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Online Waiver for children to Participate in ASL Classes via Video Conferencing

Welcome to DCS Online ASL classes for children !  DCS will utilize a web camera and the video conferencing platform “GoToMeeting”.  We will send you a GoToMeeting link to join the class. You are NOT required to set up a GoToMeeting account. We will record the session for teaching purposes only for your child to access and review the material.

Please be aware that while we do not send a recording of these classes anywhere else, internet does include the risk of personal information being accidentally disclosed to other people (e.g. on the web). All GoToMeeting sessions include privacy and security features such as TLS-Transport Layer Security encryption in transit, AES-256 bit encryption at rest of cloud recordings, transcriptions, and meeting notes, SOC@ Type II + BSI C5 certification, TRUSTe Verified Privacy, Rich Based Authentication and are GDPR, CCPA and HIPAA ready. For more information, please go to https://blog.gotomeeting.com/online-meeting-security-questions-answered/

I hereby consent the photographing, recording, reproduction of the likeness or activities of the participant for class use only.  I hereby release and hold harmless, Deaf Children’s Society of B.C., its officers and employees of any claims.  I will not use the recordings for any purposes other than my child’s learning and will not share the information in any electronic form including email, FaceBook or other social media platforms.  I hereby give permission for my child to participate in the DCS ASL online classes using GoToMeeting video conferencing system.

I have read and understand all of the above terms and conditions and, having enrolled my child in the DCS ASL class, agree to be bound by them.

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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