Parent chaperone sign up

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Thank you for being part of the Outdoor Education team! Parent chaperones are a vital part of a successful Outdoor Ed experience for our 6th graders. We appreciate your involvement! Outdoor Education will happen for three days and two nights, April 12 - 19, 2023 at Camp Letts in Edgewater, Maryland. All chaperones need to complete online training in Recognizing Child Abuse and Neglect, be fingerprinted for a criminal background check, complete the Child Protective Services background check form and provide Covid-19 Vaccination Attestation. Please complete the form below to express your interest in being a parent chaperone for Outdoor Education.

¡Gracias por ser parte del equipo de Educación al aire libre! Los padres chaperones son una parte vital de una experiencia exitosa de educación al aire libre para nuestros alumnos de sexto grado. ¡Agradecemos su participación! La educación al aire libre se llevará a cabo durante tres días y dos noches, del 12 al 19 de abril de 2023en Camp Letts en Edgewater, Maryland . Todos los chaperones deben completar la capacitación en línea para reconocer el abuso y la negligencia infantil, tomarse las huellas dactilares para una verificación de antecedentes penales, completar el formulario de verificación de antecedentes de los Servicios de Protección Infantil y proporcionar Certificado de vacunación Covid-19. Complete el formulario a continuación para expresar su interés en ser un padre chaperón para Educación al aire libre.

Last Name *

First Name *

Middle Initial

Date of Birth *

YYYY

Student's Name *

Chaperone interest *

Day - assist students during instructional activities during the day (9am - 4pm)

Evening - assist students during recreational time and evening activities (4pm - 9pm)

Overnight - assist students in cabins overnight (9pm - 7/8 am)

I can help whenever needed

Required

Contact phone number(s) *

Student's English teacher

If you are an MCPS employee or Law Enforcement Officer, please provide your ID number.

If an MCPS Employee, have you been fingerprinted to complete a background check to chaperone a field trip for MCPS.

Yes

If you have completed fingerprinting for MCPS, what date?

Have you completed the Child Abuse and Neglect online training?

Email address *

Additional notes/questions

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