7/27/2019 Art & Nature for Middle School Students: October 12th Packet

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A DAY OFART AND NATURE

youTHink is a program of the Zimmer Children's Museum

Transportation and lunch will be provided

Like us on Facebook

for Middle School Students

Join us on Saturday, October 129 am - 1 pm (8am - 2pm with transportation)

Call, text or email David to RSVP no later than Tuesday Oct 8

323-364-3187; david@youthink.org

facebook.com/youthinkzimmer

Help prepare for the Ceanothus LA Festival,

a celebration of one of the city's amazingnative flowers! Make art! Have fun and meet

new people!

Los Angeles State Historic Park1245 N Spring St

Los Angeles, CA 90012

7/27/2019 Art & Nature for Middle School Students: October 12th Packet

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A program of the Zimmer Childrens Museum6505 Wilshire Boulevard #100 Los Angeles, CA 90048Phone: (323) 761-8311 Fax: (323) 761-8990www.youthink.org

Engaging S tudents in Contemporary Issues and Civic Action Through ArtyouTHink Field Trip Permission Form

I, _______________________, parent/ guardian of ___________________________ (student) hereby grantpermission for our son/daughter to participate in the following event:

Destination: A Day of Art & Nature for Middle SchoolLos Angeles State Historic Park1245 N Spring StLos Angeles, CA 90012Date: Saturday, October 12, 2013Departure Time: 8:00 am Return Time: 2:00 pmI understand that transportation will be by: Bus/Shuttle .I understand that adequate and appropriate supervision will be provided. I recognize, however, thatunanticipated situations and problems can arise on any trip, which situations or problems are notreasonably within the control of the supervising youTHink and/or Zimmer Childrens Museum staff(including volunteers). In such instances, I agree that the Zimmer Childrens Museum and the supervising

youTHink and/or Zimmer Childrens Museum staff (including volunteers) are not to be held legallyresponsible in the event of accident or injury and I will hold the Zimmer Childrens Museum and thesupervising youTHink and/or Zimmer Childrens Museum staff (including volunteers) harmless from anycosts, liability, or expenses related thereto.

I also give permission for emergency medical attention to be administered should that be necessary whileon this fieldtrip.

I also give my permission for photos of my child taken while participating in youTHink programs to beused in promotional materials for youTHink and the Zimmer Childrens Museum, which may include aninstitutional video, website, or brochures.

Emergency Contact Information: During the fieldtrip, I can be reached at:If unable to contact parent/ guardian, in case of emergency, please call: (name, relationship and phonenumber)

Parent/Guardian(s) Signature: Date:Print Parent/Guardian(s) Name: _______________ Home Phone Number: _____________Address:_________________________________________ City, State, Zip: _________________________

http://www.youthink.org/http://www.youthink.org/

7/27/2019 Art & Nature for Middle School Students: October 12th Packet

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A program of the Zimmer Childrens Museum6505 Wilshire Boulevard #100 Los Angeles, CA 90048Phone: (323) 761-8311 Fax: (323) 761-8990www.youthink.org

Engaging S tudents in Contemporary Issues and Civic Action Through ArtFormulario de permiso de paseo de youTHink

Yo/Nosotros ________________________ los padres/guardianes de, ,una/un menor, comprendemos el tipo de viaje planeado a:

Destino: Un Dia de Arte y Naturaleza para Escuela de IntermediaLos Angeles State Historic Park1245 N Spring StLos Angeles, CA 90012Fecha: Sabado, 12 de Octubre del 2013Hora de Salida: 8:00 am Hora de Retorno: __2:00 pmEntendemos que el transporte sera a traves de: Autobus/CamionEntendemos que la supervisin adecuada y apropiada se proporcionar. Reconocemos, sin embargo, quesituaciones y problemas imprevistos pueden surgir en cualquier viaje, problemas no razonablemente bajo elcontrol del supervisor de youTHink/o Zimmer Childrens Museum (incluyendo voluntarios). En tales casos,nosotros concordamos que ni el Zimmer Childrens Museum ni el supervisante/s o voluntario/s de youTHink

y/o Zimmer Childrens Museum debern ser tenidos legalmente responsable. En caso de accidente o herida,mantendremos al Zimmer Childrens Museum y todo personal de youTHink y/o el Zimmer Childrens Museum(incluyendo voluntarios) inocuo de cualquier costo, obligacin, o gastos relacionados a este.

Yo/Nosotros otorgamos permiso de la administracin de cualquier atencin mdica en caso de unaemergencia durante este paseo.

Yo/Nosotros tambin otorgamos permiso de utilizar fotografas tomadas durante este paseo parapublicaciones y materiales promocinales de youTHink y el Zimmer Childrens Museum, al igual que videosinstitucionales, pagina de Internet folletos, y ocasionalmente, peridicos.

Durante el paseo, podr ser contactada/o al: Si incapaz de contactar apadres/guardianes, en caso de emergencia, favor de llamar al _____(como esta relacionadaesta persona? To? Ta? Abuela? Etc.)

Firma de padre(s)/guardin(es): ____________________________ Fecha: ____________________

Nombre de padre(s)/guardin(es): _____________________ Numero telefnico: ____________________

Domicilio___________________________ Ciudad, Estado, Cdigo Postal: ___________________________

http://www.youthink.org/http://www.youthink.org/