I further give my consent to the school district and Tx ACE to share the participant’s student records with each other for purposes of providing educational support and assistance. In addition, I understand that the school district and/or Tx ACE will use participant records to evaluate individual progress and improvement, as well as to evaluate the impact of the program on student achievement and to obtain continued funding for the program.
I hereby give permission for the participant(s) listed below to take part in the Texas Afterschool Centers on Education (Tx ACE) activities, which may include off-site events, academic assistance, continuing education, and recreational programs which may involve water related activities. If a medical emergency arises, Texas ACE program staff will take all steps necessary to ensure the safety of the participant and will call, if necessary, a public emergency vehicle for transport to an emergency facility. I understand that I will be responsible for any transportation charges and medical expenses incurred.
By signing this document, I am affirming that I have read its entire contents including the program policies, that I have asked any questions about this document that I did not fully understand, and that I have received an explanation to my satisfaction.
I understand and agree that in signing this form, I agree to follow the Texas ACE Program rules and policies laid out herein for the duration of the time that my student the program.
Waiver of Liability
● My student and I understand that this program is being offered as an opportunity for educational enrichment.
● My student and I understand that some of the activities are physically demanding.
● I understand that neither the contractor(s) nor its employees or volunteers are offering any medical insurance to protect against any injuries that may occur and make no claims to do so and, as such, assume no responsibility for any medical expenses incurred.
● I affirm that my student does not have any medical or physical limitations and that he/she is not under a physician’s care for any medical condition, disclosed or undisclosed.
● I hereby release from liability ESC-2, George West ISD, and their employees or volunteers from any injury to my child. I expressly release from liability Tx ACE contractors and their employees and volunteers from any injury to my child caused by negligence of the above mentioned or any third party.
● In recognition of the opportunity being presented to my student and after having discussed and accepted this opportunity, my student and I, the parent/guardian, agree to indemnify the ESC-2 and George West ISD, the contractors mentioned above, their employees and volunteers from any injury to my student that was caused by the negligence of my child or for any other reason.
