Take Our Kids to Work Day
To be filled out and signed by a parent or guardian and student

To the Parent/Guardian: Your child has the right and responsibility to have a safe and educational workplace visit. Health and safety education is an important element of this program. Review this form with your child and sign below. If you have additional questions about safety, contact the school or workplace.
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Email *
Student's  first name *
Student's last name *
Media Permission *
May your child be photographed, interviewed, or videotaped on Take Our Kids to Work Day by the workplace or by The Learning Partnership for the purpose of promotion, advertising and public relations related to Take Our Kids to Work Day?
My child will accompany *
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