• Granite Mountain High School Activities Waiver

    Workforce Development CTE Events
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  • Which CTE Sector are you in?
  • Our Workforce Development Department has an exciting educational opportunity for our CTE students for a tour of Pomona Valley Tour.

    Event Details

    Date: October 21, 2026

    Time: 10:00am-12:00pm (Please arrive by 9:45am to check in)

    Location: Pomona Valley Hospital Tour

    Parking: Free parking around the hospital

    Costs: 0 EUs.

    Dress code: School appropriate attire, be mindful of the weather as well. This is an indoor event and is a walking tour.

    All sectors are encouraged to attend with priority registration for students in the Health Science and Medical Technology sector.

    Pomona Valley Hospital

    1798 N Garey Ave. 

    Pomona, CA 91767

  • Granite Mountain Charter School has my permission for my student to participate in the following activity:

    Pomona Valley Hospital Tour
  • I understand that there will be 0 Educational Units (EUs) assigned for this activity.

     

  • High School Activities-Participation Waiver

    Please sign below
  • Dear Parent/Guardian:

    The mission of Granite Mountain Charter School is to develop the individual gifts of our students.  Our students will become proficient in Common Core State Standards and become critical thinkers, responsible citizens and innovative leaders prepared for academic and real-life achievement in the 21st Century. The mission will be accomplished in a personalized environment that fosters successful achievement through quality, personalized, standards-based education, which could include online coursework, offline textbook work, and unique hands-on and experiential learning experiences facilitated in partnership with students, parents, staff, and community.

    High School Activities live and in person opportunities are designed around our school mission. During the school year, we will be recording our live virtual classes and events for reference and taking pictures of what is happening at our in person events. These videos and images may capture your child's participation, directly or indirectly. You may see your child’s image, name, and/or hear their voice in these recordings and/or images. These images and/or videos could potentially be shared in our school's yearbook, our weekly family newsletter, The Trailblazer, and shared at our school board meetings. A completed waiver is required to participate in both our live virtual classes and our in person opporunities being provided through the High School Activities Department and must be signed before the start of these classes. 

    In addition to giving permission for recordings and images, we are asking that the policies within Granite Mountain’s Parent/Student Handbook as well as the following virtual code of conduct must be adhered to for students participating in our live virtual classes and in person events.

  • During the school year, lunches and snacks may be provided to children for consumption in connection with field trips and other school sponsored activities.  Granite Mountain will make every effort to accommodate allergies and/or dietary restrictions.  Teachers and staff do their best to prevent consumption of any foods by students where the student has an allergy or other dietary restriction. 

     

    As the supervisor of your child during field trips and other school sponsored activities, you are responsible for ensuring that your child does not consume food products to which your child has a food allergy or other dietary restriction.  By signing this form, you accept the risk for your child consuming food during school field trips and other school sponsored activities that may cause an allergic reaction and/or cause other dietary disturbance.  You hereby accept this risk for you and your child and release Granite Mountain Charter School and any of its agents (teachers, staff, board members) from any liability that might occur resulting from an allergic reaction that happens during a Granite Mountain Charter School field trip or other school outing.

  • PARENTS, PLEASE NOTE: Extracurricular activities are not guaranteed and are at the discretion of the school and can be revoked at any time. The acceptance and inclusion of the student is at the discretion of School and subject to program standards and criteria. Student shall comply with all applicable codes of conduct and maintain high ethical and moral standards. Parents will be required to provide immediate supervision for their students during interactions with certain vendors to comply with state law. If immediate supervision is not possible when required, the specific vendor’s programs will not be available to the family. Vendors with "Parent Supervision Required" indicated on their vendor profile, as designated in our procurement system, have background checks that do not satisfy the requirement of AB 130 (Live scanned through the California Department of Justice and FBI). Vendors with "Parent Supervision Required" indicated on their vendor profile require parent/guardian supervision for the entire length of the service. The parent/guardian understands and willfully accepts to provide direct supervision of the student for the duration of services with the vendor.

     

    ASSUMPTION OF RISK GENERALLY: By signature hereon, parent/guardian waives liability against and holds harmless the school and its board members, staff, volunteers, vendors, agents; the school district; and State of California; and further acknowledges that this voluntary activity and/or transportation to and from (as applicable) and/or access to and use of a dangerous product (such as sharp tools, chemistry kits, knives, paints, etc.) may expose the student to potential harm including injury or death. If student believes that an unsafe condition or circumstance exists with respect to the activity(ies), student will discontinue participation and immediately notify school staff. Student shall not further participate until the unsafe circumstance is remedied. Parent/guardian hereby agrees to remain responsible at all times for supervising the student(s).

    I, {printName} (parent and/or legal guardian), have reviewed and read {nameOf9} (venue name’s) rules, regulations, and liability waivers. I understand that the GMCS purchasing team will sign on my behalf. I agree that GMCS has my express permission to sign on my behalf any and all liability waivers for my child’s participation at said vendor. I agree that these liability waivers will be binding on my child(ren) and my family.

    COVID-19 RISKS: I understand that it is my responsibility to ensure that the business providing the enrichment services identified above is following all local, state and federal health guidelines required in order for the business to provide said services. I understand that my child(ren)’s participation with in-person services during a health pandemic may result in my child contracting COVID-19, which may be spread to me and my family, which may result in severe illness, hospitalization and/or death. By signing hereon, parent/guardian waives liability against and holds harmless the school and its board members, staff, volunteers, vendors, agents, the school district, and the State of California relating to the contraction of COVID-19 to the student or his/her family. If the student/parent/guardian believes that an unsafe condition or circumstance exists with respect to the activity(ies), student will discontinue participation and immediately notify school staff. Student shall not further participate until the unsafe circumstance is remedied.

     

    By signing below: (1) I am giving up substantial actual or potential rights in order to allow the student to voluntarily participate in this activity(s); (2) I have signed this agreement with full appreciation and understanding of the risks inherent in the activity(s) or use of the product; (3) I have no question regarding the intent of this agreement; (4) I, as parent or guardian, have the right to bind myself, the student and any other family member, representative, assign, heir, trustee or guardian to the terms of this agreement; and (6) I have explained this agreement to the student, who understands his/her/their obligations hereunder.

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  • Medication Administration Acknowledgement

  • To ensure your understanding and agreement with the acknowledgements listed below, please take a moment to read each acknowledgement and initial upon completion.

  • I acknowledge that GMCS has a school policy pertaining to emergency medication.

  • I acknowledge that if my student attends a school event/activity and is not able to self administer prescribed emergency medication, my student will be accompanied by a parent or guardian that is familiar with the proper administration and dosage of the medication.

  • I acknowledge that if my child is not able to self administer required medication and a parent is not present to assist, Granite Mountain staff is not authorized to administer medication and will call 911 if an emergency arises.

  • I acknowledge that if my student has a medical condition that has not been disclosed, it is my responsibility to inform the FBLT or school staff to initiate a school health plan.

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