Education Training Authorization ETAA 2024

Education Training Authorization ETAA 2024

This Education Training Authorization ("Authorization") permits the student named below to participate in the specified training program and authorizes necessary consents described herein. The undersigned certifies that the information provided is true, that the undersigned has authority to execute this Authorization, and that the undersigned agrees to the terms, releases, and obligations set forth in this document.

Student Information

Parent / Guardian Information (If student is a minor)

Training Program Details

Payment Responsibility (select all that apply):

School / District

Student / Family

External Sponsor

Other:

Transportation and Field Logistics

Transportation arrangements (select applicable):

School-arranged transportation

Parent/guardian will provide transportation

Student will arrange own transportation

Other transport details:

Emergency Medical Information & Authorization

Consents, Releases, and Acknowledgements

Medical Treatment Authorization: By checking the box below or by signing this Authorization, I expressly authorize school officials, the training provider, and their agents to obtain and consent to emergency medical care, including transportation, treatment, and hospitalization for the student if, in the opinion of the attending medical personnel, such action is necessary. I agree to be financially responsible for all costs incurred in connection with such treatment.

I authorize emergency medical treatment as described above.

Release and Indemnity: To the fullest extent permitted by law, I release and hold harmless the school district, training provider, their officers, employees, agents, volunteers, and contractors from any and all claims, demands, liabilities, damages, or causes of action arising from the student's participation in the training program, except to the extent caused by the gross negligence or willful misconduct of the released parties. I further agree to indemnify and defend the released parties from any third-party claims arising from my acts or omissions in connection with this Authorization.

I acknowledge and accept the Release and Indemnity terms.

Photo/Media Release: I grant permission for the student to be photographed, filmed, or recorded in connection with the training program. Such media may be used by the school or training provider for educational, promotional, or recordkeeping purposes. I understand that no compensation will be provided.

I grant photo/media release permission.

Academic Credit and Attendance: I understand that participation may result in academic credit and that attendance, conduct, and completion of required coursework and assessments are conditions of receiving credit. I accept responsibility for ensuring the student's compliance with program rules and attendance requirements. The school and training provider may share attendance and grade records as necessary for credit transfer or reporting.

I acknowledge the Academic Credit and Attendance terms.

Special Accommodations

If the student requires special accommodations under applicable disability law or program policy, describe the accommodation(s) requested below. The school or provider will review and determine eligibility and reasonable accommodations in accordance with policy.

Certification

I certify that I am the student named above or a parent/legal guardian of the student. I acknowledge that I have read this Authorization in its entirety, understand its contents, and accept the responsibilities, consents, releases, and conditions contained herein. I understand that this Authorization remains in effect for the duration of the listed program dates unless rescinded in writing and accepted by the school or provider.

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