8/13/2019 youTHink Animation Retreat

http://slidepdf.com/reader/full/youthink-animation-retreat 1/3ou will also need to and submit a completed trip slip, which you can downlo

hrough the same link above. Please turn this in by:

Saturday & Sunday, February 15 & 16

9 am - 5 pm (8 am - 6 pm with transportation)

ANIMATION

RETREAT

Work together in teams to create a real cartoon with a message!Your cartoon will be shown at a youTHink screening and posted on YouTub

Meet and work with youth from all over LA.

You must attend BOTH sessions!

Transportation and lunch will be provided.

Like cartoons? Here's your chance to make one!

The retreat will be held on:

you would like to attend, please register at ytanimationretreat.eventbrite.co

Space is limited - register now to save your spot!

8/13/2019 youTHink Animation Retreat

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I understand that adequate and appropriate supervision will be provided. I recognize, however, that unanticipatedsituations and problems can arise during any event, which situations or problems are not reasonably within the control ofthe supervising youTHink and/or Zimmer Children’s Museum staff (including volunteers). In such instances, I agree thatthe Zimmer Children’s Museum and the supervising youTHink and/or Zimmer Children’s Museum staff (includingvolunteers) are not to be held legally responsible in the event of accident or injury and I will hold the Zimmer Children’sMuseum and the supervising youTHink and/or Zimmer Children’s Museum staff (including volunteers) harmless from anycosts, liability, or related expenses.

I give permission for emergency medical attention to be administered should that be necessary while at this retreat. I alsogive my permission for photos of my child taken while participating in youTHink programs to be used in promotionalmaterials for youTHink and the Zimmer Children’s Museum, which may include an video, website, or brochures.

Emergency Contact Information: During the fieldtrip, I can be reached at:If unable to contact parent/ guardian, in case of emergency, please call: (name, relationship and phone number)

Student’s name: __________________________ School: _______________________________________ 

Address: _________________________________ City, State, Zip: ________________________________

Grade: _____ Birth date: _____________ Email: _______________________________________________ 

Student’s Cell Number: _______________________________ Home Number: ________________________ 

Parent/Guardian’s Signature: _____________________ Print Name:________________________________

I understand that:

•  the animation retreat is two sessions and

that my child must attend BOTH toparticipate.

•  We understand that although I am notbeing charged for my child to participate inthis workshop, it is valued at $300 a studen

•  There are limited openings in this workshoso we agree to call Lucy Mendez at 323-363187 IMMEDIATELY, if my child becomesunable to attend, so another student can boffered the opportunity.

•  Submitting a permission slip does NOTguarantee your child’s participation at theevent. Space is limited and youTHink Staffreserves the right to select students basedon transportation capacity and otherprogram considerations. 

I hereby grant permission for my child to participate in thefollowing event:

Destination:Animation RetreatUniversity of Southern CaliforniaLos Angeles, CA 90089

Date:Saturday & Sunday, February 15 & 16, 2014

Departure Time: Return Time: (Each Day)8:00 am  6:00 pm 

I understand that transportation will be by:

Shuttle / Bus

Engaging Students in Contemporary Issues

and Civic ction Through rt

youTHink Staff will call participating students a few daysbefore the event to confirm the pickup times, pickuplocation and other trip details. Please feel free to call LucyMendez at 323-364-3187 for details.

Animation Retreat: Permission Form

A program of the Zimmer Children’s Museum

6505 Wilshire Boulevard 100 Los Angeles, CA 90048

Phone: (323) 761-8311 Fax: (323) 761-8990www.youthink.org

8/13/2019 youTHink Animation Retreat

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A program of the Zimmer Children’s Museum

6505 Wilshire Boulevard 100 Los Angeles, CA 90048

Phone: (323) 761-8311 Fax: (323) 761-8990www.youthink.org

Entendemos se proporcionará supervisión adecuada y apropiada. Reconocemos sin embargo, que pueden surgirsituaciones y problemas imprevistos en cualquier viaje, problemas que no están bajo el control del supervisor de youTHinko del Museo Infantil Zimmer (incluyendo sus voluntarios). En tales casos, nosotros convenimos en que ni el Museo InfantilZimmer ni el supervisor o los voluntarios de youTHink y/o del Museo Infantil Zimmer deberán ser hechos legalmenteresponsables. En caso de accidente o herida, mantendremos a todo el personal de youTHink y/o el al Museo InfantilZimmer (incluyendo a los voluntarios) libre de cualquier costo, obligación, o gastos relacionados a este.

Yo/Nosotros otorgamos permiso para que se administre cualquier atención médica en caso de una emergencia duranteeste paseo. Yo/Nosotros también otorgamos permiso de utilizar fotografías tomadas durante este paseo parapublicaciones y materiales promociónales de youTHink y del Museo Infantil Zimmer, al igual que videos institucionales,página de Internet, folletos y ocasionalmente periódicos.

Durante el paseo, podré ser contactada/o al: En un caso de emergencia en el que no seaposible contactar a padres/guardianes, favor de llamar a al número (comoesta relacionada esta persona? Tío? Tía? Abuela? Etc.)

Nombre del estudiante: __________________________ Escuela: _______________________________________ 

Domicilio: _________________________________ Ciudad, Estado, Código Postal: _________________________ 

Grado: _____ Fecha de nacimiento: _____________ Correo electronico: ________________________________ 

Número de celular del estudiante: _____________________ Número telefónico de casa: ___________________ 

Nombre en imprenta de padre/guardián: _________________ Firma de padre/guardián: _________________ 

Yo entiendo que:

•  El retiro de animación es en dos sesiones y mihijo/a tiene que asistir a las dos para participar.

•  Yo/ Nosotros comprendemos que aunque noestoy siendo cargado para que mi hijo/a particien este taller, es valorado a $300 por estudiante

•  Hay espacio limitado en este taller, así yo/nosotestamos de acuerdo en llamar a Lucy Mendez a323-364-3187 INMEDIATAMENTE, si mi hijo/a eincapaz de asistir, para que otro estudiante pueser ofrecido la oportunidad.

•  Por favor tenga en cuenta que presenter unaforma de permiso NO garantiza la participacionde su hijo/a en el evento. Hay espacio limitado el personal de youTHink reserve el derecho deseleccionar a los estudiantes en base de lacapacidad del transporte y los objetivos delprograma.

Yo/Nosotros otorgamos permiso para que mi hija/hijoparticipe en el evento:

Destino:Retiro de AnimaciónUniversidad del Sur de CaliforniaLos Angeles, CA 90089

Fecha:Sábado y Domingo, 15 y 16 de Febrero del 2014

Hora de Salida: Hora de Regreso: (Cada Día)8:00 am  6:00 pm 

Entendemos que el transporte será a través de:Autobús/Camión 

Engaging Students in Contemporary Issues

and Civic ction Through rt

Personal de youTHink llamará a los estudiantes participantesunos días antes del evento para confirmar las horas derecolección, el lugar de recolección, y otros detalles del viaje.Por favor, llamen a Lucy Mendez a 323-364-3187 para

Retiro de Animación: Forma de Permiso