Warrior Welcome Packet - Finalized Version Logo
  • Warrior Welcome Packet

  • Hello and welcome to the Opportunity Knocks family! 

    Opportunity Knocks (OK) is a 501c3 non-profit organization serving communities in the near west suburbs of Chicago since 2009. OK was founded by families and embraced by a community that recognized significant opportunities to develop more substantial and responsive programs, support and partnerships that would build a community where people with different abilities would be more present with interdependent connections.

    Our mission is to innovate and collaborate as a co-creator of programs, enterprise, and partnerships that contribute to developing a community where people with different abilities are fully included and able to live, work, learn, grow and pursue a life of their design. We believe that communities are at their best when they are fully inclusive of every body.


    In order for us to best serve your warrior we need to collect some information that will be shared with our program staff. Please fill out the following paperwork and submit all of the applicable contents of this packet to Opportunity Knocks prior to the scheduled intake appointment. 


    The New Participant Packet includes: 

    1. New Participant Intake Form (7 parts)
    2. Financial Aid Benefit Assessment 
    3. Injurious/Destructive Behavior Policy 
    4. Opportunity Knocks Meals
    5. Photo/Video Authorization & Consent 
    6. Waiver and Release of All Claims & Assumptions of Risk
    7. The Transportation Waiver
    8. COVID-19 Health Survey & Risk Assessment
    9. COVID-19 Waiver and Release

    At the intake appointment, we will tour our facility and review all information together with our program director(s). This will help us provide the best and safest experience for you and your warrior. Please note that a completed physical and medication waiver is required to be submitted to Opportunity Knocks within 30 days of the intake appointment. 


    Should you have any questions or concerns throughout any of this process or wish to provide additional information about your Warrior, please feel free to contact me via email at mike@opportunityknocksnow.org or by phone at 708.870.2376


    Thank you! 

    Mike Carmody Executive Director 

  • Participant Information Part 1.

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  • Participant Information Part 2.

    Emergency and Parent/Guardian Contact Information
  • Primary Parent/Guardian

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  • Secondary Parent/Guardian

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  • Participant Information Part 3.

    Health Emergency Information
  • Seizures

  • * If participant experiences seizures, please complete the Epilepsy Foundation Questionnaire in this packet. Please provide as many details as possible about your Warrior’s seizure habits and routines after the incident. That information will be used to develop your Warrior’s Seizure Action Plan with our staff during the intake interview. This sheet will be kept in your Warrior’s binder to inform our staff of your Warrior’s seizure habits and how to best work with him or her during programs.

  • Other

  • Participant Information Part 4.

    Food Allergies & Dietary Restriction


  • Participant Information Part 5

    Daily Living Skills
  • Check all that may apply for each area. Use the provided space to elaborate on or explain skills and needs.

  • Participant Information Part 6

    Behaviors
  • Our intention is to get as much information about your Warrior as possible so we can provide a rewarding and safe experience for them at Opportunity Knocks.

  • Questions

  • Participant Information Part 7

    Social Relations Questionnaire
  • Please review this questionnaire with your warrior. Ideally, these questions will be asked by a staff member and recorded in person at the intake appointment.

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  • Questions

  • OK PROGRAMS FINANCIAL POLICY & PROCEDURE OVERVIEW

    A SUMMARY OF OK'S FINANCIAL PHILOSOPHY, POLICIES, PROCEDURES, EXPECTATIONS & AGREEMENTS
  • PROGRAM & FINANCIAL PHILOSOPHY

    At Opportunity Knocks we have built our organization on the merits of our programming. Our brand of programming is dynamic, emphasizing quality, engagement, autonomy and accessibility. Additionally, we believe what makes us special is how we craft our programs and how we continuously evolve that craft with a collective approach that engages our amazing team, our amazing Warriors and our awesome community.

    To sustain these elements in our brand of programming, we rely on a diverse array of income. Program fees must account for a reliable share of that income, in addition to the traditional fundraising sources e.g. grants, private donations, event fundraising, etc. Within this funding strategy, we also remain committed to being accommodating to the point that we can when we are presented with requests for support related to financial hardship.

