Saturday Morning Science 2 – “SMS 2”

Parental Consent Form and Student Contract

Dear Parent:

Baylor College of Medicine (BCM) is pleased to offer your child an opportunity to participate in our SMS 2 program. The program is designed to broaden the life experiences of students and help prepare them for careers in medicine, science and the health professions. It is headed by Dr. James L. Phillips, Senior Associate Dean and Professor of Pediatrics in the Office of Diversity and Community Outreach at BCM.

SMS 2 is a collaboration between the Office of Diversity and Community Outreach and the Center for Reproductive Medicine at BCM. This collaboration has come out of the success of the general Saturday Morning Science which your child completed in the past. The content for each of the 4 sessions of the SMS 2 program will highlight a different area in the field of reproductive medicine. Here are the dates of the SMS2 2016 sessions:

September 24, 2016

October 22, 2016

November 19, 2016

December 3, 2016

All lectures will start at 9:00 am and end at 11:30 am. We ask that you expedite the student’s travel so that he/she arrives at 8:30 am and is picked up by 11:30 am.

Since there are only 4 sessions of this program, your child is expected to attend ALL of the sessions, except for instances of illness. Breakfast will be served at each session.

Please return this form to the Saturday Morning Science program by Friday, August 19, 2016 via email or ground mail (see email and regular mail addresses below).

I give consent to have my child participate completely in the SMS2 program and will take an active role in my child’s participation in the SMS program.

Name of Student: ________________________________________________

______________________________ ______________________________________________

Signature of Parent/Guardian Name of Parent/Guardian (please print)

___________________________________________________

Telephone Number (In case of emergency)

Email:

Address: Saturday Morning Science program, 1 Baylor Plaza, BCM 119, Houston, TX 77030