Permission Form

We are excited to have you and/or your child participate in the two-hour To Be Like Me program at the Tolleson Family Activity Center. To Be Like Me is a disability awareness program designed to help students understand differences in others, break down barriers, and foster compassion. You and/or your child will rotate to 5 different simulation experiences including:

  • “FlyKind Airways”
  • “Chance’s Pie & Coffee Shop” (see snack info on permission form)
  • “Assistive Technology”
  • “Classroom”
  • “A Day in the Life.”

Parent Permission

PERMISSION TO EAT SNACK (CHECK BOX PLEASE):

YumEarth has graciously donated gluten-free, nut-free, dairy-free fruit snacks for our program. Please check this box to give permission for your child to eat these fruit snacks.

PERMISSION TO PARTICIPATE (CHECK BOX PLEASE):

With my electronic signature below, I give my permission for my child to participate in the To Be Like Me program.

Release for Minors (those under the age of eighteen): I, the undersigned, being a parent or guardian of the minor, hereby consent to the foregoing conditions and warrant that I have the authority to give such consent.

(*will not be used for any other purposes or distributed to third parties)

*Required