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HomeMy WebLinkAboutContract 47342 (2)RECEIVED 42 DEC 22 2015 CITY OF FORT WORTH CITYSECRET!r„ This Educational Experience Program Affiliation Agreement (hereafter Agreement) is made and entered into by and between Fort Worth Independent School District (hereafter Educational Institution) and City of Fort Worth (hereafter Facility). This Agreement includes studies in Agricultural Sciences, in general and specifically Equine Education. The Agriculture, Food and Natural Resources Cluster of courses as defined by the Texas Education Agency and the State Board of Education focuses on careers in the production, processing, marketing, distribution, financing, and development of agricultural commodities and resources including food, fiber, wood products, natural resources, horticulture, and other plant and animal products/resources. The course, AGOOSO1T Equine Science, will provide students with an opportunity to develop knowledge and skills pertaining to the selection, nutrition, reproduction, health and management of horses, donkeys, and mules. cirri $ECPET J V 4730 kcZ um tiiona U Exrnc P&'siraa AffflliilatD n Activement netween Fort Worth ISO and Tile City of Foil Worth PURPOSE The purpose of this Agreement is to specify the general activities planned and the assignment of responsibilities between the parties. The parties agree that it will be in their mutual interest and advantage for students and faculty of the Educational Institution to have an opportunity to utilize the .Facility for educational purposes. In consideration of the mutual objectives, and in further consideration of the mutual promises contained herein, the Facility and the Educational Institution agree as follows: AGREEMENT A. GENERAL INFORMATION 1. Student Attendance. The specific areas of student assignment for the program and the number and distribution of students within the Facility will be mutually agreed upon each academic semester by the Educational Institution and the Facility. The faculty of the Educational Institution shall act as the contact person and will be responsible for arranging and confirming student visits to the Facility. 2. Academic Period and Suuerv-ision of Students. The Educational Experience Program ("Program") will held the Fort Worth Police Department Mounted Patel Facility which is located at 1901 N. Las Vegas Trail, Fort Worth, Texas 76135. The Program will be conducted during the regular thirty-six (36) week school year on regularly scheduled school days, Monday through Friday, between the hours of 8:30 a.m. and 3:30 p.m. Participating students will be under the direct supervision of a faculty member of the Educational Institution. A designee of the Facility will be at present on the property at all times and will (1) be currently licensed by the appropriate Texas regulatory agency and (2) be competent to provide direction and support if required by the designee of the Educational Institution. The faculty member of the Educational Institution will (1) be currently licensed by the appropriate regulatory agency of the state and (2) be competent to perform all teaching duties and act as faculty coordinator and instructor. B. FACILITY RESPONSIBILITIES 1. The Facility will make arrangements for, but will not be responsible for providing, immediate first aid treatment for students and faculty during the educational experience, if needed. Thereafter, if necessary, the student or faculty shall be transferred for medical treatment. The Facility assumes no financial responsibility or liability for the students' or faculty members' first aid treatment, medical care, or any other medical treatment. 2. The faculty of the Educational Institution will prepare students with a handout of addressing student behavior while at the Facility. The Facility shall provide to the Educational Institution, on the first visit day each semester, a welcome, safety briefing, and any other pertinent Educational Experience Program Agreement — Fort Worth ISD and City of Fort worth oFFie:iaL itkCCONc CITY SECRETARY Ft WORTH, TX Educational Experience Program Affiliation Agreement Between Fort Worth ISD and The City of Fort Worth information. Students are to comply with guidelines and expectations as outlined by "Expected Student Behavior for Fort Worth Police Equestrian Center" as set forth in Exhibit A 3. The Facility may require the Educational Institution to remove any student from continuing in the Program if the Facility determines, in its sole discretion, that the student does not meet the professional conduct qualifications and standards or other requirements as set forth by the Facility. The Facility will consult with the Educational Institution prior to any such removal if reasonably possible. The Facility will permit the authority responsible for accreditation of the curriculum of the Educational Institution to inspect the facilities and services provided pursuant to this Agreement as necessary for accreditation evaluation, upon reasonable notice and as reasonably required. 