Lake Ridge Eagle Media Camp - Registration Form
Thursday 3/21
4:30 - 6:00 pm
Lake Ridge High School
Drop-off & Pick-up at Entry 29 (near Band Hall on North side of building)
*FREE event for any future Lake Ridge 9th graders
*Register by 3/19
*Limited to first 50 student registrations - form will close once we are full.
*Snack provided or students can bring their own snacks.
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Middle School *
Grade *
Student First Name *
Student Last Name *
Parent Name *
Parent Phone Number *
Parent Email Address *
I understand my child will work with Lake Ridge students and teachers to experience Eagle Media, including Newspaper, Broadcast, Photo and Yearbook, during this event.  I agree to pick-up my student at 6:00 pm from Entry 29 at Lake Ridge and understand MISD police will be notified if my student is not picked up by 6:20 pm. *
I recognize that unanticipated situations and problems can arise in any event, which situations or problems are not reasonably within the control of the supervising teacher(s), staff or chaperones. We agree to release, indemnify, and hold harmless the Mansfield ISD, their agents, teacher(s), staff or chaperones, from any and all liability, claims, suits, demands, costs, and expense (including attorneys’ fees and costs) arising from such activities, including any accident or injury to the student and the costs of medical services.  In the event of an injury requiring medical attention, I hereby grant permission to the supervising teacher(s), staff or chaperones to attend to my son/daughter. If the injury warrants further medical attention, I expect every effort will be made to contact me to receive my specific authorization before action is taken. If efforts to contact me are unsuccessful, I grant permission for necessary medical treatment to be given. In addition, I hereby give my permission to the supervising teacher(s), staff or chaperones to take my child to the physician or to the hospital if an accident or serious illness occurs on the event and I cannot be located.   *
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