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  • Program Dates

    July 19, 2026 - August 1, 2026

    We appreciate your interest in Teaching Fellows Summer University!


    To better prepare, please set aside 15-20 minutes to complete the application.

    We look forward to serving your child!

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  • Student Information

    Please enter information pertaining to the child attending the summer program.

  • Format: (000) 000-0000.
  • Birth Date*
     - -
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  • Parent/Guardian Information

  • Student Lives With:*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are there any COURT-MANDATED custody/visitation orders limiting access to this student?*
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  • Student Emergency Contact Information

    Please provide us with at least two emergency contacts.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Release

    I hereby authorize the release of the student named in the application to the above persons in the event of illness, injury, evacuation, or emergency that may occur while students are in the Summer Program.

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  • Student Medical Information

    To better serve your child, please share their medical history with us.

  • Does your child have health insurance or Medi-Cal?*
  • Does the student suffer from any allergies?*
  • The allergies listed above require which of the following?*
  • Does the student suffer from the following?*
  • Does your child use an Inhaler for their Asthma?*
  • Does your child take any medication for the Ailments listed above?*
  • Has the student had a recent illnesses, hospitalization, or surgery?*
  • Medical Treatment

    I/we, the undersigned parent(s) or legal guardian of the participating child, do hereby give authorization and consent to the California Teaching Fellows Foundation to obtain emergency medical care and necessary transportation, including x-ray examination, anesthetic, medical or surgical diagnosis and emergency hospital which is deemed advisable by and is to be rendered under the general or specific supervision of medical and emergency room staff licensed under the provisions of the medicine practice act and the State of California Department of Public Health.

    It is understood that effort shall be made to contact the undersigned prior to rendering treatment to the student, but that any of the above treatment will not be withheld if the undersigned or authorized adults cannot be reached.

    I/we understand that the Summer Program and California Teaching Fellows Foundation do not provide accident/medical insurance for students, and I/we further understand that all costs related to medical treatment may be my/our responsibility and not that of the school district and/or its partners.

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  • Parent Permission to Give Over-The-Counter Medication

  • Over-the-counter (OTC) medications are drugs that do not require a prescription and are purchased "over-the-counter." This form is required before the medications can be administered during our summer program.

    (Please note this form does not cover prescription medication. If your child normally takes a prescription medication, please make sure they are listed in the previous page.)

    Please select the medication option for which you are giving permission:

  • OTC Consent*
  • Topical*
  • Oral*
  • When sending over-the-counter medication to school, they must be in the original manufacturer's container with the label intact. OTC medications will be given per the manufacturer's recommended guidelines. The nurse will reserve the right and discretion to dispense the medication appropriately.

    Note: If you are not able to provide OTC medications, the Summer Program Nurse will provide them to your child at no cost to you and with your consent.

  • Is your student allergic to any medication?*
  • By signing below, I am giving consent for the program Nurse to administer the medications listed above, including, the administration of a COVID-19 Test as outlined above.

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  • Media Access Waiver

    By signing below, I give permission for my son/daughter to be interviewed, photographed, and/or videotaped while participating in the Summer Program.  I am aware there are times the Program may be featured in news stories and reporters, photographers, and/or film crews from television, radio stations, and newspapers may wish to interview my son/daughter. I understand that such photographs, video recordings, and/or reports will be property of the Summer Program, County Office of Education, participating School Districts, and the California Teaching Fellows Foundation, and may be used for the purpose of documenting or publicizing the summer program.

    The Summer Program may be filmed, photographed and recorded. I agree that my name, voice, likeness and image may be used, without any compensation whatsoever, in future broadcast, webcast, print or other media, whether or not now known, and/or distribution of this production, worldwide, in perpetuity, for advertising, promotional or any other use by the California Teaching Fellows Foundation, other event partner and suppliers, and those acting by or through their authority.

  • Cell Phones & Technology Devices Rules

    We, the undersigned, understand and agree to abide by the following rules regarding the use and handling cell phones and technology devices during the summer program.

