CLASS OF 2019 COLLEGE TRIP / AVILA UNIVERSITY
Dates / Friday, March 24th, A Day
Time / Leaving from school@9:30am / Arrival to Avila Univ.@ 10:00 am/ Coming back to STEM @12:40am
Location /
Avila Univ. / 11901 Wornall Rd, Kansas City, MO 64145
Cost / FREE For Class of 2019
Contact Person / Mr. Murat email: phone:816-541-8200

Your Itinerary would be similar to this:

  • 09:30am- 10:00am Leaving from school to Avila Univ

  • 10:00am- 11:00 Campus tour

  • 11:00am- 12:00 Admissions/Financial aid presentation

  • 12:00am- 12:30 pm Coming back to STEM

Dear Parent/Guardian,

This is a release form to allow your son/daughter to be under the supervision of Frontier STEM High school’s teachers, faculty, and parent volunteers. Your signature confirms that the participant is physically and mentally able to participate in the activities. You also agree to hold employees, and representatives, harmless from all liability to any other person or entirety arising as a result of the conduct of the participant in this activity. All school precautions, rules and safety measures will be fully enforced during all time off school property to ensure safety and well-being of your child. No permission over the phone will be granted.

I, (please print) ______, Parent/Guardian of the above mentioned youth, give my permission for him/her to attend the above named trip/program and be transported by Frontier School of Excellence staff, parents and/or commercial venues. In the event of an emergency, I do consent to reasonable medical treatment or emergency medical care deemed necessary by a licensed physician. I also agree that in the event disciplinary action needs to be taken such that my youth needs to return home, I am responsible for coming within a reasonable amount of time to get him/her. I further release Frontier School of Excellence faculty, personnel, and parent volunteers and hold them blameless from any liability concerning my child resulting from these permitted activities.

Student’s name______Student’s grade______

Student’s mobile number______

In case of emergency, contact ______

Parent/Guardian Name (please print)Phone

I have read, understand and agree to the above rules:
______

Student SignatureDate

______

Parent/Guardian SignatureDate

CLASS OF 2020 COLLEGE TRIP
Dates / Wednesday, February 22nd, B Day
Time / Leaving from school@8:15am / Arrival to MWSU @ 8:55 am/ Coming back to STEM @11:00am
Location /
Rockhurst Univ. / 1100 Rockhurst Rd, Kansas City, MO 64110
Cost / FREE for Class of 2020
Contact Person / Mr. Murat email: phone: 816-541-8200

PERMISSION SLIPS MUST BE RETURNED TO SCHOOL NO LATER THAN NOVEMBER 10rh, 2016

PERMISSION SLIPS MUST BE RETURNED TO SCHOOL NO LATER THAN NOVEMBER 10rh, 2016

Emergency Medical Release Form

Student Name ______

Parent/Guardian ______

Address ______

Home Phone ______Work Phone ______Cell Phone ______

Emergency Contact/Phone ______

Insurance Company/Policy/Group# ______

Doctor’s Name/Number ______

Blood Type ______Know Allergies ______

Medication ______

Any Additional Medical Information

______

______

In case of emergency, I authorize emergency treatment to be administered if I cannot be

contacted.

Parent/Guardian Signature Date

______

______

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