Morgan State University STEM Expo

Morgan State University vs. Bethune Cookman Football Game

Permission Slip
Completion of this form is required for participation
I hereby give permission for my child, _____________________________________________, to participate in the 2016 STEM
EXPO and the Morgan State University vs. Bethune Cookman Football Game as a part of the Beat the Streets Baltimore Wrestling
program.
The goal of the STEM Education and Career Expo is to inform, engage, and excite middle and high school students around the state to
the wonderful global opportunities in the STEM careers! Exhibits will include cyber security, solar energy, aviation and car
simulators, robotics, chemistry experiments, light analysis and much more. The expo will include exhibitors linked to STEM from
educational areas, local, state and federal agencies, business and industry, the Fort Meade Alliance, the Morgan PEARL, and area
colleges and universities.
The STEM Expo will be held at Morgan State University, William Donald Schaefer Engineering Building on Saturday, November 5,
2016 from 9:00 1:00 pm and the football game will be from 1:00 pm 3:00 pm. We will depart Hazelwood Elementary/Middle
School parking lot at 8:40 am and will return to Hazelwood Elementary/Middle School parking lot at approximately 3:30 pm.
Transportation is provided.
I give my permission for my child to participate in this youth wrestling tournament. I understand that wrestling is a strenuous sport
that involves physical contact. In consideration of this activity, I release all individuals associated with the Hazelwood
Elementary/Middle School, Baltimore City Public Schools and Beat the Streets - Baltimore, including all coaches, administrators,
assistants, volunteers and referees, from any liability of claims for injury or loss arising out of my childs participation. I consent to
any emergency treatment of my child on my behalf.
In granting this permission, I assume full responsibility for any damage to person or property caused by my child. I agree that if it is
determined that my child needs medical or dental treatment I will be responsible for any such treatment determined necessary by a
physician or dentist.
There will be chaperones accompanying the student or groups of students not only during the scheduled activity but whenever they
leave the activity site, however, parents are welcome to participate and join us.
Please indicate how your child will get home:
______________________ will be picking my child up at approximately 3:30 pm.
Signature of parent/guardian: ____________________________________________
Address: ____________________________________________________________

Date: ___________________________
Phone: _________________________

If you have health insurance, please list:

Health Insurance Company: ___________________________________

Policy Number: __________________________

Group Number: __________________________

In the event of illness or accident, if different from above, please contact:

Name: _____________________________________________________
Phone: _________________________________
Address: ________________________________________________________________________________________________

Beat the Streets Baltimore

I acknowledge that I have carefully read this document and understand the information therein. I agree to each of
the terms and acknowledgments above, and agree to permit my child to participate in the trip described above.

Beat the Streets Baltimore