2023-2-20 Crosby Scholar Parent/Guardian Permission Form College Visits

Crosby Scholars College Visit

Parent/Guardian Permission Form

(Student must have permission form on file to participate in the college tour)

College Visit | UNC Charlotte | Catawba College | 2/20/2023

Monday, February 20, 2023

(Please arrive by 8:30 a.m.; the bus will depart promptly at 8:45 a.m.)

8:30 a.m. – Check in @ Crosby Scholars office, 2701 University Parkway, Winston-Salem, NC 27105

8:45 a.m. – Bus departs for UNC Charlotte

10:30 a.m. – UNC Charlotte visit

12:30 p.m. – Lunch provided by Crosby Scholars Program 2:30 p.m. – Catawba College visit

5:30 p.m. – Return / Arrival back @ Crosby Scholars office, 2701 University Parkway, Winston-Salem, NC 27105  Please have a ride arranged for when we return to the Crosby Scholars office. I give my student, _____________________________________ (STUDENT NAME), a student at (HIGH SCHOOL NAME), permission to participate in the Crosby Scholars College Visits on the date marked above. I understand that I am responsible for providing transportation to and from the Crosby Scholars office. Further, I understand that it is my responsibility to arrange transportation for my student to be picked-up at the designated time, thereby releasing the Crosby Scholars staff of the responsibility of supervising my student after the conclusion of the program (5:30 pm). In the case of an emergency, I authorize the Crosby Scholars staff to seek the appropriate medical treatment for my child. I hereby release the Crosby Scholars Community Partnership, Goodwill Industries, UNC Charlotte, Catawba College, and the Winston-Salem/Forsyth County School System of any liability in the event of accident or emergency. In case of emergency, please contact (name) __________________________________ at (phone #)