    1. I understand that cellphones and technology devices are only to be used during free time and during the time assigned by the program personnel.
    2. I understand that I am expected to turn in my cell phone at a prescribed time every evening as a means to help me and my roommate focus on getting to sleep at night so that we can both be well-rested and prepared for academics and physical activities the following day.
    3. I understand that I may address special concerns or circumstances with the program staff.
    4. I understand that devices not turned in on time will be confiscated and returned to the student the following day. If this occurs twice, the devices will not be returned to the student until the end of the summer program.
    5. I understand that the first time a device is discovered being used for any inappropriate reason/use, it will be confiscated for the day and returned to the student on the next day. Appropriate use and time allowed on the devices are at the discretion of the program personnel. If this occurs a second time, all devices will be confiscated and not returned until the end of the summer program. 
    6. I understand that my Parents/Guardians will be notified if the student violates the cell phone or technology rules.
    7. I understand that the RA’s will not be responsible for charging cell phones or devices overnight. The Summer Program, California Teaching Fellows Foundation, or participating districts and county office of education partners do not assume responsibility for lost, stolen, or damaged items.

    I, the undersigned parent/guardian, agree to assist the California Teaching Fellows Foundation, District, and County Office of Education by ensuring my child abides by the above rules.

  • Movie Release Form

    As part of the Summer Program, students will take a supervised walking trip to Maya Cinemas to view a movie. In order for your student to participate in this excursion and view a 'PG' or 'PG-13' rated film, we must have your parental consent.  By signing below, I give my child permission to take the trip and watch the following:

  • Movie Release*
  • By signing below, I acknowledge the Media Access Waiver, Cell Phone & Technology Device Rules, and Movie Release Form listed above.

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  • Interquest Detection Canines Waiver

     

    As the parent, I hereby acknowledge and agree to the following terms and conditions regarding the presence of a trained detection canine during the Teaching Fellows Summer University (TFSU) program:

    Purpose: I understand that the trained detection canine is deployed to enhance security measures by detecting the presence of illicit substances, including drugs and paraphernalia, during the check-in process.

    Consent to Screening: I consent to the screening of all personal belongings, including luggage, bags, and personal effects, by the trained detection canine as part of the program's security protocol.

    Secondary Search: In the event of a positive signal from the detection canine, I agree to a secondary search of my child's belongings and person under the supervision of TFSU program staff and a designated supervisor from the MEP Region or School District.

    Disciplinary Action: I understand that if prohibited items are found during the secondary search, appropriate disciplinary action will be taken in accordance with the program's zero-tolerance policy. My child will be denied participation in the program and will return home on the bus the same day.

    Confidentiality: I acknowledge that all search procedures will be conducted discreetly and with respect for privacy, ensuring confidentiality for all individuals involved.

    Communication and Collaboration: I agree that if illicit substances are detected, the program will collaborate with Fresno State University Police and follow established policies and procedures to address the situation effectively.

    Legal Compliance: I understand that the security procedures implemented by the program comply with relevant laws and regulations, ensuring legal safeguards for all parties involved.

    By signing this waiver, I confirm that I have read and understood the terms outlined above. I voluntarily consent to my child's participation in the security screening process conducted by the trained detection canine during the TFSU program.

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  • RULES: Students and parents need to know

