Special Event Permission Form

First Name

Last Name

School Name

Grade

Legal Guardian First Name

Legal Guardian Last Name

Participant Rules

• Cell phone use is prohibited during STEMforGIRLS programming unless a STEMforGIRLS coordinator advises.
• Cameras are not permitted unless advised by WRDC.
• Foul language will not be tolerated.
• Worksite tours require you to dress for safety. This includes (1) proper/sturdy footwear such as hikers, sturdy sneakers, or sturdy boots. No sandals / flip flops, high heels, slip-on shoes (flats), canvas shoes (fashion sneakers or boots) or open-toe shoes Or CSA-approved safety boots, if indicated, can be provided. (2) Long pants and no loose clothing; (3) Tie back long hair and remove jewelry; (4) All provided safety gear must be worn when advised.
• Visitors and guests are not permitted to visit, view, or attend STEMforGIRLS programming; this includes activities that may take place in a public venue.
• Smoking, alcohol, or other drugs will not be tolerated.
• Participants will be respectful of the rules outlined by worksite staff.
• Participants are expected to be on time and always advise their school’s educators of their whereabouts.

Please review the STEMforGIRLS Code of Conduct for general behavioural expectations.

Media Release

I permit STEMforGIRLS to use pictures or videos for educational and promotional purposes.

Yes

Guardian Consent

By submitting this online permission form, I confirm that:

I am permitting the applicant, of whom I am the legal guardian, to participate in the upcoming STEMforGIRLS special event described to me via email.

I understand the applicant will be involved in the program and all related activities, which may include travel to and from project activities and tours of industry sites.

All medical and emergency contact information for the applicant is current with their school, and I will provide the attending educator with any necessary medications during event days.

I know an educator will only accompany the applicant during some activities. However, they will be supervised by an adult at all times and will be in teams or pairs during site tours or job shadowing experiences.

I have discussed the above participant rules and general behaviour expectations in the Code of Conduct with the applicant. They understand that they must behave responsibly and follow all instructions explained by the supervisors during the program.

I have reviewed the terms of service and privacy policy.

I release WRDC – Educational Resource Centre and its associates from any claim for damages or other harm suffered in connection with, or directly arising from, the applicant’s participation in STEMforGIRLS.

Guardian Signature

Sign Here

A copy of this form, including participant rules, will be automatically sent to your email. Please review them with the participant prior to the event.

If you have any accessibility needs or requests that would support your students’ participation, please email Amanda Klein at aklein@wrdc.ca to discuss how we can best accommodate you.

Special Event Permission Form

Participant Rules

Media Release

Guardian Consent

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