3D-HC Permission Slip

  • Permission to Participate in 3D-HC – October 16, 2020

    My student has permission to participate in Leadership U 3D-HC, Dig Deep, Discover scheduled for Friday, October 16, 2020. This activity includes traveling to a host location, spending part of the day with a community organization and taking part in a community service activity. I have spoken to my child about the pick-up time and I will make arrangements for my child to be picked up at the host organization at the designated pick-up time. I am aware that Leadership Howard County/Leadership U does not carry insurance for its participants. As with all other Leadership U activities, I as the parent or legal guardian will assume full responsibility for my child's behavior as well as any risk to his/her health or welfare. If an injury occurs, the Leadership U representative on-site or the host will attempt to contact a parent or guardian and will contact emergency medical services, as it believes necessary. By signing below, you agree that the host, the hosts’ company, Leadership Howard County and its officers, directors and employees shall not be responsible for any damages resulting from an injury which the participant sustains while participating in any Leadership U activities, and that you will reimburse Leadership U for any expenses it incurs as a result of an injury to the participant, or as a result of any injury to any other person caused by the improper behavior of the participant.
  • Cellphone
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  • Home Phone
  • We have read the above statement and agree to the terms and conditions contained in it.
  • Date Format: MM slash DD slash YYYY
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