    Please read on, review and keep this form as reference for now and later when some of the details may seem distant. Within, you will find the following:

    • General Financial Agreement
    • Open Balance Assessment
    • Licensed Program Prep Survey
    • Terms of Service
    • Financial Assistance Overview & Application
  • FINANCIAL AGREEMENT

    A summary of payment methods, billing methodology, invoicing procedures and terms and details of service, agreements and expectations.
  • The following is a summary of the policies and procedures related to program fees. Included within is detail about payment methods, billing methodology, invoicing procedures, terms and details of service, agreements, expectations and hardship assistance.

    PAYMENT METHODS
    Opportunity Knocks utilizes various payment methods in the course of business. Below are some of the typical payment formats that we accept. We are also flexible and able to remain open to other arrangements to transfer funds in exchange for service.

    ELECTRONIC PAYMENTS
    If you wish to pay through either ACH or credit card, please open the invoice in your email and select the "Pay It Now" option. From there, you may select either ACH or credit card. All payments will be processed through Quickbooks utilizing their payment gateway. As one of the largest payment processors in the country, Quickbooks utilizes security systems that are on par with major financial institutions and are PCI-compliant.

    CHECK-MONEY ORDER-CASH PAYMENTS
    OK will also accept checks, money orders, or cash payments in a sealed envelope with the Warrior’s name on it. Envelopes can be mailed to the above address,
    Checks may be dropped off in person or sent by mail to our office:

    Opportunity Knocks

    ATTN: Mary Lio.

    8020 Madison St.

    River Forest, IL 60305

     

    INVOICING PROCEDURE

    Payments for each session must be settled in full before the session commences or through an agreed-upon installment plan, as outlined below. We will offer three options for installment plans: 

    1. Single Installment Plan - 1 Installment paid in full at the start of the session
    2. Two Installment Plan - 1 Installment paid in full at the start of the session, 1 installment paid at the half-way point of the session.
    3. Four Installment Plan - 1 Installment paid every two weeks during the duration of the 8-week session.

    An electronic invoice will be emailed to the provided contact email listed on the financial assessment form. Invoices will be sent 7 calendar days prior to the start of the session. Services will be invoiced based on the Warriors' registered days for that session. Any adjustment requests to an individual Warrior's schedule after the start of the session will be subject to various considerations, such as, staffing and space availability and must be requested directly to Program Coordinators and pursuant to the terms of services listed below.


    Payment for each session must be completed in full by the date specified in your financial agreement. Failure to settle the payment by the due date or by the last day of the session will result in the Warrior being unable to register for future sessions of OK programs until all past due balances are settled or an agreed upon payment schedule is established.

    OVERDUE PAYMENTS
    Please be sure to contact Mike Carmody immediately to communicate unexpected circumstances that may delay a received payment.  All delinquent payments will be subject to the OK Debt Collection Policy and any established payment agreements that may be reached between Opportunity Knocks and participant/family.


    Payments for each session will be due in full by the date listed on the session invoice.  If a payment is not received on the due date or by the last day of the session, the Warrior will not be able to register for the next session of OK programs. 

    OVERDUE PAYMENTS
    Please be sure to contact Mike Carmody immediately to communicate unexpected circumstances that may delay a received payment.  All delinquent payments will be subject to the OK Debt Collection Policy and any established payment agreements that may be reached between Opportunity Knocks and participant/family.

  • INVOICE PROCEDURE SURVEY PURPOSE

    Please note that the below questions will be used to affirm and/or update our records and install our new administrative procedures for enrollment, invoicing and collection communications.

    We regret any redundancies you may experience in the forms. We ask your patience as we work to improve our systems and efficiency. We will use the information colected below to help roll out the current session's invoices, as well as the future sessions in which you enroll. If choosing a multi-installment plan now that later needs to be adjusted, you can contact Mary Lio to update your payment plan.



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  • TERMS OF SERVICE & DETAILS

    PROGRAM COST OVERVIEW

    Lunch is included for program blocks that take place during the 9:00 AM- 2:30 PM time frame Rate is equivalent to $17 per hour and accounts for roughly 20% of total program operating costs. 

    We are currently not recognized as a day program by Illinois’ DHS Bureau of Accreditation, Licensure, and Certification, thus we can not bill directly for home-based or CILA funded participants. We are in the process of pursuing our state license for Community Day Services.  

