholic beverage. Any violation of this rule will result in the notification of the participant’s Faculty
    Advisor and the student’s immediate removal from the conference.
    § IDIA may, at its discretion, contact the New Brunswick Police Department to report violations of the above two
    rules.

    I understand that in the event of an emergency, I will be contacted as soon as is reasonably possible at the number(s)
    I have listed below. In the event that I cannot be reached, I authorize all necessary medical attention to be provided
    for my child. If my child has any known allergies or medical conditions, I have listed them below. I understand that
    this information will be kept confidential and will be referred to only in the event of an emergency.

    iqbal.noorul@gmail.com
    _____________________________ _____________
    4/3/19 _________________________
    Signature of Parent/Guardian Date Email

    (_____)_______________________
    848 219-4555 (_____)_______________________
    Parent/Guardian Day Phone Number Parent/Guardian Evening Phone Number
    As a student participant at Rutgers Model Congress, I agree to follow all of the above rules and fully understand the
    penalties for non-compliance.

    _____________________________ _____________
    4/3/19 _________________________
    10016305@sbstudents.org
    Signature of Student Participant Date Email

    My child has the following known allergies, dietary needs, or other special medical conditions or requirements (list on back as necessary):

    You might also like