All forms are PDF files and can be viewed using Acrobat Reader.
Forms are to be downloaded, completed, signed, and uploaded online by June 15th. Please see the checklist for further instructions on all documentation and payment information.
Note - Once all students have accepted their offer to attend the Governor's School for Agriculture, an email will be sent to students with an online survey to begin the registration process. Please complete forms below after responding to the online survey.
Please reference the Governor's School for Agriculture Handbook for any question you may have about the program.
The following forms need to be completed. Please use this checklist for reference:
- Parent/Guardian and Student Acknowledgement Form
This form acknowledges that the student and parent/guardian have read the handbook and acceptable use guidelines.
- Student Information Sheet
This form seeks to gain student contact and insurance information.
- Field Trip Permission Form
This form authorizes parental permission for the student to participate in GSA field trips.
- Supervision Release Form
This form offers parental consent for the student to leave campus unsupervised for short periods of time.
- Public Relations and Student-Created Work Consent Form
This form gives parental consent for the release of student-created work for public relations purposes.
- Photo, Video, and Audio Release
This form allows photos, videos, and audio recordings to be made during GSA for use by GSA and Virginia Tech.
- Parent or Guardian Waiver of Liability
This form releases the Commonwealth of Virginia, the Virginia Department of Education, and Virginia Polytechnic and State University and their respective agents and employees from liability in the event of accident, harm, or injury.
- Authorization for Administering Prescription Medication
This form authorizes the administration of prescription medication by the GSA.
- Medical Consent and Information Form
This form gives the GSA parental consent to provide medical treatment.
- Montgomery Regional Hospital Admission Information
This form deals with admission information for a hospital visit.
- Permission for Medical Treatment and Release of Medical Record Information
This form gives parental consent for the Montgomery Medical Center to provide medical treatment.
- Permission to Use Student Assignments
This form allows for student assignments completed in the Governor's School to be used for evaluation and improving of the Governor's School.
- Religious Services Information
This form authorizes Governor's School staff to escort students to optional religious services, if selected by the student.
- Pick-up Release Form
If someone other than the student's parent or guardian pick them up during Parent's Weekend (July 6th and/or July 7th) or after graduation (July 20th) a Pick -Up Release Form needs to be filled out.