4. The Facility may provide learning experiences including observation, direct instruction, interdisciplinary collaboration, and guidance, as discussed and decided on between the faculty of the Educational Institution and the contact person of the Facility. Students will receive appropriate supervision and regular evaluation of performance, as applicable. C. EDUCATIONAL INSTITUTION'S RESPONSIBILITIES 1. Score of Education. The Educational Experience Program will include, but is not limited to care, health and identification of animals involved in the study of Equine Science. 2. Rules and Regulations. The Educational Institution shall ensure students are familiar with and abide by all applicable rules, regulations, policies and procedures of the Facility. 3. Escort Mandate. All employees, agents, and representatives of the Educational Institution shall be escorted by a Facility employee at all times while in Facility The Facility employee escorting the employee, agent, and/or representative of the Educational Institution must be authorized to access the Criminal Justice Information System. All students shall be escorted by a Facility employee at all times while in Facility. The Facility employee escorting the student must be authorized to access the Criminal Justice Information System. 4. Advance Notification. The Educational Institution shall advise the Facility of its desire to utilize the Facility at least ten (10) business days prior to the day the program or class will be provided. 5. Prerequisite. The Educational Institution shall ensure that students have received instruction in equine care and agriculture sciences safety 6. Dress Code. Students and faculty are responsible for providing the necessary and appropriate attire, but not provided by, the Facility. The student shall dress appropriate to the area they are assigned to and wear a school name tag at all times while participating in the educational experience at the Facility. 7. Documentation. Prior to commencement of the educational experience, each student shall provide Facility with an executed copy of the "Release from Liability' as set forth in Exhibit B All attendees from the Educational Institution shall wear and display a photo identification badge (School ID) Documentation is to be submitted to the assigned faculty coordinator of the Educational Institution. Identification badges are to be worn at all times while at the Facility. 8. Publication. Students and faculty shall not submit for publication any material relating to the training site educational experience without prior written approval of the Facility and the Educational Institution. This provision shall survive the termination of this Agreement. 9. Professionalism. Students and faculty shall adhere to the standards of professionalism at all times, 2 Educational Experience Program Agreement —Fort Worth ISD and City of Fort Worth Educational Experience Program Affiliation Agreement Between Fort Worth ISD and The City of Fort Worth 10. Insurance. Educational Institution shall carry tho following insurance coverage with a company that is licensed to do business in Texas or otherwise approved by the City: a. Commercial General Liability with a combined limit of not less than $1,000,000 per occurrence, $2,000,000 aggregate. b. Automobile Liability Insurance (any automobile, hired and non -owned) with a combined limit of not less than $1,000,000 per occurrence. c. Statutory Workers' Compensation and Employers' Liability Insurance requirements per the amount required by statute. d. Any other insurance as required by City. 10.1 General Insurance Rcauirements: a. All applicable policies shall name the City as an additional insured thereon, as its interests may appear. The term City shall include its employees, officers, officials, agents, and volunteers in respect to the contracted services b. The workers' compensation policy shall include a Waiver of Subrogation (Right of Recovery) in favor of the City of Fort Worth. c. A minimum of Thirty (30) days' notice of cancellation or reduction m limits of coverage shall be provided to the City. Ten (10) days' notice shall be