Authorization for Medical Care
The health information provided above is correct so far as I know. The person herein described has permission to engage in all activities except as noted. I hereby give permission to the Adult-In-Charge to provide routine health care. I consent for my child to receive such medical treatment and/or surgical procedures as are deemed necessary in the event of an emergency and to assume liability for any medical expenses involved. This authorization extends to my child’s participation in any activity sponsored by MITY. Should a medical emergency arise during my child’s participation in a MITY-sponsored activity, I understand that reasonable efforts will be made to contact me or my designated alternate at the phone numbers I have given. If it is believed my child’s life or health may be adversely affected by the delay that an attempt to contact me or my designated alternate would cause, I consent to the administration of medical treatment and/or surgical procedure deemed necessary by the medical doctor and/or medical facility and the immediate administration of life-sustaining measures deemed necessary under the circumstances.
Field Trip Permission
The student named above has my consent to take supervised field trips with MITY staff. I understand that necessary planning and precautions will be taken, and will not hold MITY or those supervising the trip liable for accidents or injuries associated with my student's participation.
Photo Release
I authorize Minnesota Institute for Talented Youth to use any photos or video of my student for presentations, advertising, publicity and promotion. MITY will never use a student's name.
Cancellation Policy
I have read and understand MITY's Cancellation Policy:
All applications must include a deposit of $300 (commuter) / $500 (residential) or a completed financial aid application. $100 of the deposit is non-refundable.
- After April 1, the full deposit is non-refundable.
- The balance is due by May 1. After May 15, there is no refund of tuition.
- If MITY cancels a course before it begins, students will be placed into their second-choice class.
- Refunds are not provided once a session begins.
- In the unlikely event that MITY terminates a course during the session, MITY will consider the circumstances and may, at its sole discretion, issue a partial refund or credit.
Code of Conduct
By signing below, I acknowledge that both the student named above and myself, as their parent or legal guardian, have read and agree to abide by the MITY Code of Conduct. I understand that violations of these rules or any other inappropriate conduct may result in discipline, including dismissal from the program. Students who are asked to leave the program for discipline issues will not receive a tuition refund.