Virtual Learning Consent Form (Laurel Highlands School District)

X Virtual Learning Parent Consent Form (Laurel Highlands School District)

For parents to complete for their child participating in an virtual courses with Venture Outdoors and Laurel Highlands school district in May 2021. If you have more than one child participating, please complete a new form for each child.

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In order for Venture Outdoors to continue to provide your student with the most effective tools to ensure we are meeting our mission of providing access to outdoor experiences, Venture Outdoors staff may use educational web-based services and applications such as Zoom, Teams, Instagram, Flipgrid, etc. Many of the Terms of Service and/or Privacy Policies of these applications state that, due to Federal Law, children must obtain parental permission to use their sites and often require an email address or other personal identifiers information. This form is to be completed by a parent/guardian in order for their youth to participate in a Venture Outdoors Virtual Learning Experience. This form will need to be completed for each youth participant. Youth participants include anyone under the age of 18.
Parent Information
Parent First Name*
Parent Last Name*
Parent Phone Number*
Parent E-mail*

Youth Information
This form will need to be completed separately for each youth participant. Youth participants include anyone under the age of 18.
Youth First Name*
Youth Last Name*
School*
- Marshall
- Hatfield
- Hutchinson
- Clark

Parent/Guardian Acknowledgement*
I agree to these statements
I understand that by signing this permission slip, I, a parent/guardian, have read and reviewed the following:
- I acknowledge the virtual learning that Venture Outdoors plans to utilize and give my child permission to participate in session.
- I recognize that this form will constitute consent for students and youth to use these education, web-based applications.
- I acknowledge that my child will be held accountable to the same set of behavior expectations as in-person learning. See Virtual Code of Conduct for more information.
- I understand that my child may be removed from Virtual Learning if unacceptable behavior is displayed.
Youth Acknowledgement*
I agree to the privacy policy.
By signing this permission slip, I, a parent/guardian, have read and reviewed the following with the youth listed above.
- My child is aware that by signing this form electronically, I give them permission to participate in Venture Outdoors Virtual Learning.
- My child understands that if their behavior choices are not appropriate, they may be asked to leave the program. See Virtual Code of Conduct for more information.
Photo Release*
I agree to the photo release
I hereby grant full permission for Venture Outdoors and their respective agents, boards, commissions, and any other involved parties of the foregoing to take and use photographs, video, film, or any other record of this activity, including name, likeness, and/or voice for any legitimate purpose, inducing advertising display, audiovisual presentations, or otherwise. I waive any right of privacy, publicity, compensation, copyright or other rights to those images.
Parent/Guardian Signature*

X Virtual Learning Parent Consent Form (Laurel Highlands School District)

Step 1 of 3

Parent Information

Youth Information