TEXAS AEROSPACE SCHOLARS
PARENTAL CONSENT
I understand that my child is being considered for a
position in the Texas Aerospace Scholars Program which will include a 4-6 day
period, at the Johnson Space Center between June and August.
Direct supervision will be provided by a NASA
sponsor. I certify below, that I
·
give
permission for my son/daughter to participate in the Texas Aerospace Scholars
Program activities;
·
approve
the release of my child’s school transcript;
·
approve
and authorize medical treatment in case of an emergency; and
·
guarantee
my child’s participation for the full length of the program (in the
event he/she cannot fulfill this commitment, I understand that his/her
participation will terminate immediately).
Emergency Contact _________________________________________________________________
Relationship ____________________________ Telephone Number
____________________
Parental Signature
________________________________________ Date
____________________
Parents’
Phone Number (if different from above)
__________________________________________
I
understand that I will commit to be a Texas Aerospace Scholar during the
distance education program and the on-site internship. I agree to:
I
will do my best to:
To
the best of my ability I will fulfill the above commitments to NASA’s Texas
Aerospace Scholars Program.
Student
signature ________________________ Date
__________
As
the parent or legal guardian of __________________, I will ensure that he/she
abides by the
terms
of the above agreement with NASA as a
Texas Aerospace Scholar.
Parent/Guardian
Signature____________________ Date
__________