Program Activities and Authorization Form

Students over the age of 18 must complete, sign, and submit the Authorization for Medical Care and Image Use Form prior to the start of the program. Please check that you are participating in Westmont Summer Scholars.

For students under the age of 18, a parent or guardian must complete, sign and submit the Authorization for Medical Care and Image Use (Minors) Form prior to the start of the program. Please check that you are participating in Westmont Summer Scholars.

Signed forms can be mailed to:

  • Westmont College
  • ATTN: Westmont Summer Scholars
  • 955 La Paz Road
  • Santa Barbara, CA 93108-1099
  • Only originals can be accepted. Completed forms cannot be faxed or scanned. 

    Westmont Summer Scholars includes activities both within and beyond the classroom (may include hiking, kayaking, biking, boat rides, paddle boarding, ice skating, roller skating, laser tag, or the like). Participants assume the risks associated with all program activities.