acceptable in the event of non-payment of premium. Notice shall be sent to the Risk Manager, City of Fort Worth, 1000 Throckmorton Fort Worth Texas 76102, with copies to the City Attorney at the same address. d. The insurers for all policies must be licensed and/or approved to do business in the State of Texas. All insurers must have a minimum rating of A- VII in the current A.M. Best Key Rating Guide, or have reasonably equivalent fmancial strength and solvency to the satisfaction of Risk Management If the rating is below that required, written approval of Risk Management is required. e. Any failure on the part of the City to request required insurance documentation shall not constitute a waiver of the insurance requirement. f. Certificates of Insurance evidencing that the Educational Institution has obtained all required insurance shall be delivered to the City prior to the Educational Institution proceeding with any work pursuant to this Agreement. D. COMPENSATION No representative of the Educational Institution shall receive monetary compensation or employee benefits from Facility including, but not limited to, paid vacation, worker's compensation, disability insurance and retirement benefits. EDUCATIONAL TRAINING SITE SAFETY GUIDELINES Both parties acknowledge OSHA obligations and other regulations. Educational Institution acknowledges that the students are considered part of the Facilrty's workforce solely for purposes of OSHA. E. COMPLIANCE While participating in these educational experiences as described in this Agreement, the parties shall comply with all applicable federal, state, county and city statutes, ordinances and regulations. It is agreed and understood that, if the Facility calls to the attention of the Educational Institution any such violation on the part of the Educational Institution or any of its faculty and /or students then the Educational Institution shall immediately desist from and correct such violations. F. TEXAS LAW TO APPLY 3 Educational Experience Program Agreement Fort Worth ISD and City of Fort Worth Educational Experience Program Affiliation Agreement Between Fort Worth ISO and The City of Fort Worth This Agreement shall be construed under and in accordance with the laws of the State of Texas. In the event judicial intervention is required under this Agreement, venue shall lie m state courts in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division. G. NONDISCRIMINATION The Educational Institution and the Facility shall not unlawfully discriminate in their respective performance of this Agreement. 1. Fort Worth ISD offers career and technical education programs in all 16 Clusters. • Agriculture, Food & Natural Resources • Architecture & Construction • Arts, AN Technology & Communications • Business, Management & Administration • Education & Training • Finance • Government & Public Administration • Health Science • Hospitality & Tourism • Human Services • Information Technology • Law, Public Safety, Corrections & Security • Manufacturing • Marketing, Sates & Service • Science, Technology, Engineering & Mathematics • Transportation, Distribution & Logistics Admission to the above programs is based on interest and aptitude, age appropriateness, and class space availability. 2. For information about student rights or grievance procedures, contact the Title IX Coordinator, Rufino Mendoza, Director Employee Relations, 100 North University Drive, Fort Worth, TX 76107, Telephone: (817) 814-2790 and the Section 504 Coordinator, June Davis, Director of Special Programs, 100 North University Drive, Fort Worth, TX 76107, Telephone: (817) 814- 2878. 3. The Educational Institution will take steps to assure that lack of English language skills will not be a barrier to admission and participation in all educational and vocational programs 4. The Educational Institution does not discriminate on the basis of race, color, religion, national origin, sex, disability, sexual orientation age gender identity and expression, military/veteran status, in its programs and activities The following person(s) has been designated to handle inquiries regarding the non-discrimination policies: June Davis, 504 Coordinator, 100 N University Dr., NW 250, Fort Worth, TX 76107, 817-814-2875, Rufino Mendoza, Title IX Coordinator, 100 N University Dr. NW 130-I, Fort Worth, TX 76107, 817-814-2793 or Carla Kaufman Title VII Coordinator, 100 N University Dr., SW 206, Fort Worth, TX 76107, 817- 814-2710. H. INDEMNIFICATION To THE EXTENT ALLOWED UNDER STATE LAW AND THE TEXAS CONSTITUTION, THE EDUCATIONAL INSTITUTION AGREES TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE FACILITY, ITS OFFICERS, TRUSTEES, EMPLOYEES, SERVANTS, AFFILIATED ORGANIZATIONS, INSURERS, AGENTS AND ASSIGNS FROM ANY AND ALL CLAIMS, ACTIONS, CAUSES OF ACTION, DEMANDS, SUITS, LIABILITIES, LOSSES OR EXPENSES IN CONNECTION WITH BODILY INJURY, PERSONAL INJURY OR PROPERTY DAMAGE RESULTING FROM 1'IiE ACTS OR OMISSIONS OF THE EDUCATIONAL INSTITUTION, ITS EMPLOYEES, STUDENTS, AGENTS OR SERVANTS. I. GOVERNMENTAL POWERS Both the Educational Institution and the Facility agree and understand that neither the Facility nor the Educational Institution will waive or surrender any of its respective governmental powers by the execution of this Agreement. 