1.I agree that my 10th-12th-grade students are physically able and plan to attend this event.

Agree

2.I need wheelchair accommodations for students who require wheelchair access. Please note: Most seats in Building R have steps and require good balance. Please put the number of students who require wheelchair accommodations. (Limited number of seats/registrations received first will be first served.)

*3.I agree to follow the campus dress code: no hoodies, no cell phones, no AirPods, no clothing with holes, and no hats worn in the building. Dress code will be enforced.(Required.)

Agree

*4.I understand that my students need to be able to walk up and down stairs.(Required.)

Yes

5.I agree, my students will behave respectfully.

Agree

6.I have transportation provided to and from OCtech for my students. (You will receive a follow up email with a map and directions for parking.)

Yes

*7.Please enter the teacher's name, title, email, school, and mobile number.(Required.)

Name:

Title:

Contact email:

School name:

Email address:

Cell number/best contact number:

*8.Designated alternate chaperone who is approved by Principal.(Required.)

Name:

Title:

Contact email:

Email Address:

Cell number:

9.I will have the following students attending. (20 students per school)

Student 1 Name:

Student 1 Grade:

Student 2 Name:

Student 2 Grade:

Student 3 Name:

Student 3 Grade:

Student 4 Name:

Student 4 Grade:

Student 5 Name:

Student 5 Grade:

Student 6 Name:

Student 6 Grade:

Student 7 Name:

Student 7 Grade:

Student 8 Name:

Student 8 Grade:

Student 9 Name:

Student 9 Grade:

Student 10 Name:

Student 10 Grade:

Student 11 Name:

Student 11 Grade:

Student 12 Name:

Student 12 Grade:

Student 13 Name:

Student 13 Grade:

Student 14 Name:

Student 14 Grade:

Student 15 Name:

Student 15 Grade:

Student 16 Name:

Student 16 Grade:

Student 17 Name:

Student 17 Grade:

Student 18 Name:

Student 18 Grade:

Student 19 Name:

Student 19 Grade:

Student 20 Name:

Student 20 Grade:

10.If a student cannot attend, I agree to contact Mrs. Jean Rickenbaker at Rickenbaerkjh@octech.edu (if it is the day of the event). If I am aware of this situation before the event, I will call 535-1232.

Yes

11.I agree that these students will be entered into PowerSchool for attending this career experience.

Agree

Send me a copy of my responses via email