HARMONY SCIENCE ACADEMY Bryan /College Station

Address: 2031 S. Texas Avenue Bryan TX

Phone: 979 779 21 00 PARENT APPROVAL FORM
FOR TURKISH COOKING CLUB

Event Name: Turkish Cooking Club

Date of receiving Permission Paper: 01/12/2016 (Tuesday)

Due date to turn in Permission Paper: 01/15/2016 (Friday)

Date of Event: Every other Friday (from 3.30 pm- 4.50 pm)

Where: Raindrop Turkish Cultural Center

Address: 4021 E 29th St #114, Bryan, TX 77802

Fee: 5 $ (Only one time at the beginning of the 2nd semester)

Dear Parents,

I will be continuing my cooking club on Friday, January 22, 2016 @3.30 pm. in
The Raindrop Turkish House. Students will improve their cooking skills. They
will have a chance to taste what they cook over there, as well

In case of high students participation, I may need your help about giving
ride to the place. Please let me know if you are able to give ride to the
Raindrop Turkish House. The parents who can give the ride they are more
than welcome to stay and join us for cooking.

* Parents need to pick up their children from Raindrop Turkish Cultural

Center @4.50 pm.

____My child needs ride to the place.

____I can give ride to ___ (number)student/s.

Contact: Mrs. Fatma Uguz Phone: 915-500-2864
fuguz@harmonytx.org

____________________________________________ (Name of Student) will have the opportunity to use

kitchen utensils and equipment during our cooking program. Students will learn about appropriate and safe
operation and use of the kitchen equipment and they will be supervised at all times. Although every
precaution is taken to prevent accidents, a certain risk is involved due to the nature of the experience, the
age of the student, and the learning environment.

Participation in the cooking program is a privilege, not a right, for each student. We are asking your
cooperation in impressing upon your child the importance of being careful and following safety and
operation instructions. This, we believe, will back up the instruction that is given. Failure to behave
properly will result in loss of this privilege and participation in the cooking program.

Due to the nature of the class, we ask that you disclose any known food allergies or restrictions to ensure
the safety of your child. Parents, please initial next to the corresponding statement.

______ My child has NO KNOWN Foods Allergies or Restrictions.

______ My childs KNOWN Foods Allergies and/or Restrictions include

I have read the above communication and I understand the type of program in which my child enrolled. I
will stress the safety aspects of the program and encourage him or her to participate fully in this program.

_________________________________________ ______________________
Signature of Parent or Guardian Date

________________________________ ________________________________
Daytime Phone E-mail

Emergency Medical Release

Name_________________________________________________________________________

Parent/Guardian_______________________________________________________________

Address_______________________________________________________________________

Home Phone_________________ Work Phone________________ Cell Phone_____________

Emergency Contact/Phone________________________________________________________

Insurance Company/Policy/Group #_______________________________________________

Doctors Name/Number_________________________________________________________

Blood Type___________________Known Allergies__________________________________

Medication____________________________________________________________________

Any Additional Medical

Information__________________________________________________________________________
___________________________

In case of emergency, I authorize emergency treatment to be administered if I cannot

be contacted.

_______________________________ ________________