Dear Parents, Welcome and greetings from Jackson Hole, Wyoming! We’re excited that your child will be joining us at the Jackson Campus of Teton Science Schools. We look forward to sharing the natural world of the Greater Yellowstone Ecosystem with your child! Enclosed is a packet of information that will assist you in preparing for your child’s program. For more information, please contact your group’s leader. Kind Regards,

Joe Petrick Vice President of Field Education (307) 734­3715 joe.petrick@tetonscience.org

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Pillars of Field Education and Outreach

Teton Science Schools customizes field science experiences for students of all ages. We are committed to collaborating with school and group leaders to facilitate learning that integrates multiple disciplines, school standards and the Pillars of Field Education and Outreach. Our programs are designed to fit into a greater context of learning in home communities. C䇮 䇮 P擡 What : Inspire curiosity, wonder and understanding for place. How: Explore social, economic and ecological systems of place through interdisciplinary observation, study, expression and reflection. Why: Motivate an awareness, appreciation and stewardship for local and global place. F擡 S P䇮 What: Understand natural systems and processes. How: Apply the scientific process in conducting field research and critically examine ecological issues from multiple perspectives. Why : Build scientific literacy to inform personal decision making in social, economic and ecological systems of place. L򣜪 C昶緾䇮 What: Engage individuals and self in the development of community. How : Develop community skills and self­awareness through immersion and mentorship in authentic leadership roles. Why: Gain a greater sense of self, work constructively with others and take initiative to influence place.

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Staying at the Jackson Campus Your child will be staying at our Jackson Campus, located about five miles from the town of Jackson, WY. Perfectly poised to benefit from Jackson Hole’s unique setting and community, the nearly 900 acre Jackson Campus is comprised of creeks, ponds, aspen, conifer, grassland and sage habitats. The facility is designed for education, using Teton Science Schools’ expertise and skills accumulated in more than 45 years of outdoor environmental education. Residence Lodges During your child’s visit to Teton Science Schools, they will stay in one of our two lodges. Both lodges have three floors with participants staying on the 1 st and 2 nd floors; the 3 rd floor reserved for TSS staff housing. 1 st floor rooms have three bunk beds with a full­sized or twin bed, reading lamp, alarm clock, shelf, and shared baths. 2 nd floor rooms have a full­sized bed, one or two twin bunk beds, and a private bath with toilet, sink and shower. 2 nd floor rooms also contain a shelf, chair, small table, lamp and alarm clock. Our lodge rooms are simple and comfortable without the distractions of televisions or phones. The rooms do not come stocked with toiletries, so please pack these for your child. Our beds are outfitted with pillows, but they do not come with linens. Most schools elect to bring their own linens to campus. If your group chooses this option, each participant must bring a towel, a pillowcase, a full sized flat sheet, and a sleeping bag or comforter. Prior to arrival, please wash and dry all clothes and bedding on high. All lodge residents may take advantage of the comfortable, central meeting room located on the 1st floor of the lodge. This room has a couch, a table and chairs, and is also stocked with board games and cards. For more information and pictures of our lodges, visit our website: www.tetonscience.org and click on the Conferences & Special Events link.

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Dining Your child’s group will enjoy delicious, healthy meals in our dining lodge, courtesy of our caring and hardworking kitchen staff. Upon entering the dining lodge, everyone is required to wash their hands before finding a seat. Students must wait to be dismissed before going through the serving line. TSS typically provides breakfast and dinner in the dining lodge, while lunches are eaten in the field. Participants pack their lunches in the dining lodge, immediately following breakfast. Our kitchen staff is happy to accommodate special dietary needs, provided they are made aware of them before your child arrives. Be sure to communicate with your child’s group leader about any food allergies or dietary restrictions prior to their arrival on campus. Hands­to­Work Teton Science Schools does not have a cleaning staff. Instead, we practice a philosophy of “Hands­to­Work.” All of our staff and guests pitch in to maintain, clean and prepare the beautiful facilities for the next community of learners. As part of our community, your child will be asked to help prepare the facilities for the next group. In the dining lodge, field groups will be assigned Meal Steward responsibilities, which include washing dishes, cleaning tables, and sweeping floors at the end of the meal. Some field groups will also be assigned the duty of cleaning lunch containers at the end of the field day. Participants are also responsible for cleaning their own rooms and shared spaces around campus before they depart and will be supervised and assisted by TSS staff. Shared Campus During your child’s stay at the Jackson Campus, they may be sharing residence lodges and the dining hall with other schools, youth groups, adult education programs, conferences, or other guests of Teton Science Schools. They will have the opportunity to meet and spend time together during meals and community time. Chaperones and teachers will be supervising your child in the shared lodge, dining lodge and outdoor spaces to assure that all guests have a comfortable shared space. In order to respect all of our guests, quiet hours are enforced in the lodges from 9:00pm until 7:00am. Lights­out will be determined by your child’s group leader and TSS program host. Physical Considerations: What to Expect For the most satisfying experience, please note that this program requires the following:

