The undersigned parent/legal guardian of the above-named
student hereby consents to his/her participation in the HBCU College Tour, sponsored
by the Beta Lambda Educational Institute (BLEI) of Alpha Phi Alpha Fraternity,
Inc. The tour will visit colleges, universities and tourist attractions during
the week of Sunday March 22, 2026 – Sunday March 29, 2026. It is understood that the tour director can,
under reasonable conditions, alter the plan of this activity. However, such
alterations shall involve activities or arrangements in the same general
category described above. It is also
understood that in the event the parents/legal guardians have any questions
regarding the plans or believe the description to be inadequate, he or she will
contact the tour director to obtain additional information prior to signing
this form. The undersigned does hereby
consent to the above-named student participating in the activity identified,
covenants and agrees on his/her own behalf and on behalf of the student named
above, not to sue and hold harmless BLEI, Beta Lambda Chapter, Alpha Phi Alpha
Fraternity, Inc., and their respective boards of directors, officers, agents, volunteers,
organizations or any other member for any liability, claims, actions, damages,
costs or expenses incurred as a result of the student’s participation in the tour. Furthermore, the undersigned understands that
if for any reason their student must be removed from the tour for disciplinary
reasons, it shall be at no expense to BLEI, and that the undersigned, and/or above-named
student shall assume all costs. Nothing herein is intended to, nor shall it be
construed to release any insurance company or third party from any obligation
to pay under any liability insurance or other benefit.
Pursuant to the Family Educational Rights and Privacy Act (FERPA), I, the undersigned parent or legal guardian of the above-named student, hereby authorize and consent to the release of my student’s educational records to the Beta Lambda Educational Institute (BLEI) of Alpha Phi Alpha Fraternity, Inc., and its designated representatives for the purpose of planning, monitoring, and supporting the student’s participation in the HBCU College Tour.
This consent specifically includes access to and review of the following educational records maintained by the student’s school district:
• Individualized Education Program (IEP) or Section 504 documentation, if applicable
• Behavioral records (including discipline and intervention reports)
• Attendance records
• Academic records (including transcripts, grades, and progress reports)
The information disclosed will be used solely to ensure appropriate supervision, safety, academic enrichment, and support during the HBCU College Tour. I understand that BLEI agrees to maintain the confidentiality of any personally identifiable information received under this consent and that no information will be shared beyond what is necessary for the stated purpose.
This authorization shall remain in effect until April 30, 2026, unless revoked in writing by the undersigned prior to that date.