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Consent and Release for AiC Community participation in the Capital One Coders Program. 

NCWIT Aspirations in Computing

Capital one Coders Program

Consent and Release

The National Center for Women & Information Technology a Colorado Nonprofit Corporation with offices located at 1909 26th Street, Boulder, CO 80302 ("NCWIT") desires to use the name, likeness, personal characteristics, and private information of the individual named below ("Participant") within the scope of Participant’s participation in the Capital One Coders Program (the “Program”) for advertising, promotion, research, and other commercial purposes. NCWIT takes the privacy of Participants very seriously. All Authorized Uses, as defined herein, will conform with NCWIT’s Privacy Policy found at www.ncwit.org/privacy.

In exchange for the intangible value Participant will gain by participating in the Program and other good and valuable consideration, Participant hereby gives NCWIT permission for the uses (“Authorized Uses”) set forth in this Consent and Release ("Agreement").

Mandatory Consent to Authorized Uses

NCWIT requires all Participants and, if such Participant is under 18 years old, their guardians to agree to the following provisions (the “Mandatory Provisions”) prior to enrollment in the Program.

Consent for NCWIT to Provide Participant Information to Program Partner:

Participant acknowledges that the Program is not hosted by NCWIT and is hosted by an independent entity (the “Program Partner”). Participant hereby irrevocably grants NCWIT the permission and right to share any information that Participant discloses to Program Partner in the scope of the Program with NCWIT. NCWIT shall only use such information for purposes consistent with the spirit and intent of the Program.

Consent for NCWIT to Contact Participant:

Participant grants NCWIT the permission and right to contact Participant using contact information provided either directly to NCWIT or to NCWIT through the Program Partner. NCWIT shall only contact Participant for purposes consistent with the spirit and intent of the Program.

Release from Liability

Liability Release:

Participant HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE NCWIT, its directors, officers, agents, employees, successors and assigns (collectively, the "Releasees") FROM ALL LIABILITY TO Participant, Participant’s personal representatives, assigns, heirs, and guardians FOR ALL LOSSES OR DAMAGES AND ALL CLAIMS OR DEMANDS THEREFOR ON ACCOUNT OF INJURY TO PROPERTY OR PERSON, INCLUDING DEATH, ARISING OUT OF OR RELATED TO PARTICIPANT’S PARTICIPATION IN THE PROGRAM, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

I HAVE CAREFULLY READ THE MANDATORY CONSENT TO AUTHORIZED USE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*
Check to receive information, news, and discounts by e-mail.
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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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