TEXAS. Technology Students Association FORMS
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1 TEXAS Technology Students Association FORMS : Texas TSA Protest Form. Please note that protest for NQE Entries MUST use the National TSA Protest Form Form found below and in the National TSA Rules Book that is sent to Chapter Advisor by National TSA. 2: National TSA Protest Form - can also be found in the National TSA Rules Book that is sent to Chapter Advisors by National TSA. **Note: ALL protests for the NQE Events MUST be made DURING the time of the event!** 3: Texas TSA Personal Liability Release Form 4: Photo/Video Release Form 5: Texas TSA Documentation Template Forms 17 October 20, 2017
2 School's Name PROTEST FORM [PLEASE PRINT ALL INFORMATION] Advisor's Name Cell Phone # Address Classification # Entry # Check Appropriate Box(s) Project Not Judged Project In Wrong Category Other Disputing Final Placement NQE entries MUST use National Protest Form and MUST be turned into the NQE Coordinators Desk DURING THE EVENT! Explain Nature of Protest Advisor's Signature: Registered Advisor MUST sign. No parent signatures accepted unless parent acting as Registered Chapter Advisor. [Official Use] Action Taken: Forms 18 October 20, 2017
3 NQE PROTEST/GRIEVANCE FORM - FOR NQE CONTESTS ONLY Forms 19 October 20, 2017
4 TEXAS TSA Event Personal Liability Release Form No conference attendee will be allowed to participate in all events as designated in the Texas Rulebook. Students will not be allowed to participate unless this form is completed and presented to the Texas TSA judges during inspection for that event. Instructions: Complete thus form and be prepared to present it at Event Check-in. This form may be photocopied. Name of Participant Date of Birth: Region #: School Name: School Address: TSA Advisor's Name: Home Phone: ( ) School Phone: ( ) I hereby agree to release the Texas Technology Students Association, Inc., its representatives, agents, servants, and employees from liability for any injury to the above named person at any time while attending the Texas TSA State Conference, participation in the Down Hill Challenge, Rocket Car, Rockets, and/or any other designated events, including travel to and from the conference, excepting only such injury or damage resulting from willful acts of such representatives, agents, servants, and employees. I do voluntarily authorize the Texas TSA state conference director, assistants and /or designees, student s sponsor, to administer and/or obtain routine or emergency diagnostic procedures and/or routine or emergency medical treatment for the above named person as deemed necessary in medical judgment. I agree to identify and hold harmless the Texas TSA, and said state conference director and/or assistants, and designees, and student sponsor, and the city of Waco and/or city employees, for any and all claims, demands, actions, rights of action, and/or judgments by or on behalf of the above named person arising from or on account of said procedures and/or treatment rendered in good faith and according to accepted medical standards. Parent/Guardian's Signature Date Participant's Signature Date Forms 20 October 20, 2017
5 TEXAS TSA Event PHOTO/FILM/VIDEO CONSENT & RELEASE One form per individual student I herby give permission for images of my child or myself (as applicable), captured during Texas Technology Student Association (TSA) activities through video, film, photograph or digital camera, to be used solely for the purposes of TSA promotional materials and/or publication, and I waive any and all rights of compensation or ownership thereto. Name of minor in images (please print clearly) Signature of minor in images (please print clearly) Name of adult parent/guardian of minor in images (please print clearly) Signature of adult/guardian of minor in images (please print clearly) Date of Signatures (please print clearly) Forms 21 October 20, 2017
6 Forms 22 October 20, 2017
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