4 Educational Experience Program Agreement - Fort Worth ISD and City of Fort Worth Educational Experience Program Affiliation Agreement Between Fort Worth ISD and The City of Fort Worth J. TERMS 1. This Agreement shall be effective September 01, 2015, and will terminate automatically on August 31, 2018. 2. No amendment, modification, or alteration of the terms of this Agreement shall be binding unless made in writing and signed by the parties. K. TERMINATION Either party may terminate this Agreement by providing thirty (30) days' written notice to the other Party- L. SIGNATURE AUTIIOURITY The person signing this Agreement hereby warrants that he or she has the legal authority to execute this Agreement on behalf of his or her respective Party and that such binding authority has been granted by proper order, resolution, ordinance or other authorization of the entity. The other Party is fully entitled to rely on this warranty and representation in entering into this Agreement. M. NOTICE Any notice required or permitted to be given under this Agreement shall be in writing and forward to the other party by hand -delivery or via U.S. Postal Service certified mail, postage prepaid to the addresses set forth below. Either party may change the address for notice by providing written notice to the other party If to Facility: City of Fort Worth ATTN: Assistant City Manager, FWPD 1000 Throckmorton Fort Worth, Texas 76102 Conv to: Fort Worth Police Department ATTN: Sergeant Mike Cagle, Mounted Patrol Spokesperson 1901 N. Las Vegas Trail Fort Worth, TX 76135 If to Educational Institution: Fort Worth Independent School District Career and Technical Education ATTN: Dr. Alma Charles, Director 100 N University SW I80 Fort Worth, Texas 76107 In witness hereof, the authorized representatives of the parties have executed this Agreement as mdicated below and agree to the Terms and Conditions of the Educational Experience Program Affiliation Agreement, as indicated by their signatures below. Each party shall be included in the Agreement only as long as the Educational Experience Program Affiliation Agreement of the Educational Institution is in place, or until terminated by either party pursuant to the Agreement. 5 Educational Experience Program Agreement 4 Fort Worth ISD and City of Fort Worth Educational Experience Program Affiliation Agreement Between Fort Worth MD and The City of Fort Worth Valerie Washington Assistant City Manager FACILITY City of Fort Worth 1000 Throcionorton Street Fort Worth, TX 76102 Date Chief Joel F. Fitzgerald Chief of Police APPROVED As To FORM AND LEGALITY: Victoria D. Honey Assistant City Attorney Dr. M Chief ATTEST: City of Fort Worth Approved As To Legal Form And Su iciency EDUCATIONAL INSTITUTION Fort Worth Independent School District 100 N University Dr Fort Worth, Texas 7 g 07 Date Sherry Breed Da Chief Leadership, Learnt & , dent Support Services - eget Counsel Dr. S Meng Assistant Superintendent, AAIL FWISD Approved As To Legal Form And Sufficiency EXHIBIT A. Educational Experience Program Agreement Fort Worth ISD and City of Fort Worth Date Date a2/x15 6 Educational Experience Program Affiliation Agreement Between Fort Worth ISD and The City of Fort Worth EXHIBIT A Expected Student Behavior for Fort Worth Police Department Mounted Patrol Facility 1. Students will display respect for all present while at facility, including adults, peers, and animals. 2. Students will display respect for all personnel and Fort Worth Police Department property at all times. 3. Students will constantly demonstrate courtesy, professionalism and a willingness to learn. 4. Profanity, slang, and street talk have no place in professionalism and will not be tolerated. 5. Students will constantly practice self-discipline and will be held accountable for their actions. 6. Horseplay and roughhousing have no place in professionalism and will not be tolerated. 