Westlake High School Waiver of Liability
Please review your student’s shadowing itinerary, sign, and return the
bottom to the Career Shadowing Office.
(Please keep the top for your information)
CAREER EDUCATION ASSSISTANT: Debbie Slater
STUDENT’S NAME:
GRADE:
PURPOSE OF ACTIVITY: Career Shadowing
DESTINATION:
CONTACT PERSON:
DATE:
TIME:
CLASSES EXCUSED FROM:
MEANS OF TRANSPORTATION:
COST TO STUDENT (if any):
Career Shadowing Waiver of Liability
Your son/daughter has been assigned to a Career Shadowing experience with a business/professional
person who has volunteered his/her time to spend with your son/daughter to observe their career field.
Each student participating in a Career Shadowing experience is responsible for their own transportation to
and from the shadowing site. In addition, the school cannot be responsible for your son/daughter while
visiting the job site. Every reasonable and responsible effort will be made to assure the safety, health, and
welfare of your child. I understand there is no direct school supervision of my child while on the field
experience, only that provided by the adult resource person, and accept all responsibility for the safety and
well being of him/her.
I GIVE _________________________________________________________________
(NAME OF STUDENT)
Permission to participate in the Career Shadowing experience:
______________________________________________ on _______________________
(place)
(date)
__________________
_________________________________________
(date)
(signature of parent/guardian)