Take Our Daughters and Sons to Work Day – July 18, 2019

Description of Activities

Following is a brief description of the demonstrations and activities included in the agenda for Take Our Daughters and Sons to Work Day.

Please read each description before signing the Parental Approval and Release of Liability Agreement.

Counterterrorism Division

The CTD tour of the Intermodal Facility (Building 811) will cover the rail, subway, and airline terminal gate areas. This tour will conclude with a demonstration of Aircraft Countermeasures training on one of the aircraft in the facility.

The demonstration of Aircraft Countermeasures training will take place on one of the FLETC’s training aircraft and will include dynamic scenarios that entail depiction of threats law enforcement officers may face and appropriate responses. Eye and hearing protection will be provided during the demonstration as blank weapons will be fired.

Cyber Division

This session will focus on the dangers of the internet and ways for children to remain safe. Areas discussed in this presentation will include the dangers of social media and better practices to ensure safety and to help prevent bullying; gaming and the use of gaming monikers and “friends” from online gaming.

Finally, we will discuss internet and email usage and the best practices when using email and the internet.

Physical Techniques Division

The PTD demonstration will include a Taser demonstration which includes an Officer/suspect Taser arrest scenario. Children will be able to shoot Tasers at targets.

The Tactical Medicine Demonstration will include use of a tourniquet, chest seal, packing wounds and use of pressure bandage. Simulated blood is used in the medical portion of this demonstration.

Firearms Division

The firearms demonstration will address firearms safety in the home and other places children may visit including vehicle. The presentation will address the amount of time law enforcement officers/agents spend in use of force training in their careers.

Children will be allowed to “fire” a laser weapon under direct supervision of the FAD instructor.

No “human silhouette” target will be used. The targets used will be a basic marksmanship target.

No live fire weapons or ammunitions will be involved.

Digitally complete the entire form and send using the submit button on the very last page or email form to FLETC-TODASTW@fletc.dhs.gov.

Parent/Sponsor Name:

Division:

Work Phone Number:

Date of Registration:

1) Child's full name:

Child's age: Have you participated in this event for at least 5 years?

2) Child's full name:

Child's age:

Have you participated in this event for at least 5 years?

Registration open ___________________________

**Registrations accepted on a first come, first served basis**

FLETC-Glynco 10th Annual

Take Our Daughters and Sons To Work Day

Event Date:

Registration Form

Lunch On Your Own

© 2004 Take Our Daughters And Sons To Work Foundation. Reprinted with permission of the Take Our Daughters And Sons To Work Foundation. All rights reserved.

DEPARTMENT OF HOMELAND SECURITY FEDERAL LAW ENFORCEMENT TRAINING CENTERS

NAME-BASED CRIMINAL HISTORY RECORD INFORMATION CONSENT/INQUIRY FORM

I hereby give consent for the Federal Law Enforcement Training Centers (FLETC) to receive any State or Interstate Identification Index (III) criminal history record information pertaining to me, as authorized under state and federal law for individuals seeking employmentor access with a criminal justice agency. Information provided by those completing this form may be used to conduct backgroundchecks on the applicant in accordance with FLETC Directive 71-01, Access Control.

Privacy Act Statement: This information is provided in accordance with the Privacy Act of 1974 (5 USC 522a). Authority for this information is 5 USC 301, 5 USC 4101 et seq., Executive Order No. 11348, and Department of Homeland Security Delegation 7050. Disclosure of this information is voluntary. Failure to provide requested information may result in denial of access to the FLETC property.

Name:

(Last, First, Middle)

Aliases Used:

(Nicknames, Maiden Names, etc.)

Country of Birth (e.g. USA): Date of Birth: SSN:

United States Citizen?

Yes

No*If answer is "No" you must contact OSPR/Internal Security for required paperwork*

Residential Address:

House Number and Street:

City, State, and Zip Code:

Driver License State: Driver License Number:

Race/Ethnicity:

American Indian or Native AlaskanBlack or African American

American Hawaiian or Other Pacific IslanderHispanic or Latino

Asian

White

Other:

Gender:

Male

Female

I certify that the information provided is true and accurate to the best of my knowledge. I acknowledge that knowingly or willfully falsifying information in the document is a violation of 18 U.S. Code Section 1001.

Signature: Date:

Telephone Number: Employer Name:

Purpose of Visit to FLETC:

Destination (if applicable):

Requested Access Date:

Requested Departure Date:

AGENCY USE ONLY

Date Of Inquiry: Time of Inquiry: Operator's Initials:

Inquiry resulted in the following:

No Results Found

Results Found

If results found:

State ID Number:_______________________

FBI Number:___________________________

Possible Active Warrant

Final Decision:

Approved

Denied

FTC-OSPR-17Z (5/17) Page 1 of 1

PARENTAL APPROVAL AND RELEASE OF LIABILITY AGREEMENT

In consideration of permission for my child, _______________________________________ to participate in the Federal Law Enforcement Training Centers’ “Take Our Daughters/Sons to Work Day” program on _______________.

