Parental Consent and Waiver Form:
PHOTOGRAPH CONSENT AND WAIVER: I understand that Key 2 Success may photograph my child individually or in group settings. I understand that photos may be used in brochures, web site, newspapers, presentations, and television spots to further publicize the mission of the organization. I give full consent for these and similar uses of my child’s photographic likeness, waiving any liability for Key 2 Success or its directors or employees.
EMERGENCY MEDICAL AUTHORIZATION: I understand that in the event of accident or illness, every effort will be made to contact parent/guardian immediately. If parent/guardian cannot be reached, I authorize Key 2 Success to obtain emergency care for my child.
FIELD TRIP PERMISSION: I/We do hereby agree to release and hold harmless Key 2 Success its officers, Board of Directors, volunteers and employees from any and all claims, costs, suits, actions, judgments, and expenses for any damage, loss, or injury to/of my child or damage to any property arising from my/our child’s participation in field trips.
CONSENT AND WAIVER to contact the participating child via email/electronic accounts and to communicate and facilitate activities that require media and electronic participation i.e. Google and Zoom releasing and holding harmless Key 2 Success, its officers, Board of Directors, volunteers and employees from any and all claims, costs, suits, actions, judgments, and expenses for any damage, loss, or injury to/of my child or damage to any property arising from my/our child’s participation in electronic activities..
CONSENT AND WAIVER to communicate with teachers/school faculty (if conducted) concerning your child’s progress as it pertains to maintaining high performance. Both academically and behaviorally during and between program sessions in our efforts to support participants at all times.
CONSENT AND WAIVER to have access to personal & school data including but not limited to: transcripts/report cards, proof of mail, Test Data (MAP, PARC, PSAT) and homework/learning aids i.e. Compass Learning.
I understand that the director nor many of its volunteers are not teachers and are not ensuring any and all advancement of the students socially, emotionally, or academically and hold harmless Key 2 Success, its volunteers, and directors.
I understand all aspects of this program and release and hold-harmless Key 2 Success from any and all liability associated with this program including but not limited to field trips, carpool, and projects. I fully understand that all precautions have been taken to protect my child including use of any buildings, materials, and transportation. I give permission with full understanding of the risks associated.
I attest that all paperwork and documents are true and accurate. No false information has been submitted. I acknowledge by typing name at the end of application.