    1. Students are to remain on campus for the duration of the program unless program activities require otherwise. 
    2. Campus regulations prohibit the use of alcohol and other illegal substances. Students may not possess, use, distribute, or sell alcoholic beverages, drugs, firearms, weapons, or fireworks. 
    3. Coed visitation in the residence halls is permitted in the first-floor lobby area only. The only people permitted in rooms are staff, the participant's roommate, and other Students of the same gender residing in that residence hall. 
    4. Students must attend all workshops, classes, and planned social or recreational activities. Full participation is the only way a participant can gain real value from the camp. 
    5. Students will refrain from using electronic devices (i.e. cell phones, iPads, computers, etc.) during instructional periods unless authorized by resident advisors or university faculty and staff. 
    6. Resident Advisors will collect all cell phones and electronic devices nightly at “Lights Out.” RA’s will return all devices before or during breakfast.
    7. Students will abide by nightly curfews and “Lights Out” announcements from the Camp Director or Residential Advisors. Students must be in their OWN room at lights out and remain there until 6:00 AM the next morning. Any use of cell phones or other electronic devices is prohibited after ‘Lights Out.’ 
    8. Students must never misuse internet privileges. Attempting to access unauthorized sites is strictly prohibited. 
    9. The use of cameras, imaging, and digital devices is prohibited in locker rooms, restrooms, and anywhere privacy is expected by Students or program personnel. 
    10. Students must abide by rules and guidelines set by the instructors for each facility used. 
    11. In accordance with state law, smoking is prohibited by anyone under the age of 21. Smoking is not permitted on the Fresno State University Campus. 
    12. Any individual found tampering with any fire equipment (i.e. fire extinguishers, fire alarms, smoke detectors, etc.) will be dismissed from camp immediately. Students may not interfere with any security system or tamper with locks in participant rooms and other areas. 
    13. All furniture must remain unchanged and kept in place. 
    14. Vandalism and pranks will not be permitted. Any damages caused in rooms or common areas will be charged to the responsible party. Replacement costs will be charged to anyone who removes or damages University property. 
    15. Students should keep their rooms locked at all times even if leaving the room for only a few minutes. Neither California Teaching Fellows Foundation, Fresno State University nor the camp staff, is responsible for lost or stolen items. A participant should take the room key when leaving the room. Those who lose a key must pay for a replacement. Leave excess money and valuables at home. Valuables, including jewelry, cell phones, iPads, laptops, etc., may be brought to camp, but only at the participant’s own risk. 
    16. Harassment, violence, sexual abuse, hazing, or bullying of participants or staff will not be tolerated.
  • Please sign below to signify full understanding of the rules discussed above.

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  • Activity Consent Disclosure

    The California Teaching Fellows Foundation Summer Residential Programs makes student safety a top priority by following strict guidelines and promoting safe teaching techniques. We offer an extensive selection of summer enrichment activities in which each class may possess a level of risk. Below is a list of Enrichment Classes and risks that your student may encounter if enrolled in one of the California Teaching Fellows Foundation Summer Residential Programs.

    ARTS

    My student may participate in classes such as Arts and Crafts, and other low-risk craft classes. My student may use basic tools including, but not limited to, scissors, thread, push-pins, utility blades, hot glue guns, pliers, and staplers. I understand that my student will be given detailed instructions on the proper use of every item and will be supervised by an adult at all times.

    ATHLETICS

    My student may participate in classes such as soccer, boxing, yoga, weight lifting, basketball, and others involving physical contact. I am aware that (1) athletic participation in sports requires physical fitness; (2) my student possesses the required degree of physical fitness to participate; (3) risk of physical injury is involved by participating in sports; (4) due to the heat of the Fresno summer that my child may become dehydrated and fall ill due to heat. I hereby give my consent for my student to participate in the athletic program.

    PERFORMING ARTS

    My student may participate in classes such as dance, drama, folklorico, and other low-risk dance classes. I am aware that my student may perform techniques and/or stunts such as flips, jumps, running, and stretches and will use tools, including, but not limited to, scissors, push-pins, utility blades, and hot glue guns. My student will also be using media such as make-up, nail polish, and nail polish remover. I understand that there will be experienced staff available to help students who may need additional assistance in learning such techniques.

    TECHNOLOGY

    My student may participate in classes such as extreme science, engineering, and other low-risk science classes. I am aware that my student may use basic tools including, but not limited to, scissors, push-pins, utility blades, hot glue guns, and pliers. I understand that there will be experienced staff and volunteers available to help students who may need additional assistance in learning such techniques.

    I understand that participation in activities provided by the California Teaching Fellows Foundation summer residential programs involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risks involved and given consent for my student to participate in activities listed above. I also understand that participation in the above activities is entirely voluntary and requires participants to abide by applicable program rules of conduct. I release California State University, Fresno and the California Teaching Fellows Foundation, all employees, volunteers, and other related parties associated with this organization from any and all claims or liability arising out of the participation in the above activities.

    I understand that there will be a staff member who is CPR and First Aid certified on-campus readily available, as a volunteer or otherwise, and render aid to my injured student during the course of any physical activity. I do hereby release and forever discharge such person and the California Teaching Fellows Foundation staff from any liability arising out of any first aid or immediate treatment of injuries.

  • I HAVE READ AND UNDERSTAND THE REQUIREMENTS AND CONDITIONS FOR PARTICIPATION IN THE CALIFORNIA TEACHING FELLOWS FOUNDATION SUMMER RESIDENTIAL PROGRAM AND WITH THIS SIGNATURE, AGREE TO ALL OF THE PRECEDING.

