IF YOU INTEND TO CHAPERONE ON STUDENT STUDY TRIPS OR VOLUNTEER IN SCHOOL CLASSROOMS/SITES YOU MUST READ THE FOLLOWING:
As a chaperone, I agree to do the following:
· Follow the direction of any teacher or administrator involved with this event.
· Ride the bus or any other transportation in which the students I am chaperoning are riding.
· Supervise no more than the specific number of students I am assigned (i.e. eight (8) students per chaperone).
· Follow the trip itinerary.
· Stay with my designated students at all times.
· Not bring other children on the trip.
· Not smoke during the trip.
· Not consume alcohol during the trip.
· Not use illegal drugs during the trip.
· Not be on my cell phone, unless an emergency.
· Not engage in inappropriate or sexual contact, have sexual conversations, or other inappropriate conversations with any minor or student.
· Not allow students to engage in sexual conduct with other students.
· Follow all school rules and policies.
· Ensure that students follow all school rules and policies.
Each volunteer is expected to maintain confidentiality regarding each student and family. If volunteers hear about or observe evidence of child abuse, volunteers will report the information to the site principal or designee immediately. Volunteers understand that their service activities as a volunteer are determined by the administrator and/or teacher and may be discontinued at any time.
I understand that if I violate any of the conditions outlined herein, I will be denied the privilege of chaperoning. I also understand a District or Site Administrator has the right to deny me the privilege of chaperoning for any reason at any time. I have read and understand the information above. I agree to follow these and other guidelines set by the District.
By providing your signature, you are agreeing to abide by the rules and regulations of the District Volunteer Program. One or more of the volunteer activities you have selected may require you to provide your United States social security number so we can perform a criminal background check. Your social security number will only be used for this purpose and we do not retain this information.