Ability to walk without assistance at altitudes between 6,000 – 9,000 feet. Ability to climb sets of stairs without assistance. There are stairs in our residence lodges, but an

elevator is available for luggage transport. Ability to hike at least two miles over uneven terrain Ability to keep pace with an active group of travelers and to be on time for all scheduled activities,

some with early morning departures. Your child’s group leader can work with their TSS program host to develop accommodations for students and chaperones with physical limitations during the pre­trip planning process.

Teton Science Schools’ style of teaching is place­based and experience­oriented. Our indoor classroom time will be spent exploring through discussions, activities and lectures, covering a wide variety of topics. Our outdoor classroom time will be spent investigating many areas of Jackson Hole, in vehicles and on foot.

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Prohibited Activities For the safety of all participants we require that all students under the age of 18 are always in eyeshot and earshot of an adult. The following activities are not allowed due to high inherent risk. These include but are not limited to the following:

Swimming Throwing snowballs, sticks, rocks or other objects at people Playing games in the roadways or parking lots Running on campus trails Access the Challenge Course without a trained TSS staff member

Mail at the Jackson Campus Parents often send letters or postcards to their children at TSS that arrive after the school has departed. If you wish to send mail to your child while they are at TSS, please give the letter or postcard to your group leader ahead of time.

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Clothing & Equipment Our activities and classes are taught outdoors, in all weather conditions. Layering of clothes—shirt, fleece top, windbreaker or jacket—will keep your child comfortable as warm air is trapped between each layer and acts as an insulator. Layering allows your child to adjust to changes in physical activity and temperature by adding and removing layers. Synthetic materials such as Polartec™ fleece that do not retain water and help wick moisture away from your skin are a better choice than cotton or jeans. After a day in the outdoors, they may wish to have casual clothes and comfortable shoes to change into for dinners and socializing at the campus. Prior to arrival, please wash and dry all clothes and bedding on high.

At the minimum, pack the following for your child’s stay with us:

Comfortable clothing layers for a variety of weather conditions One refillable water bottle (very important at high altitudes) A sun hat, sunglasses, sun screen and lip balm Sturdy walking shoes or hiking boots for course times. Sandals are fine for indoor campus shoes,

however only close­toed shoes for outdoor use. Waterproof coat and pants Toiletries (shampoo, conditioner, shaving cream, etc.) Towel Camera Full sized flat sheet with accompanying pillowcase, pillows will be provided by TSS Sleeping bag or comforter

If your child is coming between JUNE ­ AUGUST you may also want to pack:

Sandals or water shoes for water activities Shorts Windproof jacket Insect Repellant

If your child is coming between SEPTEMBER­OCTOBER or APRIL­MAY you will also need to pack:

Heavy coat Fleece layers Winter hat & gloves

If your child is coming between NOVEMBER­MARCH you will also need to pack:

Cold Weather Hiking Boots Winter hat & waterproof gloves/mittens Snow pants Winter coat

For further information on Jackson Hole weather, please visit www.mountainweather.com .

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Prohibited Items: Weapons of any kind. This includes guns, knives (including pocketknives), mace, etc. Alcohol or illegal drugs. Food, drinks, gum, or candy. Any food in lodges attracts unwanted small animals. Any electronics (including radios, mp3 players, electronic games, laptops, iPad/Kindle and cell

phones) and non­prescription medication. All participants will be provided a pillow upon arrival and should not bring their own.