    PROGRAM COST STRUCTURE SUMMARY

    The program cost structure breakdown that is listed below is based on an 8-week session. The OK Program platform offers blocks and full-day options on Tuesday thru Friday. Currently, there is no programming on Mondays.

    BLOCK & FULL-DAY COST BREAKDOWN

    • 1 Block (AM or PM) = 3 hours @ $17 per hour = $51 per block per day
    • 8-week cost @ $51 per session = $408
    • 1 full-day registration = 5.5 hours @ $102 per day
    • 8-week cost @ $102 per day = $816

    GENERAL DETAILS
    All families are asked to fill out a financial assessment as part of the intake process  to participate in OK Programs.  Opportunity Knocks uses a sliding scale to support families experiencing financial hardship. We do this to work toward our objective of keeping the program accessible and as inclusive as possible to provide services to as many as possible.

    PLANNED ABSENCES 
    OK program activities and staffing are based on the expectations of full attendance of all enrolled Warriors.  If a Warrior is absent without ample notice, the program team must still operate with full staffing.  Due to the nature of this model, all families will be expected to make payment even if the participant is to be absent within the expected alerting timeframe.  The exception to this rule will be made when families provide notice of absence within 10 business days of planned absences.


    In an attempt to offset the occurrence of extended absences and to account for family vacations and breaks, the OK Programs calendar has built scheduled weeks off when the program will be closed. If there is an extended period of time that may lead to a lengthy absence (vacation, sick leave, etc) we are open to discussing alternative options.  We appreciate your cooperation and understanding in this policy.

    CLOSURES & INCLEMENT WEATHER
    In instances where OK has made the decision to cancel programs due to inclement weather or other unforeseen circumstances, Opportunity Knocks will either prorate or add an additional day to the session.  This will be communicated to all families  in a timely manner.

    OK FINANCIAL AGREEMENT & EXPECTATIONS: 
    By signing this agreement you have reviewed this document and have agreed to the terms and conditions listed above. Once payment is submitted, your invoice will be marked online as “PAID”.


    THE AGREEMENT: Having read the above guidelines, and understanding my responsibilities, I sign this agreement and attest to my understanding and commitment therein.

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  • FINANCIAL ASSISTANCE OVERVIEW

  • Financial assistance is available for Warriors & Families that apply and qualify. The program fee structure is evolving as we grow and we understand that hardship and financial obligations can also come and go. It is our objective to overcome financial barriers so that this program and all OK programs are accessible. 

    We have always made our best effort to keep programs affordable. Prior to November of 2023, we had not raised program fees for more than 6 years. As our program grows and we dig in on our commitment to the importance of engagement for all Warriors experiencing the program, we realize the cost that comes with that commitment.

    Program fees must account for a reasonable percentage of that cost. Below is a summary of the current balance of expectation on program fees. We continue to work hard to fundraise for the rest of the costs. Program fees account for ~20% of the actual program costs.

    PROGRAM COST STRUCTURE

    The program cost structure breakdown that is listed below is based on an 8-week session. The OK Program platform offers blocks and full-day options on Tuesday thru Friday. Currently, there is no programming on Mondays.

    BLOCK & FULL-DAY COST BREAKDOWN

    • 1 Block (AM or PM) = 3 hours @ $17 per hour = $51 per block per day
    • 8-week cost @ $51 per session = $408
    • 1 full-day registration = 5.5 hours @ $102 per day
    • 8-week cost @ $102 per day = $816

    If you believe that program fees will create an overly burdensome financial hardship and you would like to explore your options to apply for this consideration, please initiate that conversation by contacting Mike Carmody at mike@opportunityknocksnow.org to learn more and initiate a Financial Assistance Application.

    Once the application is complete, you will be contacted to schedule a discussion about the prospective terms of a Financial Assistance Agreement. Terms of any agreement will be guided by the information disclosed in this application, the guidelines of the OK Financial Aid Policy and the financial aid capacity of the organization.



  • PUNS List Status


  • Warrior's Source(s) of Support

  • In order to ensure the quality of our services to Opportunity Knocks participants, we count on volunteer and financial support of those individuals and their families and friends, as much as possible. Please indicate below how you and/or your family and friends can become more involved with Opportunity Knocks.


