YMCA OF METROPOLITAN WASHINGTON (“YMCA”) PARTICIPANT WAIVER FORM
ACKNOWLEDGEMENT
I expressly acknowledge that there are certain dangers, risks, illnesses and personal injuries inherent in participating in the YMCA’s programs, events, classes, and/or other activities, which may result from unavoidable accidents or injuries, athletic activities, sports programs/classes, the use of any equipment, exercise, or other activities or from my or my minor child(ren)’s or ward(s)’ physical condition. I understand that the YMCA and its employees, agents, counselors, teachers, trainers, representatives, successors and assigns assume no responsibility for loss, damage, illness or injury to person or property that I or my minor child(ren) or ward(s), if applicable, may sustain as a result of my or their physical condition or resulting from my or their participation in any activities, programs, events, classes, the use or non-use of any equipment, exercise, horseback riding, archery, field trips, waterfront and pool activities, canoeing/boating, campfires, hiking, high ropes and other challenge courses, or any other activities, classes, events, or programs at and/or sponsored by the YMCA. I expressly acknowledge, on behalf of myself and my minor child(ren) and ward(s), heirs and executors, that I voluntarily assume the sole risk for any and all dangers, illnesses and personal injuries that may result from my or my minor child(ren)’s or ward(s)’ participation in any events/activities/programs/classes while at the YMCA and/or sponsored by the YMCA.
I also acknowledge that the YMCA often uses photographs, videotapes, television programs, motion pictures, tape recordings, or other similar media for promotional purposes. I hereby consent to the use of my and/or my minor child(ren)’s or ward(s)’ name(s) and/or likeness(es) in such materials to be exhibited and used for advertising, trade purposes, solicitation of patronage, promotional purposes, or other similar purposes, even if my and/or my minor child(ren)’s or ward(s)’ name(s) and/or likeness(es) are an integral part of such photograph, videotape, television program, motion picture, tape recording, or other similar media.
RELEASE
In consideration of the YMCA allowing me and/or my minor child(ren) or ward(s) to attend and/or participate in any programs, events, classes, or other activities at the YMCA and/or sponsored by the YMCA, I hereby, for myself, my minor child(ren) or ward(s), heirs, and executors, waive, release and forever discharge the YMCA and its employees, agents, counselors, teachers, trainers, representatives, successors and assigns, from and against any and all rights and claims for any loss, damage, illness or injuries to person or property sustained as a result of my attendance and/or participation in any such programs, events, classes, and other activities, whether or not such loss, damage or injury results from the negligence of the YMCA and its employees, agents, or representatives or from some other cause. My agreement to release the YMCA does not include any loss, damage or injury that results from the YMCA's gross negligence or willful, wanton, or reckless misconduct.
I further waive any and all rights to inspect or approve the photograph, videotape, television program, motion picture, tape recording or other use of my and/or my minor child(ren)’s or ward(s)’ name(s) and/or likeness(es), including any written article, script, caption or other writing that may accompany such use of my and/or my minor child(ren)’s or ward(s)’ name(s) and/or likeness(es). I hereby, for myself, my minor child(ren) or ward(s), heirs, and executors, waive, release and forever discharge the YMCA and its employees, agents, counselors, teachers, trainers, representatives, successors and assigns, from and against any and all liability, claims, losses, costs, expenses or damages for libel, slander, invasion of privacy, conversion, defamation, appropriation of likeness or any other claim based on the use of my and/or my minor child(ren)’s or ward(s)’ name(s) and/or likeness(es) in any such materials.
INDEMNIFICATION
I hereby represent and warrant to the YMCA that I have the authority to execute this Participant Waiver Form on behalf of myself and/or on behalf of my minor child(ren) or ward(s) as parent, guardian and/or next friend, if applicable. In the event of any misrepresentation or breach of the foregoing warranty by me, or in the event that I, my minor child(ren) or ward(s), or any other person nevertheless asserts any claim against the YMCA arising out of my or my minor child(ren)’s or ward(s)’ participation in any program, event, class or other activity as set forth herein, I agree to indemnify, hold harmless and defend the YMCA from and against any and all liability, claims, losses, costs, expenses or damages resulting therefrom, including, but not limited to, claims of loss, damage, illness or injury to person or property whether or not such loss, damage, illness or injury results from the negligence of the YMCA or from some other cause.