*If your child chooses to bring electronics for the bus/plane ride, it will be collected from them upon arrival at Teton Science Schools. TSS­Provided Gear: TSS will lend some daily gear to your child when they arrive on campus: a backpack, a foam sit­pad, and a water bottle. The backpack and sit­pad are returned at the end of the visit, while they will get to take their water bottle home with them. For schools visiting in the winter, TSS also loans out gaiters, snowshoes, and/or cross country ski gear for students. TSS has a small amount of personal gear available to lend to participants who may have left items at home. The collection of loanable personal gear includes winter boots, snow pants, waterproof jackets and pants, additional water bottles, fleece tops, hats, gloves, and sunglasses. Any gear loaned to participants will be collected and washed at the end of the program.

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Typical Jackson Campus Schedule

Time Activity

6:30 am Wake­up

7:20 am Meal Stewards report to Dining Lodge with Chaperone

7:30 ­ 8:00 am Breakfast Pack lunch Adult meeting Dining Lodge clean­up

8:00 ­ 9:00 am Gift Shop Prep for Field Day Tidy up the Residence Lodge

9:00 am Meet in field groups

~12:00 pm Lunch in the field

4:00 pm Return from field, lunch clean­up

4:15 pm Community time: relax, shower, recreational activities, reflective activities, other projects

5:20 pm Meal Stewards report to Dining Lodge with Chaperone

5:30 ­ 6:15 pm Dinner Dining Lodge clean­up

6:15 – 7:00 pm Community time

~7:00 pm Evening program Start time is dependent on season and age group

~8:45 pm Return to Residence Lodge and prep for lights out ~9:45 pm Lights­out 9:00 pm – 7:00 am Quiet Hours

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Gift Shop Based on your school’s arrangements, your child may have the opportunity to visit our campus gift shop. Below are some of our most popular items and a price list. Please note prices are subject to change. You can also order TSS merchandise at our online store: http://www.jhmarketplace.com/tetonscienceschools/ Headbands…………………………..…………………………………………………………………………….…$16.00 Beanies……..………………..…………………..…………………………………………..………………………$25.00 Track & Scat Bandanas...……………………….…………..….………………………………………………......$8.25 Nalgene Waterbottles ..…………………….…………………..…….…………………………………………...$12.50 T­Shirts ..……………………………………………………………..……………………………………………....$20.00 Hats………………………………………………………………………………………………..………….$17.50­30.00 Stickers ……..……………………………………………..…………………………………………………………$1.00 Patches .……………………………………………………………...……………………………..…………….…$3.00 Ceramic Mug………………………………………………………………………………………………………..$10.00

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Other Programs at Teton Science Schools

Summer Science Adventures School may be out for summer, but not at Teton Science Schools! We offer a variety of programs for students aged K­12 throughout the summer. These include:

Nature Day Camp for K­9 students Backcountry Groups to Yellowstone and Grand Teton

National Parks for middle school students Intensive month­long courses in field ecology for high

school students Visit our website for a full list of Summer Science Adventures. Conferences & Special Events The Jackson Campus offers flexible meeting, dining and lodging space for intimate groups or large conferences up to 300 people. The setting is ideal for community events, professional retreats and workshops, conferences, board meetings, family reunions and weddings. Visit our website for more information: www.tetonscience.org .

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Please fill out the front and back of each of the following forms and return them to the group leader. Include your program name and date (month, day, year) are written on the top of the medical form. All information on this form must be complete, including signatures, prior to participation. Please note that TSS staff often make follow­up phone calls regarding medical information.

TSS Student Participant Forms: • Student Medical Information • Student Agreement • Student Standards of Behavior Agreement

Please be considerate of the environment and print on both sides.

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Teton Science Schools STUDENT MEDICAL INFORMATION

Program Name(s) ________________________________________ Program Date(s) ________________ Include names/dates of all programs attending. All information on this form must be complete, including signatures, prior to participation. Participants over the age of 12 yrs. AND one or preferably both parents//guardians must sign this form.