  • Agreement
    "I affirm the above stated information is true and accurate. False information is grounds for possible program termination."

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  • Authorization for Exchange of Confidential Information

  • As parent/guardian of the student named below, please be informed that:
    1. You have the right to inspect and copy any or all school records pertaining to your child.
    2. You have the right to challenge the contents of such records.
    3. You have the right to limit this release to designated records or designated portions of information within the records.
    You have the right to refuse to allow information from the records to be given to anyone except:
    a. appropriate school personnel;
    b. Illinois State Board of Education personnel;
    c. in emergency situations when the information is necessary to protect the health or safety of your child or other persons.
    5. This release is valid for one year from the date of your signature.
    6. Information can be released only to those agencies/persons specified below, and no information can be released to third parties without your prior written consent.
    7. Information released may become part of your child’s temporary school record.

  • I,*   * , the parent or legal guardian of above-named child, hereby grant my permission to * (name of district, agency, or individual) to exchange confidential information concerning my child with * (name of district, agency, or individual). 
    I understand my permission covers the release permanent and temporary records, as well as the release of confidential records and reports.  

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  • Policies/Waivers

  • Program and Physical Activity Waiver

    My child, who is sometimes referred to herein as a “Warrior”, is hereby granted permission to participate in Opportunity Knocks, Inc. (hereinafter referred to as “Opportunity Knocks” or “OK”) programs of which many include physical activity. Although being more active is normally very safe for most people, there are inherent risks associated with fitness and physical activity. Opportunity Knocks requires the execution and delivery of this Physical Activity Waiver and that all Warriors receive a yearly physical with a signed physician’s approval for a Warrior to participate in program activities to also be provided to OK. Failure to submit Physical Activity Waivers and a signed physician’s approval will result in restricted program participation or make a Warrior ineligible for program registration and participation.

    There are known and unanticipated risks associated with cardio, strength training, and other forms of vigorous physical activity. Participation in fitness programs may include but are not limited to acute muscle and/or joint pain, pulled muscles, brief changes in blood pressure, feelings of lightheadedness, dizziness, delayed onset muscle soreness, broken bones, torn ligaments, or other injuries as a result of falls/contact with other participants, or even death. While safety precautions are put in place, the undersigned agrees, understands and acknowledges that such risks cannot be eliminated.

    Opportunity Knocks will adhere to the recommendations of the physician regarding the Warrior. Any changes to the Warrior’s health must be disclosed to Opportunity Knocks before the Warrior continues in current programs of OK or participates in additional OK programming. If at any time conditions become unsafe or a Warrior is unable to participate due to physical or medical conditions, the Warrior’s participation will be immediately discontinued. OK agrees to abide by and comply with applicable Health Insurance Portability and Accountability Act (HIPAA) requirements to which it is subject.

  • If a Warrior’s health changes in any way I will let Opportunity Knocks know immediately
    changes may include but are not limited to: medications, heart health, pain, common cold, physical injuries, etc…

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  • I have read, understand and agree to Opportunity Knocks’ rules and regulations and understand the risk of participating in physical activity based programs.

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  • I understand that my Warrior may not be eligible for program participation/registration if updated forms are not received on a yearly basis.

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  • I understand and agree that Opportunity Knocks is not liable for death or any injuries my child or I may receive while participating. I assume all risks for death or any injuries I or my child may sustain as a result of participating in program activities and hereby fully waive and release any and all claims I or my child may have against Opportunity Knocks for such injuries or death and shall indemnify and hold harmless Opportunity Knocks therefrom. I hereby authorize emergency medical treatment to my child or myself in the event of any accident. The undersigned acknowledge and agree that reasonable efforts will be made to notify the undersigned upon learning of an accident at the time of or prior to the rendering of emergency treatment to my child or to myself, if it is feasible to do so in the sole opinion of Opportunity Knocks, its officers, directors, volunteers and employees. In addition, the undersigned authorize Opportunity Knocks to release medical information regarding my child or myself to the extent that Opportunity Knocks determines, in its sole discretion, that such release is or may be helpful for the treatment of my child or myself.

