** IMPORTANT NOTE** Anyone who is not listed below will not be able to pick up your child unless advance written notice is given by you. Program staff will not be able to accept phone calls for authorization

If your child requires medication to be given during the Summer Camp Enrichment Program, then a signed document is required from the parent indicating circumstances under which medication should be given. This includes Epi Pens. This documentation will be kept in your child’s personal file. Please note that calls will be made to parents to confirm the administration of the medication.

In consideration of my child being allowed participation privileges in any AVPRIDE programming, I hereby assume full responsibility for any risk of bodily injury, death, and/or property damage while using the premises or any facilities or equipment hereon. I further agree to hold harmless the AVPRIDE, their partners, directors, officers, employees, agents, and volunteers from any and all claims that may result from any action for damages, including but not limited to, such claims that may result from injury or death, accident or otherwise, during or arising in any way from said activity. I acknowledge that this General Release of Liability of AVPRIDE, and its partners is binding on me and not my heirs, personal representatives, successors, and assigns. 
*I have fully read, understood, and accept the terms and conditions of General Release of liability 

I hereby consent to publish in print or electronically the likeness/image, speech in any audio, video, film or photograph made by any AVPRIDE, and its partner’s participants/volunteers. I expressly release all claims against AVPRIDE, and its licensees, assignees, affiliates and successors from any privacy, defamation, or other claims have arising out of broadcast, exhibition, publication, or promotion of this program, including any compensation claim related to the use of the materials. 
* I have fully read, understood, and accepted the terms and conditions for Media Release. 

I will be contacted in the event of a medical emergency. If I cannot be reached, I hereby authorize AVPRIDE, Inc., via the program staff to arrange for transportation for emergency medical treatment in case of accident or acute illness of volunteer/participant. In the event it is not possible to receive instruction for the participant’s care, consent is given to any licensed physician for treatment. I allow the physician to administer medication and to perform necessary treatment for the preservation of the participant’s health and well-being. I understand that any cost incurred for treatment of sudden illness or accident shall be paid by me. This authorization and consent for treatment is given to the program staff and AVPRIDE in conjunction with any authorized event. * I have fully read, understood, and accepted the terms and conditions for Emergency Medical Treatment. 

 AVPRIDE, Inc. is doing everything we can to protect you, the public, as well as our volunteers, clients, and staff. To this extent, we will be following the Center of Disease Control (CDC) and local health department guidelines with regard to social distancing practices in order to reduce the spread of COVID-19. This will require our staff and volunteers to maintain six feet of distance between ourselves and you, the client, as much as possible. We will also be requiring this same procedure for client-to-client contact in order to limit the exposure to all individuals.
 
We will require all individuals (staff, volunteers, and clients) to use masks to reduce the risk of exposure to yourself and others. It is also required of everyone to either wash or sanitize their hands after using the restroom, sneezing, coughing, and before and after eating.
 
In light of the ongoing spread of COVID-19, individuals who fall within any of the categories below should not engage in AVPRIDE events and/or activities. By attending an AVPRIDE event, you certify that you do not fall into any of the following categories:

1. Individuals who currently or within the past fourteen (14) days have experienced any symptoms associated with COVID-19, which include fever, cough, and shortness of breath among among others;
2. Individuals who have traveled at any point in the past fourteen (14) days either internationally or to a community in the U.S. that has experienced or is experiencing sustained community spread of COVID-19; or  
3. Individuals who believe that they may have been exposed to a confirmed or suspected case of COVID-19 or have been diagnosed with COVID-19 and are not yet cleared as non-contagious by state or local public health authorities or the health care team responsible for their treatment.

These guidelines are to be followed at all AVPRIDE events and activities. If we all work together, we can overcome the spread of this virus as well as other infectious diseases. By signing below, you agree to comply with the written instructions above. Failure to comply with these written instructions or verbal instructions from staff or volunteers may result in your removal from the event/activity.

BY ATTENDING AND/OR PARTICIPATING IN THE EVENT/ACTIVITY, I HAVE GIVEN A FULL RELEASE OF LIABILITY TO THE RELEASED PARTIES TO THE FULLEST EXTENT PERMITTED BY LAW.

The staff of AVPRIDE’S Summer Camp Enrichment Program request that you take time to discuss this information with your child prior to his/her enrollment in the program. It is important that both you and your child understand and agree to this policy. Disrespect to any staff will NOT be tolerated. Any student who repeatedly disobeys the rules will be referred to the Program Director and may be at risk of being removed from the program. 

The behavior rules of AVPRIDE'S Summer Camp Enrichment Programs are as follow: 

Follow all directions given by staff. 
Treat others as you would like to be treated. Be polite. 
Respect others (peers, staff, and volunteers) and the property of others. 
Everyone must help set up and clean up. 
Always get permission from staff before leaving an area. 
Disorderly conduct to include obscene language, teasing, bullying, threatening 
Fighting will not be tolerated under any circumstances! 
No talking while the staff is talking. 
Personal music players and cell phones are NOT permitted to be used during program hours, which includes transportation times on the van or bus 
Discipline procedures will be handled through the following procedures: 

1. First Offense: A conference between staff member and child will be held to determine the problem and seek solutions. The staff will complete a behavior report explaining the disruptive behavior and the action that was taken to try to stop the inappropriate behavior. 

2. Second Offense: A behavior report will be completed by the staff member, and the staff will also call the parent/guardian. The behavior of the child will be discussed, and the parent/guardian will be asked to participate in resolving the problem. This behavior report will be given to the parent to read, sign, and return. 

3. Third Offense: Staff will complete a behavior report. The parent/guardian will be called or visited by the Program Manager to set up a conference to discuss the problem and seek solutions for the student to continue in the program. (Depending on the severity of the situation, the child may or may not remain in the program until a conference is held and a decision is reached.) 
After the conference, the Program Manager will submit all details/procedures to the organization's CEO. A decision will determine if the child’s behavior results in the child remaining in the program, or exclusion from the program. If a child is excluded she/he may not be considered for re-enrollment. 

I have read and agree with this policy. I will discuss it with my child. Please sign the behavior management plan policy. 

Transporting your child(ren) to and from AVPRIDE related activities by van/bus by an AVPRIDE driver and partners during the 2021 Summer Camp Enrichment Program. Please read this form carefully and be aware that in signing this waiver you agree that your child(ren) can be transported by van/bus by an AVPRIDE driver and or partners to any activities associated. I do hereby fully release and discharge AVPRIDE and its staff and partners from any and all claims from injuries, damage or loss which I, or any child(ren) may have or which may occur to my child(ren) on account of his/her being transported by van/bus by AVPRIDE staff members. You will be waiving your rights to all claims for injuries to you and/or your child(ren), that are sustained out of being transported by van/bus by an AVPRIDE driver and partners. You will be required to indemnify, hold harmless and defend AVPRIDE and its staff and partners from all claims sustained by me or my child(ren), and arising out of, connected with, or in any way associated with being transported by van/bus by an AVPRIDE driver. In consideration of my child(ren) being allowed to be transported by van/bus by an AVPRIDE driver as the Parent or legal guardian of a participant under 18 years of age, I recognize and acknowledge that there are certain risks of physical injury associated with being transported. I agree to assume the full risk of injuries that may be sustained by any minor child(ren) of mine, because of being transported by van/bus by an AVPRIDE staff member, partners and all activities connected or associated therewith. I agree to waive and relinquish all claims on behalf of my child(ren) that the child(ren) may have against AVPRIDE. 
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