General Student Information This information will be shared only with Teton Science Schools (TSS) personnel, consulting and treating medical personnel and other individuals working with TSS. Otherwise the information will remain confidential.

Student ___________________________________ Date of Birth _______ Age ____ Height _____ Weight _____ Gender _______

Home Phone__________________________________________ Family E-mail ________________________________________

Parent(s’) Guardian(s) Name(s) _________________________________________________________________________________

Mailing Address __________________________________ City _________________ State ____________ Zip Code _________

Parent/Guardian 1 Bus. Phone __________________________ Parent/Guardian 2 Bus. Phone _______________________ __________

Parent/Guardian 1 Cell Phone __________________________ Parent/Guardian 2 Cell Phone _________________________

Student’s Physician __________________________ ___________________________ _____ Phone ________________________

Student’s Dentist _ __________________________ ___________________________ _____ Phone ________________________

Insurance : Each participant is responsible for her/his own medical expenses. Medical insurance is recommended but not required.

Medical Insurance Company Name ____________________________________________________________________________

Phone __________________________________________ Policy Number _____________________________________________

Physician ___________________________________________________ __ Phone ________________________________________

If parents are divorced, who has custody of the child? ___________________________________________________ _________

Are there any restrictions on information given to non-custodial parent? Yes_____ No ____

If yes, this information must be documented and attached to the Student Medical Information Form.

Emergency Contacts: In case of emergency, what relative, neighbor or friend should be called?

Name ______________________________________________ Home Phone ___________________________________________

Relationship to Child ________________________________ Work/Cell Phone ________________________________________

Name ______________________________________________ Home Phone ___________________________________________

Relationship to Child ________________________________ Work/Cell Phone ________________________________________

Significant Three Year Medical History (use extra page if necessary): Please list your medical history including hernias, ulcers, head injuries, cancer, arthritis, scoliosis, hearing/vision problems, learning differences, eating disorders or other illnesses (use extra page if necessary). In addition, please note if you have any pre-existing medical conditions. If pre-existing medical conditions may be affected by participation in daily activities at TSS please have your doctor document these conditions and give approval or agree to discuss the condition with a TSS representative.

Year Illness/Accident/Eating Disorder/Learning Difference Implications

Over Please

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Participant Medical History Activities such as sports or outdoor pursuits can be strenuous depending on a student’s physical condition. The following information is important and will help us prevent health or medical problems before they occur.

Please explain any YES answers on lines provided to right. Attach additional sheet(s) if necessary.

1. Any adverse reactions to medication? YES NO 1. ___________________________________________

2. Is student currently taking any medication? If yes, what type/dosage?

What is the medication specifically for?

YES NO 2.___________________________________________

3. Any allergies to foods/medications/environment? Please describe the allergic reaction in detail .

YES NO 3.___________________________________________

4. Any food/dietary restrictions? YES NO 4. ___________________________________________

5. Have student ever been stung by a bee? If yes, explain any allergic reactions.

YES NO 5. ___________________________________________

6. Tetanus shot series up to date? YES NO 6. ___________________________________________

7. Any respiratory problems or asthma? Students who use inhalers, are required to carry it

at all times.

YES NO 7. __________________________________________

8. Any heart defects or heart disease? YES NO 8. __________________________________________

9. Any history of seizures, convulsions, epilepsy or other medical disorders?

YES NO 9. ___________________________________________

10. Any ankle/knee/hip or other joint problems? YES NO 10.__________________________________________

11. Do you have diabetes? Describe Type. YES NO 11. __________________________________________

12. If female, has student menstruated? If no, does she know about it?

YES NO 12. __________________________________________

13. Has student consulted a mental health care professional in the past 2 years? Please explain.

YES NO 13. __________________________________________

14. Does student have any other medical conditions that may preclude strenuous activities?

YES NO 14. __________________________________________

15. Does student wear glasses or contacts? YES NO 15. __________________________________________

Parents/Legal Guardians (“parents”) of Minor Participant's – Medical Authorization and Permission Teton Science Schools staff is concerned about inappropriate use of both prescription and non-prescription medication by minors. Persons under 21 are not permitted to use medication without written permission from a parent, legal guardian, physician or an authorized Teton Science Schools staff person. Persons under 21 are not permitted to share medications under any circumstances. We give permission for Teton Science Schools Staff to administer the following over-the-counter medications to our minor daughter/son:

