Arizona Science Olympiad Program

Arizona Science Olympiad Program

<p> Arizona Science Olympiad – Div B 2014 - 2015 Parental Permission Form</p><p>Parents: Please complete and return to your child’s Science Olympiad Coach</p><p>(Student’s Name) (Home Address)</p><p>(Home Phone Number) (Cell Phone Number)</p><p>My child has my permission to stay after school for Science Olympiad Practices as scheduled by the Science Olympiad Coach. My child has my permission to participate in and/or be transported to the following Science Olympiad Events. Northern Arizona Invitational @ Glassford Hill Middle School at 6901 Panther Path, Prescott Valley, AZ 86314 on October 25, 2014</p><p>Eduprize Invitational at 4567 W Roberts Road, Queen Creek, AZ 85142 on November 1, 2014</p><p>Our Mother of Sorrows Invitational at 1800 S Kolb Road, Tucson, AZ 85710 on November 15, 2014</p><p>Surprise Invitational at 12907 W Greenway Road, El Mirage, AZ 85335 on November 22, 2014</p><p>Casa Grande Invitational at 330 W McMurray, Casa Grande, AZ 85222 on December 13, 2014</p><p>Paragon Invitational at 5580 W Chandler Blvd Chandler, AZ 85226 on January 24, 2015</p><p>Southern Regional @ Desert Sky Middle School at 9850 E Rankin Loop Tucson, AZ 85757 on February 14, 2015</p><p>North Central Regional @ Rainbow Valley Elementary School at 19716 W Narramore Rd, Buckeye, AZ 85326 on February 28, 2015</p><p>Arizona State Tournament @ Central Arizona College – Signal Peak Campus at 8470 N Overfield Road, Coolidge, AZ 85128 on April 11, 2014</p><p>I understand that the Arizona Science Olympiad program and/or personnel do not accept liability for the students in the above noted events. </p><p>If emergency service involving medical action or treatment is required for my child and neither parent nor family physician can be contacted for consent, I hereby grant permission for rendering of such emergency medical service. </p><p>My son/daughter shall be responsible for avoiding food to which he/she is allergic and/or which may endanger safety. I give permission for my child to self-administer any pre-approved normally required medicine. </p><p>(Doctor’s Name) (Doctor’s Phone Number)</p><p>(Insurance Carrier) (Policy Number)</p><p>(Parent or Guardian’s Signature) (Date) Arizona Science Olympiad – Div B 2014 - 2015 Parental Permission Form</p>

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