7. Students will constantly and consistently maintain a positive attitude and great work ethic. 8. Students will adhere to campus and or organization dress code. Students must wear closed toed shoes or boots. 9. The Fort Worth Police Department Mounted Patrol Facility provides students with an opportunity to receive hands-on education in the following areas relating to Equine Science: • Evaluation and Selection • Selecting Proper Facilities and Equipment • Anatomy and Physiology • Maintenance: Health and Soundness • Best Practice Methods of Safety in the Handling 10. The Fort Worth Police Department Mounted Patrol Facility provides students with an opportunity to receive hands-on education in the following areas relating to Veterinary Medicine: • • • • • Explaining and Display of Human — Animal Bonding Methods of Interaction with Clients and their Animals Identify and Practice Skills Required to Communicate Effectively and Efficiently with Clients and their Animals Identify and Describe Major Body Systems utilizing Appropriate Veterinary Terminology Classify a Variety of Animal Species According to Common Breed Characteristics 7 Educational Experience Program Agreement ` Fort Worth ISD and City of Fort Worth Educational Experience Program Affiliation Agreement Between Fort Worth ISD and The City of Fort Worth Ascertain Appropriate Anatomical Points for Injections, Measuring Vital Signs Including Temperature, Pulse, and Respiration Educational Experience Program Agreement — Fort Worth ISD and City of Fart Worth Educational Experience Program Affiliation Agreement Between Fort Worth ISD and The City of Fort Worth EXHIBIT B AGREEMENT AND RELEASE OF LIABILITY FOR EDUCATIONAL EXPERIENCE PROGRAM AFFILIATIONAGREEMENT FORT WORTH POLICE DEPARTMENT MOUNTED PATROL FACILITY a student from Student Name Campus Name High School, acknowledge that as part of my training I may be assigned to the Fort Worth Police Department Mounted Patrol Facility. In addition to accepting this assignment, I acknowledge and agree to the following guidelines: (1) If I become ill or injured while at the Facility, the Facility may make arrangements for immediate first aid treatment, however, my parent/guardian and I will be responsible for maintaining a current health insurance policy throughout my educational experience. My parent/guardian and I accept responsibility for all medical expenses incurred. (2) I have been provided with and educated on the Facility's established protocol, policy and procedural information. I agree to comply with all requirements and guidelines while at the Faclllty. I acknowledge and understand that failure to fully comply with the Facility's requirements and guidelines may result in my removal from the Educational Experience Program. (3) I will receive no monetary compensation, employee benefit or any other type of remuneration for the educational experience as provided for by the Faclllty. (4) I will comply with all apphcable local, state or federal statutes, ordinances and regulations while participating in the Educational Experience Program at the Faclllty. (5) I DO HEREBY HOLD THE CITY OF FORT WORTH, THE FORT WORTH POLICE DEPARTMENT, THE EDUCATIONAL INSTITUTION, AND ALL THEIR TRUSTEES, DIRECTORS, OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS HARMLESS FROM AND AGAINST ANY AND ALL CLAIMS, ACTIONS, CAUSE OF ACTION, WHETHER REAL OR ASSERTED, OF EVERY KIND OR CHARACTER, ARISING OUT OF MY DIRECT OR INDIRECT PARTICIPATION IN THE EDUCATIONAL EXPERIENCE PROGRAM. I AND MY HEIRS AND ASSIGNS, HEREBY ASSUME ALL RESPONSIBILITY AND LIABILITY FOR SUCH INJURIES AND DAMAGES, INCLUDING PERSONAL INJURY, SICKNESS, DISEASE, DEATH OR DAMAGE TO PROPERTY. I HAVE READ THIS FORM CAREFULLY AND HAVE HAD ALL QUESTIONS ANSWERED BEFORE SIGNING. Student Signature Date Parent Signature Emergency Contact Name Emergence Contact Number 9 Educational Experience Program Agreement— Fort Worth ISD and City of Fort Worth Educational Experience Program Affiliation Agreement Between Fort Worth ISD and The City of Fort Worth AGREEMENT AND RELEASE OF LIABILITY FOR EDUCATIONAL EXPERIENCE PROGRAM AFFILLATIONAGREEMENT FORT WORTH POLICE DEPARTMENT MOUNTED PATROL FACILITY desire to allow Parent ar Guardian Name Student Name to participate in the Educational Experience Program at the Fort Worth Police Department Mounted Patrol Facility. NOW, THEREFORE, in consideration of the City of Fort Worth and Educational Institution's allowing (child's name) to participate in the Educational Experience Program, I, (parent's/guardian's name), make the following representations and agree to the following: 1. I am the parent/guardian of (child's name), a minor; I am of sound mind and am, in all things, competent to enter into this agreement; 2. I, my heirs and assigns, do hereby FOREVER RELEASE AND WAIVE all claims against the City of Fort Worth, the Fort Worth Police Department, the Educational Institution, and all of their trustees, directors, officers, employees, agents, and volunteers for injuries or damages to (child's name) which may arise from his/her participation in the Educational Experience Program; 3. I understand that participation in the Educational Experience Program may be dangerous and can result in injury, death or property damage. 