PLEASE CHECK THOSE MEDICATIONS WE MAY PROVIDE YOUR MINOR DAUGHTER/SON:

___Tylenol* ___Aspirin** ___Ibuprofen* ___Maalox** ___Ex-Lax* ___Benadryl* ___Loratadine (Claritin) ___Delsym (cough)

* Smaller children under 12 years of age will be given children’s dosages of Tylenol, Ibuprofen, Benadryl and Ex-Lax ** Aspirin and Maalox will not be administered to students under 12 years of age.

I authorize TSS staff, contractors or other medical personnel to obtain or provide medical care for my child, to transport my child to a medical facility and to secure treatment (including but not limited to routine or emergency health care, hospitalization, injection, anesthesia or surgery) they consider necessary for my child's health. I agree to pay all costs associated with that care and transportation and agree to the release (to or by TSS) of any medical records necessary for treatment, referral, billing or insurance purposes. Note to parents: except to the extent limited by this form, my child has permission to participate in all TSS activities. I authorize that all information on this form is accurate and complete and I have not withheld any information. ______________________________________________________________ _____________________________________________ _______ Participant Signature (parents may print the name for those participants under 12 yrs. old) Date Print name here

Parent 1 _ ____________________________________________________________ Parent 2 _____________________________________________________ . Parent or Legal Guardian Signature Date Print name here /Parent or Legal Guardian Signature Date Print name here

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Teton Science Schools, Inc.: Student Agreement (including a release of liability and indemnity provisions)

Please read this entire Agreement carefully before signing.

In consideration of the services of Teton Science Schools, Inc., and its officers, directors, employees, representatives, agents, volunteers, independent contractors and all other persons or entities associated with it (collectively referred to in this Agreement as “TSS”), I (participant and parent or legal guardian (“parent”) of a minor participant (“my child”)) for myself and on behalf of my child acknowledge and agree to the provisions in this Agreement. I agree: to accurately complete the appropriate TSS forms, to abide by the terms of those documents, and to follow all TSS rules and policies; to review all TSS program information and materials received. I understand that TSS staff members are available should I have other questions about

the nature and physical demands of these activities or the associated risks; If participant has any mental, physical or emotional conditions or limitations which might affect his/her ability to participate, I agree to disclose those to

TSS and represent that participant is fully capable of participating without causing harm to him or herself or others; During both supervised and unsupervised activities, all participants share in the responsibility for their own safety. TSS contracts with individuals or organizations that are independent contractors (not TSS employees or agents) to provide some of the services and to conduct some of the activities in which participants may engage. Although TSS has made efforts to locate responsible contractors, it does not supervise or control these contractors and is not responsible for their conduct. I acknowledge that I can independently investigate and assess these organizations and activities, if I desire.

ACKNOWLEDGMENT AND ASSUMPTION OF RISKS This form is intended to cover many TSS programs and thus refers to many activities. The activities in which I (or my child) will participate depend on my (or my child’s) program and will be age appropriate. “Field Learning" refers to activities that occur outside of a traditional, indoor classroom setting. If I have questions about what I (or my child) will be doing, I will ask for more information. All of the activities in the TSS program are collectively referred to in this Agreement as “activities.” TSS activities on or off TSS premises (which may be supervised or unsupervised or occur during free time before, during, or after course), may include but are not limited to: Field Learning activities may include : Hiking; camping, backpacking, swimming; river rafting; cross­country skiing; snowshoeing; sleigh riding; wildlife and nature observation in or outside

vehicles. Travel on foot, by boat, raft, canoe, sleigh, skis, snowshoes, in trams, chairlifts, vans, buses, airplanes, trains, over snow vehicles, snowcoaches, and

other vehicles. Travel in high altitude (above 6,000 feet), mountainous or wilderness terrain, over rough and unpredictable terrain, on or off trail, or via lakes, rivers,

hiking trails and roads in snow, rain or other adverse weather conditions. Remote locations several hours from medical facilities, causing potential delays in communication, transportation, evacuation, and medical care.