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  • Fresno State University

    RELEASE OF LIABILITY, WAIVER OF RIGHT TO SUE, ASSUMPTION OF RISK AND AGREEMENT TO PAY CLAIMS

    In consideration for being allowed to participate in this Activity, I release from liability and waive my right to sue the State of California, the Trustees of The California State University, California State University, California State University, Fresno, California State University, Fresno Association Inc., California State University, Fresno Foundation, Inc, California State University Fresno Athletic Corporation, and their employees, officers, volunteers and agents (collectively “University”) from any and all claims, including the University’s negligence, resulting in any physical injury, illness (including death) or economic loss I may suffer because of my participation in this Activity, including any travel to and from the Activity.

    I am voluntarily participating in this Activity.  I understand that there are risks, such as physical and/or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability or even death, which may occur from my participation in this Activity.  These injuries or outcomes may arise from my own or other’s actions, inactions, negligence, or from the condition of the Activity location(s) or facility(ies).  Nonetheless, I assume all related risks, whether known or unknown to me, of my participation in this Activity, including travel to and from the Activity.

    I agree to hold the University harmless from any and all claims, loss or damage to my personal property, liabilities and costs, including attorney’s fees, as a result of my participation in this Activity, including travel to and from the Activity.  If the University incurs any of these types of expenses, I agree to reimburse the University.

    If I need medical treatment, the University is authorized to obtain medical treatment for me.  I will be financially responsible for any costs of such treatment.  I agree that I will not hold the University responsible for any claims resulting from any medical treatment.  I am aware that the University does not provide health insurance for me and I should carry my own health insurance.

    I am 18 years or older.  I have read this document, and I am signing it freely.  I understand the legal consequences of signing this document, including (a) releasing the University from all liability, (b) waiver of my right to sue the University, (c) and assumption of all risks of participating in this Activity, including travel to and from the Activity.

    I understand that this document is written to be as broad and inclusive as legally permitted by the State of California.  I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms.

    I am the parent or legal guardian of the Participant.  I have read this two-page document, and I am signing it freely.  I understand the legal consequences of signing this document, including (a) release of University from all liability on my and the Participant’s behalf, (b) waiver of my and the Participants’ right to sue, (c) and assumption of all risks of the Participant’s participation in this Activity, including travel to and from the Activity. I allow Participant to participate in this Activity.  I understand that I am responsible for the obligations and acts of Participant as described in this document.  I agree to be bound by the terms of this document.

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  • California Teaching Fellows Foundation

    LIABILITY RELEASE AND WAIVER OF LEGAL RIGHTS 
    PLEASE READ CAREFULLY

    For Students who are minors, the Student’s parent or guardian must sign below. 

    ASSUMPTION OF RISK

    I, THE STUDENT,  ACKNOWLEDGE THAT THE EVENT INCLUDES COLLEGE, CULTURAL AND HEALTH & FITNESS EXPOSURE, OTHER ACTIVITIES, OVERNIGHT HOUSING, AND MEALS, AND THAT THE EVENT IS AN INHERENTLY DANGEROUS ACTIVITY INVOLVING RIGOROUS PHYSICAL ACTIVITY. I FULLY REALIZE THE DANGERS OF PARTICIPATING IN THE EVENT, AND FULLY ASSUME THE RISKS ASSOCIATED WITH SUCH PARTICIPATION  INCLUDING, BUT NOT LIMITED TO, the following by way of example: broken bones, stress fractures, torn ligaments,  tendons and muscles, strains, other physical injury, falls, hard impacts, mental stress,  risks of traveling to, participating in and returning from any activity associated with the Event, faulty or defective facilities and housing, security risks, food allergens and allergies, food poisoning, close physical contact and associated risks (including contraction of Covid 19 and other diseases), THE RELEASEES' OWN NEGLIGENCE (Releasees” defined below), the negligence of others, and the possibility of serious physical and/or mental trauma or injury, or death associated with the Event. I understand that a significant number of participants in activities similar to those associated with the Event suffer physical injuries.

