CVU SUMMER CAMP
CONSENT & RELEASE FORMS
I, the undersigned, am a
parent or legal guardian having custody of
_____________________________ (student),
who last attended
_____________________________ (school).
I hereby give permission to said son, daughter, or ward to participated
in the CVU Summer Camp for entering ninth graders.
Signature of
parent/guardian:
_______________________
Date: __________
Should it become necessary
for my child’s program director or other CVU official supervisor to get medical
treatment for
_____________________________
(student) and I cannot be reached, I authorize such treatment to be
performed. I have verified all the
names, numbers, and policies listed on the Emergency Information form
are current and reliable.
Signature of
parent/guardian:
_______________________
Date: __________
I, the undersigned, am a parent or legal guardian having custody of _____________________________ (student). I hereby give permission for my son/daughter/ward to travel by a Chittenden South Supervisory Union staff member's bus/vehicle to pickup or deliver a student home on occasion.
Signature of
parent/guardian:
_______________________
Date: __________
I give permision to
Chittenden South Supervisory Union to use my son/daughter/ward’s name or photo
in local newspapers, school newsletters or video/photo/slide productions.
Signature of
parent/guardian:
_______________________
Date: __________