Activities may be in areas where hunting is permitted. Research, service, and farm and garden projects that may include handling wild or domestic animals, building, fence removal, digging, lifting,

gardening, construction, maintenance and repair (including trail work). Projects may involve the use of hand tools, power tools, and trail maintenance tools, and ladders.

Challenge Course activities may include: leadership or team building games and initiatives; the use of poles, ropes, cables, zip lines, ladders, platforms, swings, a climbing wall, harnesses, and other natural or manmade elements, over and on which participants move, with or without assistance from staff or other participants; belaying, rappelling, and trust falls; and may take place while elevated 45 feet above the ground. Inherent risks are those that cannot be eliminated without fundamentally altering the essential nature of the activities. The inherent and other risks, hazards, and dangers are collectively referred to in this Agreement as “risks.” Parent/s of minor participants agree to discuss the nature of these activities and risks with their child. The following describes some, but not all of the inherent risks of TSS programs: Field Learning activities may be subject to hazards that are not marked or visible and unpredictable weather. Risks include those associated with activities that may take place in/during/around: lightning; strong winds; fast moving rivers or whitewater; difficult stream crossings or currents; falling rocks; extremely hot (including geothermal) or extremely cold weather or water; snow and ice; avalanche dangers; fallen timber; stinging, venomous, or disease­carrying animals or insects; poisonous plants; wild animals and other natural or man­made hazards. Equipment used in an activity may be misused or may break, fail, or malfunction. Camping/Backpacking risks include scalding or other burns associated with cooking over a gas stove or open fire, gas explosion, or water contamination in natural water sources. Other risks: Travel risks include vehicular accidents. A participant’s mental, physical, or emotional condition (disclosed or undisclosed, known or unknown) combined with participation in the program activities could result in injury, damage, death or other loss. Although TSS personnel will review

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participant’s health information, TSS is not responsible for determining if someone can participate safely and cannot anticipate or eliminate risks or complications posed by participant’s mental, physical or emotional condition and TSS may not be able to manage all medical conditions. Due to the imprecise nature of most TSS activities, risks also include a TSS staff member, volunteer, rescuer, or contractor misjudging a participant’s capabilities, health or physical condition, or some aspect of instruction, medical treatment, weather, terrain, water level or river, and/or terrain route. I am (or my child is) voluntarily participating with knowledge of the risks. TSS cannot assure participants’ safety and does not seek to eliminate all of the risks of the activities because they may serve the education or recreational outcomes of the program. Therefore, I acknowledge and assume full responsibility for the inherent and other risks (both known and unknown) of these activities and for any injury, illness, damage, death or other loss suffered by participant (and parent/s of minors) resulting from those risks and/or resulting from participant's negligence or other misconduct.

RELEASE OF LIABILITY AND INDEMNITY AGREEMENT I agree to release and not to sue TSS with respect to any and all claims, liabilities, suits or expenses (including attorneys’ fees and costs) (hereafter “claim/s”) for any injury, illness, damage, death or other loss in any way connected with my (or my child's) enrollment or participation in these activities or use of TSS equipment, facilities, or premises including claims that TSS was negligent. I understand that in signing this Agreement, I, my child, and anyone acting on my or my child’s behalf surrender all rights to make a claim against TSS as a result of any injury, damage, death or other loss suffered by me or my child except for claims of willful or wanton misconduct ; I agree to defend and indemnify ( meaning to protect by reimbursement or payment including attorneys’ fees and costs) TSS for all claim/s: (a) brought by or on behalf of me, my child, spouse or other family member for any injury, illness, damage, death or other loss in any way connected with my (or my child's) enrollment or participation in these activities or use of TSS equipment, facilities, or premises; and/or (b) brought by a co­participant or any other person for any injury, illness, damage, death or other loss to the extent caused by my (or my child's) acts or omissions in the course of participating in these activities or using TSS equipment, facilities, or premises. This Release and Indemnity Agreement includes claim/s resulting from TSS’ negligence (but not its willful or wanton misconduct or gross negligence), and includes claim/s for personal injury or wrongful death (including claim/s related to emergency or medical response, assessment or treatment), property damage, breach of contract or any other claim. For activities that occur on National Park Service or Region 4 Forest Service land and only to the extent required by law, the above release and indemnity provisions are limited to claims arising from my (or my child’) conduct and the assumption of risk is limited to inherent risks.