    AGREEMENT TO RELEASE LIABILITY

    I, THE STUDENT, ACKNOWLEDGE THAT BY SIGNING THIS DOCUMENT (or by my parent or guardian signing on my behalf), I AM SOLELY RESPONSIBLE FOR ALL INJURIES, LOSSES, OR DAMAGES THAT I MAY SUFFER OR INCUR IN CONNECTION WITH THE EVENT IDENTIFIED ABOVE. I FURTHER AGREE TO INDEMNIFY, TO HOLD HARMLESS, AND NOT TO SUE THE CALIFORNIA TEACHING FELLOW FOUNDATION, OTHER EVENT PARTNERS AND SUPPLIERS, OR THEIR RESPECTIVE AGENTS, INSURERS, EMPLOYEES, VOLUNTEERS, MEMBERS, OFFICERS, DIRECTORS, TRUSTEES, CONTRACTORS (COLLECTIVELY "RELEASEES") FOR ANY INJURIES, LOSSES, OR DAMAGES THAT I MAY SUFFER OR INCUR IN CONNECTION WITH THE EVENT IDENTIFIED ABOVE, INCLUDING CLAIMS OF THE RELEASEES’ OWN NEGLIGENCE TO THE EXTENT PERMITTED BY LAW, WHICH MAY HEREAFTER ACCRUE.

    I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS. THIS DOCUMENT IS A CONTRACT WITH LEGAL AND BINDING CONSEQUENCES AND IT APPLIES TO ALL ACTIVITIES AT THE EVENT, REGARDLESS OF WHETHER THE ACTIVITY LISTED OR NOT IN THE EXAMPLES PROVIDED ABOVE. I HAVE READ IT CAREFULLY BEFORE SIGNING, AND I UNDERSTAND WHAT IT MEANS AND WHAT I AM AGREEING TO BY SIGNING.

    This release of liability extends to myself, as well as to my heirs, executors, administrators, legal representatives, assignees, and successors in interest (collectively "Successors"). Should I or my Successors assert a claim contrary to what I have agreed to in this contract, the claiming party shall be liable for all expenses (including legal fees) incurred by Releasees in defending the claims.

    Every term and provision of this contract is intended to be severable. If any one or more of them is found to be unenforceable or invalid, that shall not affect the other terms and provisions, which shall remain binding and enforceable.

  • By signing below, I hereby state that I have read and understand the above stated terms and conditions.

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  • Student Participation And Travel Release Form

    Title of Activity/Event: Teaching Fellows Summer University (A), Six-Flags Magic Mountain (B)

    Date of Activity/Event: July 19, 2026 - August 1, 2026 (A), July 25, 2026 (B)

    Note: When more than a single activity is covered by this release (i.e. sports, FFA, student body), a list of dates and locations must be attached.

    I understand that my participation in the aforementioned activity/event is voluntary and is not required by the District. It is my understanding that for school-sponsored activities, transportation will be provided/approved by the District or Summer Program. I understand that all school rules apply during school activities and sports and any infraction of such rules will be reported to the site administrator for appropriate action. Furthermore, if my child is involved in the use of alcohol or other drugs, or violates any school policy, law or regulation, efforts will be made to notify me, and if located I will, if necessary, have the option of either: 1) coming after my child or 2) giving permission to send my child home in a public carrier at my expense. Should I not be located, I authorize the school to arrange for public transportation or care of my child at my expense. I also understand that by riding with a non-District sponsored driver, the driver is not driving as an agent of or on behalf of the District.

    In the event of an injury or other medical emergency, I authorize the movement and/or transportation required and authorize any qualified physician and/or surgeon to administer any treatment, medication, surgery, therapy or radiology that he/she may deem necessary in such an emergency situation. I further authorize the transportation of my child by ambulance if necessary and agree to pay the expenses incurred.

    I understand when transportation is by private vehicle (other than approved by the District) my son/daughter is under the jurisdiction of District personnel only at the location of the event. I assume full responsibility for the welfare of my son/daughter at any time my son/daughter is not present at the location of the event, including but not limited to, during transportation to and from the event. Late understand that by riding with a non-District sponsored driver, the driver is not driving as an agent of or on behalf of the District also understand that in accordance with Ed Code section 35330 the District, its officers, agents and employees are held harmless from liability claims which may arise from or in connection with participation in a field trip activity.

  • I have read and understand the foregoing statement and sign below voluntarily.

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