Teen Academy one week program no cost June 22 to June 26, and July 20 to July 24

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1 Teen Academy The Teen Academy is a one week program designed to give the teens of Rowlett a working knowledge of the Rowlett Police Department. There is no cost to anyone who enrolls. The classes will provide an overview of the various areas of law enforcement, including special weapons and tactics (SWAT), crime scene investigation (CSI), patrol, first aid/cpr, defensive tactics, courts, Taser, etc. This is an educational and informative program that allows teens the opportunity to learn about the issues that affect law enforcement efforts in Rowlett, and help gain an understanding of how our criminal justice system works. The course dates for summer 2015 are June 22 to June 26, and July 20 to July 24 to be held at Coyle or Schrade Middle School (we will not know exact location until May). The Teen Academy consists of a series of classes and hands-on activities held Monday thru Friday from 8:00 AM to 3:00 PM. Lunch and water will be provided each day at no cost, with the exception of Friday. Classes are taught by members of the Rowlett Police Department in their various areas of expertise. Physical activities will be conducted on most days from 2:00 to 3:00. Physical fitness activities will be conducted in a gym and consist of a team sport and stretching. There will be a fun day on Friday, which will consist of a free trip to the Wet Zone; students will need money for anything extra they may want (games, food, snack, etc.). The Teen Academy is open to students who are currently enrolled in the 7 th to 11 th grade. Applicants must be currently enrolled in a GISD school or be participating in a home-school program and must be in good conduct standing. First priority will be given to students who reside in Rowlett. After submitting a completed application, students will be informed as to whether they have been accepted or not by May 15, Class space is limited, a completed application does not guarantee enrollment. The mission of the Teen Academy is to create a better understanding and communication between our youth and the Rowlett Police Department, enhance the students knowledge about law enforcement, and provide a positive interaction with police officers while educating our youth. We hope that all graduates of the Teen Academy will get to know more about the men and women who are protecting their community and why they make the decisions they do while performing that duty. The Teen Academy is NOT designed to make participants certified police officers. Please bherring@rowlett.com for any questions or information.

2 Teen Academy Application There is no charge for the program. Classes will be held Monday-Friday 8:00am 3:00pm. Please rank your preference of dates: 6/22-6/26 7/20-7/24 Note: Preferences will be taken into consideration but not guaranteed. If your first choice is filled up, we will move you to the other class. Name: Date of Birth: Address: City Home Phone: Student Cell: Parent Cell: School Attending: Current grade level: Parent Address: Has Student participated in a previous camp: Circle: Yes or No Please ensure addresses are legible as this will be that main source of communication. T-shirt size: Circle: Adult or Youth XXL XL L M S Date: (Signature of Applicant) Date: (Signature of Parent/Guardian) Please return to the SRO at your campus (Rowlett schools only), or scan and application to bherring@rowlett.com. You can also turn in an application to the Rowlett PD Community Services Division in the second floor of the police department. Officer Garcia RHS Officer Mitchell Schrade MS Officer Praslicka Coyle MS Officer Herring Pearson, Liberty Grove, Herfurth, Steadham, and Keeley Elem Officer Bell Back, Dorsey, Rowlett, and Stephens Elem This application must be completed in full. Completed applications are due no later than Friday, May 8, Applications will be processed in the order in which they are received and will be a first come, first serve basis. For questions or concerns please contact Officer Herring at bherring@rowlett.com.

3 RELEASE OF LIABILITY WAIVER I,, hereby authorize my son/daughter to participate in the Rowlett Police Department s Teen Police Academy. The Camp will take place on (list dates). I,, also give my permission for my son/daughter to be transported to and from scheduled and specified events by the following mode of transportation: 1) Vehicles owned and operated by the City of Rowlett or GISD. I,, fully understand and my son/daughter fully understands that participation and transportation during the Rowlett Police Department s Teen Police Academy could result in bodily injury, serious bodily injury, illness or death. Although I fully appreciate these risks, I desire my child to participate in the Rowlett Police Department s Teen Police Academy without regard of the consequences. I, the undersigned, assume full and complete responsibility for any accident, injury or illness and or activity that may occur to my child as a result of their participation. I agree to and hereby release, hold harmless, and waive all claims that I, or my child may have against the Rowlett Police Department, City of Rowlett, or any of its employees, agents, sponsors, representatives, or volunteers from all legal injury, illness or death and or activities arising from or connected in any manner to my child s participation in the Rowlett Police Department s Teen Police Academy, including but not limited to liability, damages, legal fees and/or costs caused by or related to the negligence or the intentional act of the Rowlett Police Department, City of Rowlett, or anyone of its employees, agents, sponsors, representatives, or volunteers in whole or in part. This release shall be binding on my heirs, legatees, administrates, and assigns. Parent/Guardian DATE Student Signature DATE RULES OF BEHAVIOR 1) Students will be expected to maintain a mature and respectful attitude towards classmates and instructors. 2) Students will adhere to a strict no touch policy, much like those of school rules. 3) Students are expected to keep up with their personal belongings and should limit what they bring to class (notebooks, pens, etc.) 4) Cell phones must be turned off during class instruction. 5) If possible, girls should refrain from bringing purses to class. 6) Students will be expected to participate in all class activities (unless student is unable, instructor should be given notice of student s physical limitations prior to the start of the academy). 7) Students will be dropped off no later than 8:00 A.M. and picked up no later than 3:00 P.M. Violations of the rules of behavior may result in expulsion from the academy. Parent/Guardian Student Signature DATE DATE

4 MEDICAL INFORMATION- Optional *PLEASE PRINT Date: Name of Applicant: Please list any medical condition the applicant has: List all medications taken by the applicant: Is applicant required to take medication between the hours of 8:00am-3:00pm? Yes/No If yes, what is the medication and the dosage? Is applicant able to administer medication? Yes/No If no, explain: NOTE: All medical emergencies will be treated as such and will be attended to by the Rowlett Fire Department as deemed necessary by academy personnel, instructors or coordinators. Physician Dentist Phone Phone Parent Signature: Date:

5 Rowlett Police Department Photo Release Form I, hereby authorize my child, to be photographed during the 2015 Rowlett Police Teen Academy. I will allow my child s photograph or video to be made public on the city s website, or on any of Rowlett Police Department s social medial sites, such as Facebook and Twitter. Signature Movie/Video Permission Slip I, give permission for my child, to watch video clips of real life police situations that could contain mild language and violence. These video clips will be shown for educational purposes so students understand what a job in law enforcement entails. I understand that my child could also watch a movie some time during the 2015 Rowlett Teen Police Academy. The students will not be shown any movie or video clips with a rating over PG-13. Signature

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