<p> Department of The Army U.S. Army Bull Dog Battalion, La Porte High School Junior ROTC Program, La Porte Independence School District 301 E. Fairmont Parkway, Texas 77571</p><p>Parent/Guardian Release/Permission Form Saint Edwards Park Orienteering Meet 3 October 2015 I give permission for my son/daughter ______(please print), who is currently enrolled in the La Porte Independent School District to attend the Saint Edwards Park Orienteering Meet on October 3rd at , Austin, TX . I fully understand that he/she will be under the supervision of the JROTC cadre, adults, and upper level cadets. I also accept full responsibility for his/her actions for the duration of this event and will not hold LPHS, the LPHS JROTC program, LPISD School Officials, and/or the LPISD School Board liable.</p><p>It is understood that all La Porte High School (LPISD) rules (conduct, zero tolerance, public displays of affection, etc.) are in effect for the duration of this activity. If a student should violate the school rules with any degree of severity, appropriate disciplinary action will be taken. Finally, I understand that my child will be unable to attend this event without this signed release form. Students will be transported from LPHS to the meet on Saturday at 4:00 AM, and will arrive back to LPHS on the same day at approximately 7:30 PM. Students must be picked up at this time by parent/guardian. All students must have a physical.</p><p>This form also serves as my authorization for emergency medical care should my child become sick or injured. I authorize Captain Antonio Hernandez, or members of the Booster Club to obtain emergency medical treatment if required. </p><p>Signature of Parent: ______Date: ______Signature of Student: ______Phone: ______Name and phone number of family doctor: ______Person to notify in case of emergency: ______Phone: ______Food Allergies: ______</p><p>INFORMATION (Detach and Keep for Your Information)</p><p>Activity: Saint Edwards Park Orienteering Meet Location: Saint Edwards Park, Austin, TX Cost: $6 for registration Departure: approximately 4:00 AM Arrival/Pick-up: approximately 7:30 PM Contact numbers: CPT Hernandez 281-604-7740, for emergency only 832-578-7872 [email protected] Space Center Blvd.</p><p>Last updated 9/17/15 11:09</p>
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