    I AM AWARE OF, ACKNOWLEDGE AND AGREE THAT THIS WAIVER AND RELEASE IS LEGALLY BINDING AND SPECIFICALLY INTENDED BY ME TO BE LEGALLY BINDING UPON MYSELF AND MY CHILD AND THAT BOTH I AND MY CHILD ARE RELEASING THE LEGAL RIGHTS EXPRESSED ABOVE FOR MYSELF AND MY CHILD AND THE RESPECTIVE HEIRS OF MYSELF AND MY CHILD. WE ACKNOWLEDGE THAT WE HAVE HAD THE FULL OPPORTUNITY TO HAVE LEGAL COUNSEL OF OUR CHOICE REVIEW AND EXPLAIN THIS DOCUMENT FOR US AND THAT WE HAVE HAD LEGAL COUNSEL DO SO OR HAVE DECIDED TO NOT OBTAIN COUNSEL TO DO SO. WE HAVE FREELY AND VOLUNTARILY SIGNED AND DELIVERED THIS DOCUMENT WITH KNOWLEDGE AND INTENT TO WAIVE THE LEGAL RIGHTS EXPRESSED HEREIN.

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  • Injurious/Destructive Behaviors Policy

    Any behavior displayed by a participant of Opportunity Knocks, Inc. (“Opportunity Knocks”) that injures, threatens or leads to injury to oneself or others or theft of or damage to property is unacceptable and will not be tolerated. This Policy includes all persons participating in any program or activity involving Opportunity Knocks in any capacity, including but not limited to all of its programs, events, and any other activities provided by or participated in by Opportunity Knocks at any time or place.  Opportunity Knocks will follow the steps listed below when these types of behaviors occur or are otherwise displayed or demonstrated. Please note, that notwithstanding anything to the contrary contained herein, the Executive Director is authorized and entitled to impose immediate suspension, either for a limited period of time or permanently, in the case of gross misconduct. The determination of what constitutes gross misconduct may be determined by the Executive Director in his sole discretion. The causing of personal injury or material property damage are two examples of what the Executive Director may deem to be gross misconduct. 

    The steps set forth herein will cross over between all Opportunity Knocks programs and activities. For example, if a first time, unacceptable behavior is displayed in the After Opps program and a subsequent, unacceptable behavior takes place in the LifeShop program, the participant will go to the second step. After the first incident, the consequences which may follow it will be taken into account over a period of ninety (90) calendar days. If the behavior issue appears to be resolved after said 90 days’ period has expired, then the participant will be removed from the courses of action set forth hereinafter. Thereafter, an occurrence of unacceptable behavior will be treated as a first occurrence. Please note, that the word “I” in the following statements refers to the individual participant, who has engaged in or otherwise displayed any injurious/destructive behavior as referred to above. The term “Parents” includes both parents and guardians, as may be applicable in any participant’s particular circumstances.

    ACTION STEPS

    1. If I engage in, display or threaten to display a behavior that injures, threatens or otherwise leads to or causes injury to myself or others or that damages property or constitutes theft of property, then my parents will be notified and they will have to arrange for me to be picked up immediately from programs or other activities that day. The program staff will meet to discuss the incident and expectations for me when I return back to programs on the following program day. My parent/guardian will be required to support and help implement the plan developed by staff.


    2. If I thereafter continue to display any such unacceptable behaviors, I will have to leave the program or other activities on the day of the occurrence and will be suspended for the following program day. There will be a meeting with the Program Director, Executive Director, my parents, and myself to discuss and develop a plan of intervention and for moving forward, including but not limited to possible longer or permanent suspension. I will be unable to participate in any programs or other activities until there is a meeting with all interested parties with everyone entering into an agreement to cooperate with the plan developed at said meeting.


    3. The third time I display one of these unacceptable behaviors, I will have to leave the program or other activity on the day of the occurrence and I will be suspended from the program or other activities for the following two program days. Another meeting will be held with the Program Director, Executive Director, my parents, and myself to discuss and develop another plan of intervention and for moving forward, including but not limited to longer or permanent suspension. I will be unable to participate in any programs or other activities until there is a meeting with all interested parties with everyone entering into an agreement to cooperate with the plan developed at said meeting.


