Common Contracts
1 similar Student Agreement and Medical Release contracts
Student Agreement and Medical ReleaseStudent Agreement and Medical Release β’ March 26th, 2013
Student Name:Last: First: Student I.D. # Address: City: Zip: Home Phone:( ) Cell Phone:( ) E-mail:@ Class Name: Class Reference # Faculty/Staff/AdvisorJolene Chong Telephone #( 909 ) 274-4381 Department:El Centro, Student Services Semester/Session: π Fall π Winterπ Spring Year:π Summer Travel Destination(s) and Date(s):Riverside Art Museum, Riverside. Wednesday, September 14, 2022Meet at 11:30 for lunch, Depart at 12:45 pm, Arrive back to Mt. SAC at 5:00 PM General Description of Activities:Students from El Centro will attend The Cheech Marin Center for Chicano Art and Culture at the Riverside Art Museum
