The Arts, Sports, and Technology Resource Organization (herein ASTRO) and its leaders, directors, officers, employees, contractors, agents, volunteers, members, and representatives, are not responsible for any injury, loss or damage of any kind whatsoever sustained by any person or their property while participating in events, competitions, programs, activities or travel with ASTRO and all related activities associated with ASTRO, including any injury, loss, or damage. This Admissions Agreement does not constitute accpetance into the ASTROcurricular program. A Program Coordinator will notify you in writing if you have or have not been accepeted into the program.
Occasionally, we will take pictures and/or conduct video recordings during ASTRO programs and events. ASTRO uses the pictures and/or videos on our website and on our social network sites like Instagram, Facebook, and Snapchat, for promotional outreach and fund development capacities. We will never reference you or your child by name or provide specific information regarding you or your child. We also will never sell these pictures and videos; we will use them exclusively for ASTRO social networks and aforementioned purposes. By signing this form, you grant ASTRO permission to use photo and video recordings of you or your child in our promotional materials.
ASSUMPTION OF RISKS
IN CONSIDERATION OF ASTRO allowing me or my child to participate in events, classes, therapy groups, competitions, programs, activities or travel with ASTRO and all related activities associated with ASTRO, including participation in the ASTROCURRICULAR classes, therapy groups, programs, mentorships, volunteer opportunities, seminars, offerings, and all events inclusive, and all activities related to ASTRO, I acknowledge that I am aware of the possible Risk, Dangers, and Hazards associated with participation in activities including the possible risk of severe or fatal injury to myself, my child, or others.
RELEASE OF LIABILITY and AGREEMENT
1. TO ASSUME and ACCEPT ALL RISKS arising out of, associated with or related to my or my child’s participation in the activities.
2. TO WAIVE and RELEASE ASTRO from any and all liability for any loss, damage, injury, death, or expense that I or my child may suffer, or that my next of kin may suffer as a result of my child’s participation of the activities due to any cause whatsoever.
3. TO INDEMNIFY and HOLD HARMLESS ASTRO from any and all liability for any damage to the personal property of, or personal injury to, any third party resulting from my or my child’s participation in the activities.
4. TO INDEMNIFY and HOLD HARMLESS ASTRO from any and all claims, demands, actions, and costs for any loss, injury, damage or expense whatsoever that may arise out of my or my child’s participation in the activities.
Acknowledgement of Participant:
I, the undersigned Participant, understand that I am responsible to act in a safe and responsible fashion, to follow the instructions or directions of the persons in charge of ASTRO activities, and to obey requests and comply with the safety regulations as directed by the persons in charge (and outline in the ASTRO code of conduct document), including designated leaders and drivers of private or public transportation. I will be solely responsible for myself, will wear a seatbelt when available and will not disturb or distract the driver when using private or public transportation to travel to and from activities. At all sports events and other activities, I acknowledge that it is my responsibility to obtain and wear appropriate safety equipment. I will not endanger the safety of of myself or others at any activities, outings or sports events hosted by ASTRO or when using private or public transportation for travel to and from such activities. I also understand that I may be photographed or appear in video for such purposes as ASTRO deems necessary.
Acknowledgement of Parent/Guardian of Participant
I, the undersigned Parent or Guardian of the Participant, hereby authorize and consent to the Participant’s involvement in ASTROCURRICULAR classes, programs, therapy groups, seminars, offerings, and events inclusive, and all activities related to ASTRO, including any use of private or public transportation deemed necessary by the persons in charge of the event for Participant to travel to and from activities, or to the NEAREST SUITABLE MEDICAL or HOSPITAL FACILITY in the event that emergency or other medical treatment not available at the site of an activity is deemed advisable. I hereby consent to and authorize such emergency or other medical treatment of the Participant as may be deemed advisable in the event of accident, injury, illness, or death during the activities of ASTRO. I also understand that the participant may be photographed or appear in video for such purposes as ASTRO deems necessary.
COVID-19 Agreement for Children and Staff Attending In-person Programming
Types of service:
ASTROcurricular is an out-of-school-time (OST) program for youth with a focus on recreational and vocational development for improved well being. Programs are considered either Credit/Credential Bearing or Enrichment. Appropriate dress code required-no sleeveless shirts, no open toed shoes, no jewelry, no fingernail polish. Must have sneakers or non skid shoes. Can wear a hat or hair restraint otherwise hair nets are provided. By initialling, I agree that the participant applying for this program is available to attend all the dates listed for the program and meets all the necessary requirements to participate bothe defined in the Program Offerings section following.
In order to attend I and my child agree that:
These guidelines are signed herein by the student and parent or approved guardian if under the age of 18.
Services may be put on hold if the above guidelines are not followed or if the return of the pandemic results in a stay at home order from the State of Rhode Island.
ACKNOWLEDGEMENT and SIGNATURE
I UNDERSTAND THAT THIS IS A LEGAL AGREEMENT that is binding upon myself and my heirs, executors, administrators, successors, and/or assigns. I HAVE READ AND UNDERSTAND THE TERMS OF THIS AGREEMENT and I ACKNOWLEDGE THAT by signing this agreement voluntarily, I am agreeing to abide by its terms and I am waiving certain legal rights that I, or my child may have.
This Consent, Authorization and Acknowledgement shall be effective on May 18, 2021.