    4. The fourth time I display one of these unacceptable behaviors, I will be expelled from programs for 30 days, or for a longer period of time or even permanently as the Executive Director may, in his sole discretion, determine. A meeting, the date and time of which shall be determined by the Executive Director, will be held with the Program Director, Executive Director, my parents and myself to decide if and when I may be allowed to return to the program.

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  • Opportunity Knocks Meals

    Each program day, Opportunity Knocks (hereinafter referred to “Opportunity Knocks” or “OK”) serves healthy snacks (After Opps) and lunch (Life Shop) and Friday dinner (After Opps). To the best of our ability, meals will be served based on the United States Department of Agriculture healthy eating guidelines outline in MyPlate. Warriors that choose not to eat the provided snack/meal will not be provided alternative options (unless dietary restrictions apply) - families will be notified if a Warrior opts out of eating.

    Snacks and Beverages

    Healthy snacks are provided during program hours. We ask that families DO NOT send in outside food/drink, unless otherwise approved, in advance, by Opportunity Knocks. Water is the only beverage approved for program hours - it is available for Warriors during the entire program.

    Healthy Celebrations

    Birthday parties and holiday celebrations at Opportunity Knocks provide a unique opportunity to make healthy eating fun and exciting to students. The Opportunity Knocks’ policy limits the use of processed foods or foods high in sugar/fat for celebrations. Specifically, the policy sets the following standards:

    • Each Opportunity Knocks Program allows up to two celebrations without food restrictions (fundraising/appreciation events excluded). 
    • Program celebrations will focus on fun, not food.

    Popular celebration ideas include:

    • Creating a crown, badge, or sash for your Warrior to wear on his/her birthday
    • Celebrating special days with a festive dance party
    • Take a field trip to a local farmer’s market where Warriors can meet farmers and learn about local fruits and vegetables.

    Healthy Rewards

    • Food may not be withheld from any Warrior for any reason.
    • Food is not permitted to be used as a reward (incentives offered to Warriors in recognition of good behavior or performance).
  • Waiver and Release of All Claims & Assumption of Risk

    Mandatory Waiver & Release. Opportunity Knocks, Inc., an Illinois not for profit corporation (hereinafter referred to as “Opportunity Knocks”), is committed to conducting its education and recreation activities in a safe manner and holds the safety of participants in high regard. Opportunity Knocks continually strives to reduce risks and insists that all participants follow safety rules and instructions that are designed to protect the participants’ safety. However, participants and parents/guardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate.


    You are solely responsible for determining if you or your minor child/ward is physically fit and/or skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way, recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity.


    Warning of Risk. Recreational activities are intended to challenge and engage the physical, mental and emotional resources of the participant. Despite careful and proper preparation, instruction, medical advice, conditioning, and equipment, there is still a risk of serious injury when participating in any recreational activity. Understandably, not all hazards and dangers can be foreseen. Depending on the particular activities, participants must understand that certain risks, dangers, and injuries exist due to inclement weather, slipping, falling, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or defective equipment, inadequate supervision, instruction, or officiating, and all other circumstances inherent to indoor and outdoor recreation activities. In this regard, it must be recognized that it is impossible for Opportunity Knocks to guarantee anyone’s absolute safety.


    Waiver and Release of all Claims and Assumption of Risk. Please read this information carefully and be aware that, in signing up for and participating in Opportunity Knocks programs, you will be expressly assuming the complete risk and legal liability and waiving and releasing any and all claims for property damage, physical injuries, damages, losses, or expenses, which you or your child/ward might sustain as a result of participating in these programs (including transportation services/ vehicle operation when provided.) 


    I agree to and do hereby waive and relinquish both for myself and for my participant child or ward, whether a minor or adult, any and all claims, actions and causes of action which I may have, arising, directly or indirectly as a result of participating in these programs, against Opportunity Knocks and any and all other participating or cooperating governmental units, and all other persons and entities of whatever nature, including but not limited to officers, directors, and employees of Opportunity Knocks who might be directly or indirectly liable for any property damage, physical injuries, damages, losses, or expenses, that I or my participant child/ward may sustain while participating in these programs. (The parties described in the preceding sentence are hereinafter referred to as the “Released Parties”.)

