REGISTRATION

Intercultural Competence for Global Citizenship Registration Form
Address of Student's Primary Residence
City
State/Province
Zip/Postal
Country

Emergency Contact Information & Permission Request

Address (if different from above)
City
State/Province
Zip/Postal
Country

Behavior Rules

Students are expected to:

• behave kindly and respectfully to their peers and instructors at all times;
• be cooperative and helpful;
• support their classmates;
• listen attentively during all presentations;
• engage actively in activities;
• follow all rules, including those regarding safety.

I understand that if my child is found to be in violation of behavioral rules, he or she will not be permitted to continue participating in the program, and I may be required to pick him or her up if this should happen.

Photo Release Permission

I give permission for photographs and video of my child to appear in Intercultural Competence for Global Citizenship publicity material.

Emergency Treatment Permission

I give permission to the staff to authorize medical personnel to render emergency treatment to my child if such personnel deem it necessary.

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