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Spy Hop Participation, Release, and Consent Form

Permission to Participate & Release

I, the undersigned participant/parent/guardian, hereby consent for myself, or child, to participate in the program or programs (the “Program”) offered by Spy Hop Productions, Inc., a Utah non-profit corporation (“Spy Hop”). I also agree to hold Spy Hop and its respective officers, directors, employees, agents, students, teachers, consultants, successors and assigns (the “Spy Hop Parties”) harmless against any liability, loss, or expense incurred or suffered in consequence of any action or actions, suit or suits, in law or equity, which may be brought by any person or persons in connection with, or with reference to, the administration, planning, preparation, development, conduct, and execution of the Program.

I Agree

 

Information, Records and Evaluation

I consent to Spy Hop collecting information in order to evaluate its Program, including interviews, observations, surveys, and other class activities and materials. I understand that I, or my child, will complete a confidential survey about his or her attitudes and opinions as part of this evaluation. I understand that the information obtained will be analyzed and that my name, or my child’s name, will be withheld for confidentiality purposes. I understand that this information will be part of a larger evaluation and only the evaluation team and program staff will have access to this confidential information.

I Agree

 

Medical Consent

I understand that there are some risks inherent in the activities that are included in the Program, but willingly assume these risks in order to allow myself, or my child to participate. If I cannot be reached in the event of an emergency, I give permission for any care or treatment by a physician, surgeon, hospital, nurse, physician’s assistant or medial care facility that may be required.

I Agree

 

Photograph/Videotape/Sound Recording Releases

I, the undersigned, hereby release the Spy Hop Parties from any and all claims, demands or causes of action that I, or my child may now have or may hereafter have for libel, defamation, invasion of privacy, right of publicity, infringement of copyright, or violation of any other right arising out of or relating to production and distribution of, or any failure or omission to use, any footage, portraits, still pictures and other photographic reproductions and sound recordings which my child creates, is involved in, or otherwise participates. I also fully understand that my, or my child’s work may be displayed in the community, submitted to festivals, and other public venues. I also understand and give consent for Program staff to photograph, videotape or make sound recordings of Program youth to advertise the Program or for other purposes. I give permission for Program staff to photograph, videotape or make sound recordings of myself, or my child for public display.

I Agree

 

Spy Hop COVID-19 In-Person Policies and Procedures

Spy Hop staff and students will adhere to the following COVID-19 policies:

  • Topical temperature check of all people (students & staff) entering the facility.
  • Students will be asked about current health status such as if they have experienced fevers, coughs or shortness of breath.
  • No person shall be allowed to enter the facility if they have signs of illness.
  • Documentation of all people (students & staff) entering the facility.
  • Clean face coverings worn by all people entering the facility, and at all times. Spy Hop can provide face coverings, as needed.
  • Social distance of 6 feet maintained by all people in the facility, where available.
  • Use of hand sanitizer and proper hand washing expected upon entering the facility, before and after restroom use, and before and after the use of equipment.
  • All equipment will be sanitized before and after use.
  • Spy Hop staff, students and parents/guardians will be notified immediately if a participant or staff member tests positive for COVID-19.

I Agree

 

Product Ownership 

Ownership of work produced by students as part of a Spy Hop program goes to the student producer. Much of the work created at Spy Hop will have many producers. In these cases, the ownership of the work will be attributed to all of the students involved.

I Agree

 

Spy Hop Equipment Use & Student Responsibility

All students taking any of the courses offered by Spy Hop Productions accept responsibility and acknowledge accountability for any damage, loss, or theft of any or all equipment used for production purposes. Students agree to take responsible care in the handling, transportation, and storage of all equipment in their care.  In the event of minor breakage, loss or theft, the student(s) responsible for restitution will be advised by a Spy Hop Production staff member as to the extent of damages. Students may not repair the equipment themselves (or have it repaired) without prior approval from the department in question. All payments and/or replacements must be settled in full before any additional use of equipment or facilities will be authorized to that individual. Students who have been authorized to have the items repaired or replaced must document that the repair or replacement has been undertaken by an approved vendor before any additional use of equipment or facilities by that student will be permitted. When the damage, loss or theft is severe the student will be responsible for restitution. Use of any equipment or facilities will be suspended until restitution or replacement of damaged goods is provided. Individuals are responsible for loss or damage due to negligence, including items left in vehicles (even if locked or hidden from sight) or other unattended locations.

In cases of loss, theft, or damage the student may be responsible for the FULL VALUE of the equipment. 

I Agree

 

Parent and Guardians Responsibility

Spy Hop Productions strongly encourages parents and guardians to participate with their children by taking an interest in their Spy Hop activities. 

 

Parent & Guardian’s Rights

Parents and guardians have a right to have any and all of their questions answered and their concerns addressed. If you ever have any questions or concerns you have the right to call Spy Hop Productions and ask to speak with your child’s teacher or the Programs Director. 

 

Notice of Non-Discrimination

Spy Hop Productions programs and services reflect the cultural diversity of our community. We do not discriminate on the basis of religion, race, color, gender, national origin, sexual orientation or disability.

 

First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First 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*

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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