ACCEPTANCE
I expressly acknowledge and agree to the terms and conditions set forth on this Participant Waiver Form.
I Agree
YMCA DC YOUTH & GOVERNMENT
PARTICIPANT AUTHORIZATION FORM
STUDENT EXPECTATIONS (Code of Conduct)
All participants in the YMCA Youth & Government program should demonstrate the positive values of Caring, Honesty, Respect and Responsibility. The types of personal behavior that are consistent with our purpose and objectives of the Youth & Government Program are listed here. The items within this "code” are based upon performance and are designed to protect the welfare of the program for future generations. Registration in this program indicates personal acceptance of these expectations. A signed copy will be required from each participant as a part of the registration process.
ASSUMPTIONS:
A. Delegation Advisors are responsible for the conduct and welfare of their student club delegate at all local and citywide functions. It is the responsibility of the advisor to help students live up to these expectations.
B. Every adult associated with the program is expected to perform as a Caring Adult Role Model. As such, they should take every opportunity to mentor to all Y&G members regardless of their actual club affiliation.
C. Key to consequences for violating the code of conduct:
(DOS) Discretion of Staff
(LP) Lose position – become observer
(CP-SH) Call parents – send home
(CS) Call Hotel or D.C. Government Security
(SP) Summon Police
THE CODE:
1. Members are expected to remain on-site for all citywide functions unless the approval of their advisor AND the Director of the program is secured. Delegates who need to leave any citywide function early must give their advisor AND the Director of the Program a signed note from their parent or legal guardian. (CP-SH).
2. Members are expected to be faithful stewards of the facilities, supplies, and equipment that we encounter. This includes the property of fellow delegates and staff, schools, the D.C. Government, and hotel. (Many furnishings in the D.C. Government buildings are of great historic value). (CP-SH), (CS) and possibly (SP).
3. Members are expected to faithfully adhere to the rule prohibiting food and beverages in the Council Chambers, Committee or Caucus Rooms, offices, and other rooms. (LP).
4. Members’ health and safety are very important to the YMCA and therefore we ask you respectfully refrain from the use of incense, tobacco products, and the use of or possession of alcoholic beverages or non-prescription drugs. Possession or use of a firearm or other instrument that could be used as a weapon is forbidden at any Y&G function. (CP-SH) and possibly (CS), and (SP).
5. Male and female delegates may not visit each other’s hotel rooms, nor be on the same floor as the opposite gender. (CP-SH).
6. Members are expected to strictly observe the established curfew when participating in overnight events. This means delegates must be in and remain in their assigned rooms with the doors closed until the curfew ends. (DOS) and possibly (LP).
7. Members are expected to respect the sleep needs of others by eliminating all loud noises after scheduled curfew for overnight events. (CP-SH).
8. Visitors to Y&G programs are always welcome. However, they are expected to be pre-registered and are restricted from observing the program. (DOS) and possibly (LP).
9. At overnight events, members are expected to lodge in their assigned rooms unless switched with the approval of their advisor, and the Director is informed. (CP-SH).
10. Delegates are expected to attend ALL sessions of a program unless options are designated. (LP).
11. Members are expected to be identifiable by wearing their name badges at all times (including social activities) while attending Y&G events. (DOS) and possibly (LP).
12. Personal attire reflects upon personal attitude and the quality, purpose, and dignity of the entire Y&G Program. In the D.C. Government buildings, men are expected to wear a suit or sport coat with tie and trousers; women wear a dress, skirt and blouse, pants suit or dress pants with appropriate top. Shorts, jeans, and revealing attire are inappropriate in the D.C. Government. (DOS).
13. Members are expected to maintain the intellectual and productive level demanded by Y&G’s purpose and objectives. (DOS).
14. Members are expected to conduct themselves in an orderly and responsible manner, before, during and after all functions of the Y&G program. Personal behavior reflects upon the quality of the program, one's club, the YMCA, and oneself. (DOS).
