District 2- PENNSYLVANIA Skills USA-VICA

District 2 - SkillsUSA PENNSYLVANIA

Parental Permission to Attend/Participate in the SkillsUSA District 2 Competition at Central Montco Technical High School on January 28, 2014 or January 29, 2014 (snow date – January 30th or 31th, 2014 respectively)

A list of the off-site competitions and dates is shown on the back of this permission slip.

I/we hereby grant permission for ______First Name Last Name to attend and participate in the above activity. If a participant in a competitive event, I/we grant permission to use the tools, power equipment, laboratory apparatus and supplies necessary to compete in the competitive event. In case of an accident, injury or illness, I/we do hereby authorize the SkillsUSA or CTSO advisor to take the above named student to a physician or emergency room of a hospital. Since the health of the student is of paramount importance, it is imperative to know whether your child has any allergies, handicaps or other health problems of which the advisor should be aware. If so, please note:

______

Parent/Guardian ______First Name Last Name

______Street Address City/State/Zip Home Phone Work/Cell Parent/Guardian ______First Name Last Name

______Street Address City/State/Zip Home Phone Work/Cell

Who can be reached if the parent/guardian is not available in case of illness or injury?

______First Name Last Name

______Street Address City/State/Zip Phone

Health Insurance Carrier Name/Number: ______The above information is strictly confidential Insurance Carrier Name Policy Number

I have read and agree to the attached code of conduct. If I withdraw or am sent home from this activity, I understand that my parent/guardian and I are responsible for the entire cost of the event ($30). ______Date Signature of Student ______Date Signature of Parent/Guardian ______Date Signature of Advisor

Return to SkillsUSA Advisor. Advisor should bring to competition/activity and keep in his/her possession at all times. A copy should also be placed in the nametag of the student participant. District 2 - SkillsUSA PENNSYLVANIA

STUDENT APPLICATION GUIDELINES Technical School: ______

Name: ______Technical Area: ______

We recommend this student with consideration of membership, academic standing and not in danger of failing (C average = 70% or higher), attendance (no more than 10% absences to date) and with no major discipline problems.

Technical Instructor ______

Signature Date

Home School Principal ______

Signature Date

Career & Technical Administrator ______

Signature Date

Please Note – All LEADERSHIP & OCCUPATIONALLY RELATED Competitions are scheduled for January 28th unless otherwise noted & All SKILLED & TECHNICAL Competitions are scheduled for January 29th unless otherwise noted. Please also note Team Works is competing BOTH January 28th & 29th at CMTHS. Dates for Off-Site SkillsUSA District2 Competitions 1/23/2014 The Restaurant School Commercial Baking 8:00 AM 1/23/2014 The Restaurant School Culinary Arts 8:00 AM 1/23/2014 The Restaurant School Restaurant Services 8:00 AM 1/24/2014 WMCTC Cabinetmaking 9:00 AM 1/24/2014 MBIT Dental Assisting 9:00 AM 1/24/2014 BCTHS Electronics Technology 9:00 AM 1/24/2014 MCCC Internetworking 8:30 AM 1/30/2014 Williamson Masonry 9:00 AM

1/28/2014 CMTHS Photography 8:00 AM

1/29/2014 Fire Academy Firefighting 9:00 AM 1/29/2014 Fire Academy First Aid/CPR 9:00 AM 1/29/2014 NMTCC Diesel Equipment Technology 9:00 AM 1/29/2014 NMTCC HVAC 9:00 AM 1/29/2014 NMTCC Industrial Motor Control 9:00 AM 1/29/2014 NMTCC Power Equipment Technology 9:00 AM 1/29/2014 NMTCC Precision Machining Technology 9:00 AM 1/29/2014 NMTCC Welding 9:00 AM

The Restaurant School 4207 Walnut Street Philadelphia, PA 19104

MCCC Blue Bell Campus Parkhouse- Room 113

Fire Academy Montgomery County Fire Academy 1175 Conshohocken Road Conshohocken, PA 19428