I, the undersigned, acting on behalf of my child as parent and/or guardian, agree to release, indemnify and hold harmless the United States of America, the Department of Homeland Security, and the Federal Law Enforcement Training Centers, from any and all liability for personal injury to my child or damage to his/her property that may occur while my child is participating in the “Take Our Daughters/Sons to Work Day” program, and/or engaging in activities for United States Government purposes, including traveling in any United States Government-owned vehicle and visiting the Federal Law Enforcement Training Centers facilities and project sites.

I agree to these terms in return for my child being allowed to participate in the “Take Our Daughters and Sons to Work Day” program, accompanying Government employees on visits to the Federal Law Enforcement Training Centers facilities and project sites, and while traveling in any United States Government –owned vehicle during the course of my child’s participation in the “Take Our Daughters and Sons to Work Day” program. I understand that by signing this Release I am waiving certain legal rights to sue or assert any cause of action against the United States, the Department of Homeland Security, and Federal Law Enforcement Training Centers. I understand fully the consequences of this waiver and acknowledge I have had the opportunity to have this document reviewed by my legal counsel. I have read the Release in its entirety, understand it, and sign it freely and voluntarily, agreeing to be legally bound by the terms and conditions of this document.

Print Name Date

Signature

DEPARTMENT OF HOMELAND SECURITY FEDERAL LAW ENFORCEMENT TRAINING CENTERS

GENERAL RELEASE AUDIO VISUAL PRODUCTION PARTICIPATION WITHOUT COMPENSATIONThe audio visual production and sound recording to be made of me on (date) , by the Federal Law Enforcement Training Centers, is being made with my consent and without compensation. I hereby grant and release to the Federal Law Enforcement Training Centers and the United States Government the following perpetual rights:

a. The right to use my name, photograph, voice, likeness, appearance, biographic information and ancillary material in connection with the audiovisual production and sound recording in any manner. This includes the right to record, digitize, reproduce, edit, dub, publish, adapt, and exhibitany part or all of the recording.

b. The right to distribute the recording, in whatever form it may be in, to government, public and commercial organizations and enterprises.c. The right to transmit or broadcast the recording via radio, television, satellite, Internet, or other means.

This right includes the right to license, sell or otherwise transfer the recording and any derivative works to third parties who may transmit,reproduce, edit, dub, publish, adapt, exhibit or broadcast the audio visual production or recording in whole or in part.

This permission is irrevocable and royalty free. I voluntarily waive any and all claims against the Federal Law Enforcement Training Centers and the United States resulting from my participation in the audio visual production and sound recording (including, but not limited to, claims such as defamation, invasion of privacy, and rights of publicity). By my signature, I certify that I hold harmless and agree to indemnify both the Federal Law Enforcement Training Centers and the United States Government from any and all matters pertaining to this production and recording.

Date Participant Print and Signature

MMD

FTC-MSD-21B (5/14) Page 1 of 1

Camera/Photography Policy Reminder for “Take our Daughters and Sons to Work Day”

The Privacy Act and Operations Security practices limit the use of personal still and video cameras on the

FLETC. For the protection of the identities of law enforcement personnel and for the protection of

information, techniques and strategies that law enforcement officers employ in the execution of their

duties (i.e. – Law Enforcement Sensitive Information), FLETC policy limits the use of cameras while on

Center. Participants in the event are not to photograph (still or video) sensitive FLETC facilities or

training that includes law enforcement techniques. Participants are not to publish, place, or post

personally-taken photographs or video footage on the Internet (including on personal web sites and

pages, in personal blogs, etc.) or media publications in any manner not specifically prescribed according

to FLETC Operations Security policy.

An official photograph of participants is being taken to commemorate the event. We remind the

participants not to take still photographs or video while on the premises of the FLETC except under the

procedures and conditions regarding video/photography as required by FLETC Manual 121-10,

Operations Security Program (Dec 2012), Page 26, Photography Policies.

FLETC employees are responsible for ensuring that their guests adhere to this security policy while

participating on the FLETC sites. For any questions about photography at your event, please call the

Protocol and Communications Office, or Ms. Jeanette McCoy, OPSEC Coordinator, Office of Security and

Professional Responsibility, at (912) 267-3439/506-1098.

Kaizad J. Munshi Chief OSPR Office of Security & Professional Responsibility (912) 267-2933

I have reviewed the Camera/Photography Policy reminder for the Take our Daughters and Sons to Work

Day event for _____________.

______________________________ Employee Signature