Required Forms

All students and their parents or guardians are required to submit the forms below within 60 days after registration or immediately if your program is less than 60 days away. The waiver forms are required by our partners for team building and service project activities to ensure your student can participate in the activity.

 

Leadership Summit at Harvard University (all sessions)

[  ]  Health and Medical Form (attach immunization records). Notify the program office if health conditions change before travel.

[  ]  Student Success Contract

[  ]  Team Building Waiver - Hale Reservation

[  ]  Harvard University Waiver

[  ]  Service Project Waiver - United Way

[  ]  Recommendation Form(s) (One is required for nominated students; two are required for students who were not nominated by a teacher. Print or download and provide to a teacher, coach or community leader.)

 

LEADERSHIP SUMMIT AT UCLA

[  ]  Health and Medical Form (attach immunization records). Notify the program office if health conditions change before travel.

[  ]  Student Success Contract

[  ]  Team Building Waiver - UCLA Recreation

[  ]  Recommendation Form(s) (One is required for nominated students; two are required for students who were not nominated by a teacher. Print or download and provide to a teacher, coach or community leader.)

 

LEADERSHIP SUMMIT AT yale university

[  ]  Health and Medical Form (attach immunization records). Notify the program office if health conditions change before travel.

[  ]  Student Success Contract

[  ]  Team Building Waiver - Pine Lake Challenge Course

[  ]  Service Project Waiver - United Way

[  ]  State of CT Transportation Notice

[  ]  Recommendation Form(s) (One is required for nominated students; two are required for students who were not nominated by a teacher. Print or download and provide to a teacher, coach or community leader.)

 

Medicine & health care SUMMIT AT johns hopkins university

[  ]  Health and Medical Form (attach immunization records). Notify the program office if health conditions change before travel.

[  ]  Student Success Contract

[  ]  Team Building Waiver - Go Adventures

[  ]  Activity Waiver - University of Maryland Shock Trauma Center

[  ]  Recommendation Form(s) (One is required for nominated students; two are required for students who were not nominated by a teacher. Print or download and provide to a teacher, coach or community leader.)

Optional Forms

[  ]  Travel Protection Plan Enrollment Form

[  ]  Guardian Authorization Form (for visits by a relative or family friend other than parents or legal guardians)

[  ]  Transportation Deviation Form (if pick up/drop off is requested from locations other than the designated airport)