Fillable Printable Student Permission Form - Pennsylvania

Student Permission Form - Pennsylvania

Event – Empire Experience Day:

This event is designed to provide high school juniors and seniors with a day of discovery into the wide variety of in-demand careers in

the beauty industry, and to experience Empire’s state-of-the-art education and unique school culture; all in a dynamic, real-world

setting. Students will have the opportunity to enjoy hands-on participation in fun, creative educational sessions and spend quality time

with caring and experienced staff and educators, as well as current students. Additionally, visiting our Student Salon will enable

students to visualize themselves in their future profession, providing quality services to their own clientele.

Date & Time: ________________________

Empire Address: ________________________

__________________________

Empire Phone: ________________________

Transportation: Responsibility of the student.

Cost & Fees: Costs for materials, educational sessions and lunch provided by Empire Beauty Schools.

Required Attire: Closed-toe shoes; preferably with rubber or other non-slip soles.

Parents(s) and/or Guardian(s):

Signed permission is mandatory for student attendance and participation:

My child, _______________________________, has my permission to attend and participate in Empire Beauty School’s scheduled

event. This event is comprised of educational sessions and activities that include manicuring and hairstyling products and tools, using

mannequins and faux nail supplies. Exposure to additional salon products e.g. chemical permanents and hair relaxants/texturizers,

etc., and tools for a variety of client services including but not limited to cutting shears are in use during attendance and touring the

educational facility. If time permits, students may receive non-chemical salon services including manicures and/or hair styling, if

desired. Services are provided by supervised students.

My signature gives permission to allow Empire Education Group the right to use my child’s name, voice, picture, portrait, likeness,

hometown, and profession, purpose of promoting the products, services, styles, fashions, business, institutions, persons, or entities

related to Empire Education Group. This allows the right to digitize, publish, publicly display, distribute, transmit, or broadcast by any

medium now known developed, in hard copy or electronic form, including the Internet, my name, voice, picture, portrait, signature,

and likeness in connection with Empire Education Group.

My signature gives permission for my child to receive emergency medical treatment. Emergency Contact Information:

Parent/Guardian Name (Please Print) ______________________ Phone Number ___________

High School Name (Please Print) _________________________ Phone Number ___________

__________________________________ ________________

(Parent/Guardian Signature) (Date)

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Internal Use:

For high school attendance records, please copy this form,

attach the Empire Beauty School Career Development Specialist

Business Card, and return to student prior to departure.

Student Permission Form