Teen Academy
The Teen Academy is a one week program designed to give the teens of Rowlett a working
knowledge of the Rowlett Police Department. There is no cost to anyone who enrolls. The
classes will provide an overview of the various areas of law enforcement, including special
weapons and tactics (SWAT), crime scene investigation (CSI), patrol, first aid/CPR, defensive
tactics, courts, Taser, etc. This is an educational and informative program that allows teens the
opportunity to learn about the issues that affect law enforcement efforts in Rowlett, and help gain
an understanding of how our criminal justice system works. The course dates for summer 2015
are June 22 to June 26, and July 20 to July 24 to be held at Coyle or Schrade Middle School
(we will not know exact location until May). The Teen Academy consists of a series of classes
and hands-on activities held Monday thru Friday from 8:00 AM to 3:00 PM. Lunch and
water will be provided each day at no cost, with the exception of Friday. Classes are taught by
members of the Rowlett Police Department in their various areas of expertise. Physical activities
will be conducted on most days from 2:00 to 3:00. Physical fitness activities will be conducted
in a gym and consist of a team sport and stretching. There will be a fun day on Friday, which will
consist of a free trip to the Wet Zone; students will need money for anything extra they may want
(games, food, snack, etc.).
The Teen Academy is open to students who are currently enrolled in the 7th to 11th grade.
Applicants must be currently enrolled in a GISD school or be participating in a home-school
program and must be in good conduct standing. First priority will be given to students who
reside in Rowlett. After submitting a completed application, students will be informed as to
whether they have been accepted or not by May 15, 2015. Class space is limited, a completed
application does not guarantee enrollment.
The mission of the Teen Academy is to create a better understanding and communication
between our youth and the Rowlett Police Department, enhance the students’ knowledge about
law enforcement, and provide a positive interaction with police officers while educating our
youth. We hope that all graduates of the Teen Academy will get to know more about the men
and women who are protecting their community and why they make the decisions they do while
performing that duty. The Teen Academy is NOT designed to make participants certified
police officers. Please e-mail [email protected] for any questions or information.
Teen Academy Application
There is no charge for the program. Classes will be held Monday-Friday 8:00am – 3:00pm.
Please rank your preference of dates:
6/22-6/26 ___ 7/20-7/24 Note: Preferences will be taken
into consideration but not guaranteed. If your first choice is filled up, we will move you to the other
class.
Name: _______________________________________________________ Date of Birth: ___________
Address: _____________________________________________________ City___________________
Home Phone: _________________ Student Cell:_______________ Parent Cell: ____________________
School Attending:
Current grade level: _______________
Parent E-mail Address: _______________________________________________________________
Has Student participated in a previous camp: Circle: Yes or No
Please ensure e-mail addresses are legible as this will be that main source of communication.
T-shirt size: Circle: Adult or Youth XXL XL
L M S
__________________________________________ Date: ____________________________________
(Signature of Applicant)
__________________________________________ Date: ____________________________________
(Signature of Parent/Guardian)
Please return to the SRO at your campus (Rowlett schools only), or scan and e-mail application to
[email protected]. You can also turn in an application to the Rowlett PD Community Services
Division in the second floor of the police department.
Officer Garcia – RHS Officer Mitchell – Schrade MS Officer Praslicka – Coyle MS
Officer Herring – Pearson, Liberty Grove, Herfurth, Steadham, and Keeley Elem
Officer Bell – Back, Dorsey, Rowlett, and Stephens Elem
This application must be completed in full. Completed applications are due no later than Friday,
May 8, 2015. Applications will be processed in the order in which they are received and will be a
first come, first serve basis. For questions or concerns please contact Officer Herring at
[email protected].
RELEASE OF LIABILITY WAIVER
I, _____________________________, hereby authorize my son/daughter to participate in the Rowlett
Police Department’s Teen Police Academy. The Camp will take place on ________________ (list dates).
I, ____________________________, also give my permission for my son/daughter to be transported to
and from scheduled and specified events by the following mode of transportation: 1) Vehicles owned and
operated by the City of Rowlett or GISD.
I, ______________________________, fully understand and my son/daughter fully understands that
participation and transportation during the Rowlett Police Department’s Teen Police Academy could
result in bodily injury, serious bodily injury, illness or death. Although I fully appreciate these risks, I
desire my child to participate in the Rowlett Police Department’s Teen Police Academy without regard of
the consequences. I, the undersigned, assume full and complete responsibility for any accident, injury or
illness and or activity that may occur to my child as a result of their participation. I agree to and hereby
release, hold harmless, and waive all claims that I, or my child may have against the Rowlett Police
Department, City of Rowlett, or any of its employees, agents, sponsors, representatives, or volunteers
from all legal injury, illness or death and or activities arising from or connected in any manner to my
child’s participation in the Rowlett Police Department’s Teen Police Academy, including but not limited
to liability, damages, legal fees and/or costs caused by or related to the negligence or the intentional act of
the Rowlett Police Department, City of Rowlett, or anyone of its employees, agents, sponsors,
representatives, or volunteers in whole or in part. This release shall be binding on my heirs, legatees,
administrates, and assigns.
Parent/Guardian______________________________________ DATE ____________________
Student Signature______________________________________ DATE _____________________
RULES OF BEHAVIOR
1) Students will be expected to maintain a mature and respectful attitude towards classmates and
instructors.
2) Students will adhere to a strict “no touch” policy, much like those of school rules.
3) Students are expected to keep up with their personal belongings and should limit what they bring to
class (notebooks, pens, etc.)
4) Cell phones must be turned off during class instruction.
5) If possible, girls should refrain from bringing purses to class.
6) Students will be expected to participate in all class activities (unless student is unable, instructor
should be given notice of student’s physical limitations prior to the start of the academy).
7) Students will be dropped off no later than 8:00 A.M. and picked up no later than 3:00 P.M.
Violations of the rules of behavior may result in expulsion from the academy.
Parent/Guardian______________________________________
DATE ____________________
Student Signature_____________________________________
DATE _____________________
MEDICAL INFORMATION- Optional
*PLEASE PRINT
Date:__________________________________
Name of Applicant:_____________________________________________________________________
Please list any medical condition the applicant has:
List all medications taken by the applicant:
Is applicant required to take medication between the hours of 8:00am-3:00pm?
Yes/No
If yes, what is the medication and the dosage?
Is applicant able to administer medication? Yes/No
If no, explain: _________________________________________________________________________
NOTE: All medical emergencies will be treated as such and will be attended to by the Rowlett Fire
Department as deemed necessary by academy personnel, instructors or coordinators.
Physician
Dentist
Phone
Phone
Parent Signature:_________________________________________________ Date: ______________
Rowlett Police Department Photo Release Form
I,
hereby authorize my child,
to be photographed during the 2015 Rowlett Police Teen
Academy. I will allow my child’s photograph or video to be made public on the city’s website, or on any
of Rowlett Police Department’s social medial sites, such as Facebook and Twitter.
Signature
Movie/Video Permission Slip
I,
give permission for my child,
to watch video clips of real life police situations that
could contain mild language and violence. These video clips will be shown for educational purposes so
students understand what a job in law enforcement entails. I understand that my child could also watch
a movie some time during the 2015 Rowlett Teen Police Academy. The students will not be shown any
movie or video clips with a rating over PG-13.
Signature