The Ronald Reagan Presiendial Foundation and Institute Logo
The Ronald Reagan Presidential Foundation and Institute Logo
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Ronald Reagan Student Leadership Program
Thank you for your interest in the 2021 Ronald Reagan Student Leadership Program. To streamline the registration process, you will need the following:

•    Student email address (please use a personal email, not a school email address)
•    Parent/Guardian contact information (email address, mailing address, phone number, etc.)
•    School information
•    Medical, dietary restrictions, and emergency contact information

You may save and resume your registration at any time. You will be asked to register for a preferred week and submit a non-refundable deposit.

A non-refundable deposit of $150 for registration is required.
Student Information: We require the following information for purposes of understanding our population better and helping our staff use the most respectful language when addressing your child. Please help us serve you better by selecting the best answers to these questions.












































Parent/Guardian Release
1.  Permission to Participate: If accepted, I hereby give persission for my child to participate in the Ronald Reagan Student Leadership Program. I understand that the student must be available for all days of the session to which they are accepted, and must be available from 9:00 am – 3:30 pm.





***Please note – Due to the volume of food produced by the catering department for special events, the Reagan Café and the Reagan Pub, the Foundation cannot guarantee a peanut-free environment. In some cases, the student may be responsible for bringing their own meal.***



If yes, the Ronald Reagan Presidential Foundation and Institute will require a signed Distribution of Medication Authorization form.
4a. In case of emergencies, please provide health insurance information:





5. Please list additional emergency contacts, should the parent/guardian by unavailable:






6. Conduct: I full understand that all participants are to abide by and accept all rules and requirements governing conduct during the program. Rules and expected conduct will be thoroughly discussed with the participants on their first day. Any participant determined to be in violation will be sent home at their own or their parent/guardian's expense.

7. Waiver of Claims for Liability: The Ronald Reagan Student Leadership Program will be held entirely on the premises of the Ronald Reagan Presidential Library and Museum. Participants and their parents/guardians hereby release and discharge, without limitation, the Foundation and the Foundation's staff, trustees, vendors, and other agents (including the National Archives and Records Administration and their staff at the Library), from any and all claims, demands, and causes of action that participants may have against them by reason of attendance at this program, including but not limited to, any personal injuries or property damage.

8. Emergency Care Consent: In the event of significant illness or injury to participant, should program staff not be able to reach a parent/guardian or other emergency contact, I hereby consent to whatever transportation, x-ray, examination, anesthetic, medical, dental, or surgical diagnosis or treatment and hospital care from a licensed physician as deemed necessary for the safety and welfare of my child. It is understood that the resulting expenses will be the responsibility of the child's parent(s)/guardian(s) as listed on this form.

9. Transportation: Local students are responsible for their own transportation to/from the Ronald Reagan Presidential Library and Museum in Simi Valley, California. If your child will be driving themselves, it is the responsibility of the student to arrive on time each morning. Parents picking their child up from the designated meeting location must arrive at least 15 minutes prior to the stated return time. The Ronald Reagan Presidential Foundation and Institute assumes no responsibility for students left unattended due to parent tardiness. In the event of an emergency, I hereby consent to whatever transportation (Foundation vehicles, private vehicles, commercial vehicles, walking, etc.) is deemed necessary for the safety and welfare of my child.

10. Media Release: I hereby grant the Ronald Reagan Presidential Foundation and Institute the right to obtain and/or use my child's photograph, digitized image, video image and/or voice for educational and informational purposes in conjunction with the Ronald Reagan Student Leadership Program. I understand that all images, productions and content, therein, become the exclusive property of the Ronald Reagan Presidential Foundation and Institute. I understand that there will be no compensation for the use of any photograph, digitized image, video image and/or voice taken from within the Ronald Reagan Presidential Library and Museum.

12. Parent/Guardian Consent:



After submitting this form, you will be redirected to the page where you can choose your preferred week and submit a non-refundable deposit.
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