Social Summer (13-22 yrs)                                        by Pathways to Employment
The Social Summer program (ages 13-22) aims to promote relationships between disabled and non-disabled peers in our community. We are offering a camp on Tuesdays, Wednesdays, and Thursdays from 9:30-11:30 am during June 6th-29th and July 5th-August 3rd. The camp costs $150 per month, flat rate attend as many days as you would like. Each individual participant must bring an aide or supervisor, as there will be no direct supervision provided. Participants in the Self Determination Program can use funding for the camp.

The camp will include Travel Tuesdays, Walking Wednesdays, and Sports Thursdays, all done in a non-competitive manner. The program is open to ages 13-22, with a limit of 18 participants. Two activities will have an additional charge which could include movie outing &Top Golf (on bargain day $5.25 per participant).

Event Address: City of Rocklin various community and neighborhood parks & local businesses
Contact us at: nataliecooper@pathwaystoemploymentgb.org or 916-415-8739
Participants Name (First, Last) *
Participants Age *
Contact Information  (Phone Number) *
Contact Information (email address) *
I understand that a responsible adult must attend along with the participant, unless otherwise confirmed with Pathway To Employments Board.*

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I will attend Pathways Summer Social Session (s) *
An email will be sent confirming your enrollment , along with additional details. If you do not receive an email, your reservation is not confirmed and you should not attend this event.
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I authorize photos of myself and/or my family members to be used on Pathways to Employment Corporation's social media site and website without any expectation of further consideration provided to me for any use of my/my family members' images in this non-commercial context.  *

Parent/Legal Guardian Consent and Waiver of Liability

I understand that the Summer Social Program and related activities offered by Pathways to Employment have inherent risks that may arise from the activities themselves, my own actions or inactions, or the actions or inactions of Pathways, its directors, officers, employees and agents, other volunteers, and others present at Pathways program sites.  I assume full responsibility for any and all risks of bodily injury, death or property damage caused by or arising directly or indirectly from my presence at Pathways program sites or participation in Pathways Summer Social Program activities, regardless of the cause.  Further, in consideration for my participation in this Pathways program, I waive and release any and all claims against: Pathways; the owner(s) of premises on which Pathways Summer Social Program activities take place (collectively, “Landowners”); the entities which fund any Pathways programs I participate in (“Funders”), and Pathways Funders’ and Landowners’ directors, officers, agents, employees, volunteers and affiliates (collectively, the “Released Parties”), for any liability, loss, damages, claims, expenses and attorneys’ fees resulting from death, or injury to my person or property, caused by or arising directly or indirectly from my presence at a Pathways Summer Social Program site or participation in related activities, regardless of the cause and even if caused by negligence, whether passive or active, except and only to the extent any injury is caused by the gross negligence or willful misconduct of the relevant Released Party. I agree not to sue any of the Released Parties on the basis of these waived and released claims.

 

In addition, if I am a parent/legal guardian of a Participant that is a minor or conserved, by my signature below, I acknowledge and affirm that I assume the above-mentioned risks and enter into the above-stated waiver and release on behalf of the Participant for whom I am the parent/legal guardian.  

Parent/Legal Guardian Consent and Waiver of Liability 

By Typing my First and Last Name I acknowledge and represent that I have read the foregoing waiver of liability, understand it in the language it is written, and sign it voluntarily as my own free act and deed as well as the participant minor or conserved waiver as their parent/legal guardian.
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How did you hear about this event? *
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