4. I promise that (child's name) is covered by a policy of health insurance sufficient to pay any and alt medical bills and related expenses incurred as a result of any injury suffered by (child's name) in connection with my child's participation in the Educational Experience. To the extent that any such health insurance policy has a deductible or co -pay, I promise to pay that deductible or co -pay myself and will not look to the City of Fort Worth, Fort Worth Police Department, or Educational Institution or any person or entity connected with, or in privity with, the City of Fort Worth, Fort Worth Police Department or Educational Institution for payment of such deductible or co -pay. IF ANY SUCH HEALTH INSURANCE COMPANY SHOULD EVER ASSERT A CLAIM AGAINST THE CITY OF FORT WORTH, FORT WORTH POLICE DEPARTMENT, OR EDUCATIONAL INSTITUTION FOR SUBROGATION, I PROMISE TO INDEMNIFY, PROTECT AND DEFEND THE CITY OF FORT WORTH, FORT 10 Educational Experience Program Agreement— Fort Worth !SD and City of Fort Worth Educational Experience Program Affiliation Agreement Between Fort Worth ISD and The City of Fort Worth WORTH POLICE DEPARTMENT, AND EDUCATIONAL INSTITUTION AGAINST ANY SUCH CLAIM; 5. For the consideration mentioned above, I DO HEREBY RELEASE, ACQUIT AND FOREVER DISCHARGE THE CITY OF FORT WORTH, THE FORT WORTH POLICE DEPARTMENT, AND TNF EDUCATIONAL INSTITUTION OF AND FROM ANY AND ALL CLAIMS, RIGHTS, LAWSUITS, DEBTS, JUDGMENTS, DEBTS, DAMAGES, LOSSES, EXPENSES AND CAUSES OF ACTION, WHETHER REAL OR ASSERTED, OF EVERY KIND OR CHARACTER WHICH I, MY REPRESENTATIVES, HEIRS, ESTATE, SUCCESSORS AND ASSIGNS MAY EVER HAVE OR CLAIM AS A RESULT OF ANY INJURY, DEATH, PROPERTY DAMAGE OR OTHER DAMAGE SUFFERED BY (CHILD'S NAME) AS A RESULT HIS/HER PARTICIPATION IN THE EDUCATIONAL EXPERIENCE PROGRAM. IT IS MY INTENTION THAT THE TERMS OF THIS DOCUMENT SHALL APPLY EVEN IF SUCH INJURY, DEATH OR PROPERTY DAMAGE IS CAUSED, IN WHOLE OR IN PART, BY THE SOLE NEGLIGENCE, GROSS NEGLIGENCE, OR INTENTIONAL ACT OF 1HE CITY OF FORT WORTH, FORT WORTH POLICE DEPARTMENT, OR EDUCATIONAL INSTITUTION OR ITS EMPLOYEES, AGENTS, OFFICERS, OFFICIALS, VOLUNTEERS, CONTRACTORS OR OTHER PERSONS CONNECTED WITH, OR IN PRIVITY WITH, THE, CITY OF FORT WORTH, FORT WORTH POLICE DEPARTMENT, OR EDUCATIONAL INSTITUTION. 6. For the consideration mentioned above, I PROMISE TO INDEMNIFY, PROTECT AND DEFEND THE CITY OF FORT WORTH, FORT WORTH POLICE DEPARTMENT, AND THE EDUCATIONAL INSTITUTION, ITS EMPLOYEES, AGENTS, OFFICERS, OFFICIALS, VOLUNTEERS, CONTRACTORS OR OTHER PERSONS .CONNECTED WITH, OR IN PRIVITY WITH, THE CITY OF FORT WORTH, FORT WORTH POLICE DEPARTMENT, OR THE EDUCATIONAL INSTITUTION AGAINST ANY CLAIM EVER ASSERTED BY ANY THIRD PERSON ARISING OUT OF THE INJURY, DEATH OR PROPERTY DAMAGE ALLEGEDLY SUFFERED BY SUCH THIRD PERSON AS A RESULT OF 'S (CHILD'S NAME) PARTICIPATION IN THE EDUCATIONAL EXPERIENCE PROGRAM. IT IS MY INTENTION THAT THE TERMS OF THIS DOCUMENT SHALL APPLY EVEN IF THE INJURY, DEATH OR PROPERTY DAMAGE ALLEGEDLY SUFFERED BY SUCH THIRD PERSON IS CAUSED, IN WHOLE OR IN PART, BY THE SOLE NEGLIGENCE, GROSS NEGLIGENCE OR INTENTIONAL ACT OF THE. CITY OF FORT WORTH, FORT WORTH POLICE I Educational Experience Program Agreement •- Fort Worth ISD and City of Fort Worth Educational Experience Program Affiliation Agreement Between Fort Worth ISD and The City of Fort Worth DEPARTMENT, OR EDUCATIONAL INSTITUTION, ITS EMPLOYEES, AGENTS, OFFICERS, OFFICIALS, VOLUNTEERS, CONTRACTORS Olt OTwi R PERSONS CONNECTED WITH, OR IN PRIVITY WITH, THE CITY OF FORT WORTH, FORT WORTH POLICE DEPARTMENT, OR EDUCATIONAL INSTITUTION. I have read this Waiver and Release and fully understand its terms, provisions and conditions. I have not been influenced to any extent whatsoever by any representations or statements not contained within this waiver. SIGNED this day of , Signature of Parent/Guardian MEEMEM Printed Name 12 Educational Experience Program Agreement Fort Worth ISD and City of Fort Worth