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DTD Statement of Professionalism
I hereby affirm the following value statements:
I affirm that there exists a distinct and definite line between those under 18 and/or currently enrolled in school (herein “students”) and those over 18 and/or graduated from high school (herein “adults”) and that maintaining healthy boundaries and distance between the same is important in safeguarding all parties.
I affirm that there is absolutely NO reason for an adult to befriend, fraternize with, nor engage in any kind of emotionally/physically reciprocal relationship to any student with whom they could not have attended high school OR whom they met as an adult in a professional capacity.
I affirm that watchful adults are the best safeguard for their peers and that it is the duty of an adult witnessing any potentially unsafe condition, interaction, etc. that puts a student in danger to speak up to address the situation and/or elevate their concerns to an appropriate party. Furthermore, I affirm that problematic behaviors from other adults left unaddressed emboldens and/or tacitly lends safe harbor to future problematic behaviors.
I affirm that there is absolutely NO reason for an adult to have friendly/casual/familiar/non-professional one-on-one communication with a student.
I affirm that setting healthy boundaries between student and adults involves taking steps including, but not limited to, screening personal social media for the presence of students, monitoring my language and behavior when in contact with students, never transporting a student in a personal vehicle, monitoring my own mental/emotional health, etc.
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First
Participant's
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First Name
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Last Name
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Phone
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First
Participant's
Date of Birth
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Date of Birth
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First
Participant's
Signature
*
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Parent or Guardian's
Email Address
Email
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I do hereby understand and agree to all the terms and conditions listed in Sections I, II and III of this document.
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
Date of Birth
*
Date of Birth
- Month -
1 - January
2 - February
3 - March
4 - April
5 - May
6 - June
7 - July
8 - August
9 - September
10 - October
11 - November
12 - December
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- Year -
2025
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Parent or Guardian's
Signature
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Electronic Signature Consent
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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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