ADDITIONAL PROVISIONS I agree to attempt to settle any dispute (that cannot be settled by discussion) through mediation before a mutually acceptable Wyoming mediator. I agree that Wyoming substantive law (without regard to its conflict of laws rules) governs this Agreement, any dispute I have with TSS, and all other aspects of my (or my child’s) relationship with TSS and that any mediation, suit, or other proceeding must be filed or entered into only in Teton County, Wyoming. If I am not reasonably available, I authorize TSS staff, representatives, contractors, or other personnel to obtain or provide medical care for participant, to transport participant to a medical facility, and to provide treatment they consider necessary for participant’s health. I agree to pay all costs associated with that care and transportation. I agree to the release (to or by TSS) of any medical records necessary for treatment, referral, billing or insurance purposes. I authorize TSS and its partners to use my (or my child's) image in any manner, for advertising, display, audiovisual, electronic or other use without prior authorization or compensation. This Agreement is intended to be interpreted and enforced to the fullest extent allowed by law. If any portion of this Agreement is deemed unlawful or unenforceable it shall not affect the remaining provisions, and those remaining provisions shall continue in full force and effect. I understand that data associated with me (or my child) may be used in aggregate as part of educational research projects associated with TSS to advance knowledge and understanding of teaching and learning. At no time will data be reported that is associated with a single individual participant unless expressed permission is given by the participant or parent of a minor. Participation is voluntary. You may opt out of a study (or opt out your child) at any time and it will not influence your (or your child’s) involvement with the TSS programs. You (or your child) will not be asked to do anything that is not naturally part of the learning programs at TSS. I have carefully read, understand, and voluntarily sign this Agreement. I understand I am surrendering legal rights and acknowledge that it shall be binding upon me, my minor children, spouse, other family members, and my heirs, executors, representatives and estate. I certify that I have legal authority to act on my child’s behalf. This form supersedes similar provisions in any previous forms and will remain in effect for all TSS programs and activities unless withdrawn in writing and received by TSS before the start of the TSS program or activities. Students aged 16 or over should sign below. If student is under 16, the parent can print the child’s name. If the student is under 18 years of age (or if the student is a resident of Alabama and is under the age of 19) (or if the student is a resident of Mississippi and is under the age of 21), a parent or legal guardian must also sign below.

_____________________________________________________________________________________________________ Participant Signature Print name here Age Date of birth Parent _______________________________________ _________________ _______________________________________________ Parent or Legal Guardian Signature Today’s Date Print name here

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Student Standards of Behavior Agreement Your signatures at the bottom of this form is required for participation in Teton Science Schools’ programming. Your signatures certify that you agree to the following standards set by Teton Science Schools:

To show respect to self, others and the environment. To share equally in group responsibilities. To perform equal to your academic ability. To possess no weapons of any kind. To abstain from using alcohol, illegal drugs or tobacco in any form. To exhibit no violent behavior, chronic misbehavior or actions that result in an unsafe

situation. To abstain from intimate or exclusive relationships. To the appropriate and respectful use of digital cameras.

We understand that failure to maintain these standards will result in dismissal and forfeiture of tuition. Signed: ____________________________________ Date_________________

Participant Print name: _________________________________ Date_________________ Signed: ____________________________________ Date_________________

Parent or Guardian 1

Signed: ____________________________________ Date_________________ Parent or Guardian 2

What NOT to bring:

Weapons of any kind. This includes guns, knives(including pocket knives), mace, etc. Non­prescription medications. Such medication will be dispensed by Teton Science Schools’ staff as

necessary. No prescription medication should be brought or used unless noted on the participant medical form. Tobacco products, illegal drugs and alcohol Soda, candy, cell phones or other electronics

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