Step 4 – Parent Permission Service Learning – Off Campus Experiences In order to participate in an off campus Service Learning activity, students must complete a risk assessment and obtain parent permission before ISY will approve the experience. Please see the risk assessment prior to providing your child with permission for this activity. Name of Student Type of service learning experience Adult Supervisor Supervisor mobile phone number Supervisor email Location (full address) Date of Activity MM slash DD slash YYYY Time of Day Transportation Emergency contact - Mr John Whalen, ISY Director of Health and Safety: 0950 14384Brief description of Service Learning ActivityI have read and understand the risk assessment for the service learning/CAS activity and I give permission for my child to participate in this off campus event. Name of Student Name of Activity Parent SignatureContact Number Date MM slash DD slash YYYY Upload this file to ManageBac (HS) or eportfolio (MS)