15. All program participants are expected to accept and demonstrate the positive character values of caring, honesty, respect, and responsibility. (DOS)
To create and maintain a space that embodies our core values, the Y is serious about being clear regarding activities that are not allowed. If you violate this code of conduct, consequences can include termination of program privileges, being sent home (at the expense of the parent/guardian) and involving appropriate legal authority. The YMCA reserves the right to make situational decisions based on our policies, mission and values.
All student participants, along with their parent/guardian, must submit their digital signature agreeing to this code of conduct prior to participating in all virtual YMCA programming.
VIRTUAL ETIQUETTE GUIDELINES:
1. Appropriate Video Call Etiquette
a. When registering/signing-in for any video call or meeting, please use your First & Last Name (not a random username), as well as your Delegation in parentheses. Example: George Williams (YMCA). This helps us to ensure the privacy of our meetings.
b. Please find a quiet area and call-in at the scheduled time so you can be fully present. If you are able/willing to use the camera on your device, we encourage those participants to use their video function so we can see and hear you.
c. Please do your best to keep background noise or distractions to a minimum.
d. Please do not take your phone or computer to the bathroom.
e. Photos and videos of others without their expressed consent is prohibited.
2. Appropriate Attire
Appropriate attire must be worn at all times. Clothing with vulgar language, obscene gestures, racial slurs, or anything that contributes to a hostile environment or would be considered inappropriate in a YMCA facility or program is not allowed. Appropriate tops and bottoms should be worn.
3. Appropriate Language
Vulgar language, including swearing, name-calling or shouting/yelling at others is prohibited. When communicating in the chat box, please do not send links or information that is not aligned with our YMCA values.
4. Creating a Welcoming Environment
Respect others’ cultures and personal way of being. We strive to create a safe emotional and physical space. We encourage participants to honor diversity in all dimensions and respect opinions or perspectives. The YMCA stands up against all forms of bullying, discrimination and racism.
5. Appropriate Conduct
Any other conduct of an inappropriate, threatening or offensive nature will be investigated/evaluated by YMCA leadership. Teens that do not abide by this agreement may be prohibited from participating in future virtual events or in person activities.
6. Alcohol, Tobacco and Drugs
The use of alcohol, tobacco, and drugs (including e-cigs/ tobacco-like products) is not permitted in or outside of ALL virtual calls. Participants that show, obtain, see in the background, make references to or use during the virtual calls will be removed from meeting and removed from future virtual and in-person events. Law enforcement may be involved if necessary.
Report an Issue
If a member, participant or guest feels uncomfortable in confronting someone directly about offensive behavior or other issues that are in violation of this code of conduct, we ask that you please report the behavior or issue to support@ymcadc.org to be addressed by YMCA staff.
To create and maintain a space that embodies our core values, the Y is serious about being clear regarding activities that are not allowed. If you violate this code of conduct, consequences can include termination of program privileges, being sent home (at the expense of the parent/guardian) and involving appropriate legal authority. The YMCA reserves the right to make situational decisions based on our policies, mission and values.
All student participants, along with their parent/guardian, must submit their digital signature agreeing to this code of conduct prior to participating in all YMCA programming (in-person and virtual).
I Agree
I hereby authorize my child to participate in the YMCA DC Youth & Government. I understand that he/she will participate in a program and adhere to the aforementioned general and virtual guidelines while under the supervision of their Youth & Government club advisor.
If my child is an elected or appointed officer in this program they will need to attend training prior to the start of the event. I understand that staff and volunteers from the YMCA DC Youth & Government program will provide supervision that day.
Should my child require medical attention, I hereby authorize the YMCA DC Youth & Government program and/or their club advisor to secure qualified emergency medical care on the scene or at the nearest medical facility.
I Agree
The YMCA DC Youth & Government program utilizes photographic images, in a variety of communication mediums. Your permission is requested to allow for the potential use of this delegate’s image in various print and multi-media formats. Images may be used to promote and provide education about the Youth & Government program, for grant writing and other fund-raising activities, advertising, or for any other purpose consistent with the Mission of YMCA DC Youth & Government. At no time or under any circumstance will the student's personal information be used or disclosed without additional and specific permission from the parent or guardian.
I have read and fully understand the attached Code of Conduct. Should my child be sent home for violation of the code, I am to pay costs associated with the return travel. I understand that I will be notified if such action is required and given the opportunity to select the means of transportation.
I Agree