    I do for myself and my participant child/ward hereby fully release and discharge Opportunity Knocks and the Released Parties from any and all claims for property damage, physical injuries, damages, losses and expenses which I or my participant child/ward may have or which may arise, directly or indirectly, from my participation in these programs or from the participation of my child/ward in these programs.

    I further agree to indemnify, hold harmless and defend Opportunity Knocks and any and all other Released Parties from any and all claims, action and causes of action, losses, damages, costs and expenses, including but not limited to reasonable attorneys fees resulting or arising from property damage or physical injuries, damages, losses and expenses sustained by anyone, and which arise out of or are connected with or in any way associated with my participation or conduct or my child/ward’s participation or conduct in the activities of any of the programs of Opportunity Knocks.

    I understand that precautions are taken to protect the safety of each participant. In the event of an emergency, I authorize Opportunity Knocks’ employees to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for me or my child/ward’s immediate care. I further understand that payment for medical attention and/or hospitalization will be the sole responsibility of the individual in question and/or their parent or guardian.

    Revocation. All of the foregoing shall remain in full force and effect and shall be binding upon the parties hereto and their respective successors and assigns until revoked in writing signed by all the parties, who have signed this document and until delivered to Opportunity Knocks. Any such revocation shall not have any retroactive application or effect.

    I understand the nature of these programs for which I am or may hereafter be registering, and have read and fully understand this Waiver, Consent, Release, Indemnity and Hold Harmless Agreement; and represent to Opportunity Knocks that I have full, legal power and authority to execute and deliver this document on behalf of myself and my child/ward.

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  • Bus/Transportation Waiver and Release

    In consideration of Opportunity Knocks, Inc., its officers, directors, volunteers, and employees (hereinafter“Opportunity Knocks”) allowing (“Participant”) to participate in Opportunity Knocks’ programs, events, and outings and to utilize the transportation provided to or from same, it is hereby agreed on behalf of Participant, as well as the undersigned parent, guardian, or responsible party (hereinafter jointly and severally referred to as the “Parent”), that:

    Parent and Participant acknowledge and understand that Opportunity Knocks is not in the business of providing busing/transportation and that any accident, injury, and/or damage arising out of or relating to any busing/transportation provided to Parent or Participant in relation to the programs, events, and outings of Opportunity Knocks shall be the sole and exclusive liability and responsibility of Participant, Parent, and any third party transportation providers, even though the arrangements, therefore, may have been made by Opportunity Knocks. Any legal recourse and/or remedy against Opportunity Knocks and its officers, directors, volunteers, and employees is hereby waived.

    In consideration of being permitted to participate in busing/transportation to and from Opportunity Knocks’ programs, outings, and events, PARTICIPANT AND PARENT AGREE TO FOREVER DISCHARGE AND RELEASE FROM ANY LEGAL LIABILITY AND TO NOT SUE OPPORTUNITY KNOCKS for any injuries, death, or property damage caused by or directly or indirectly arising from such busing/transportation or resulting from any access to Opportunity Knocks’ premises. This includes BUT IS NOT LIMITED TO INJURIES, DEATH, OR PROPERTY DAMAGE ARISING OUT OF OPPORTUNITY KNOCKS’ ALLEGED NEGLIGENCE.

    Parent and Participant agree to hold harmless Opportunity Knocks, its officers, directors, volunteers, and employees harmless of and from any and all liability of whatsoever nature and from all injuries or sickness to Parent or Participant or damages which may be suffered by Participant or Parent during Ms or her transportation to or from Opportunity Knocks or any of its programs, events, and outings and from any act of omission of Opportunity Knocks, its officers, directors, volunteers, and employees. Further, Parent and Participant indemnify Opportunity Knocks, its officers, directors, volunteers, and employees from any claims that may arise or be related to any such transportation. TMs includes but is not limited to all claims for compensation, bodily injury, property damage, costs and expenses, whether or not arising out of any alleged negligence of Opportunity Knocks or its officers, directors, volunteers, and employees.

    Parent and Participant agree to and shall for themselves and their respective heirs, assigns, and representatives INDEMNIFY OPPORTUNITY KNOCKS, ITS OFFICERS, DIRECTORS, VOLUNTEERS, AND EMPLOYEES FROM ANY AND ALL LOSSES, CLAIMS, ACTIONS, CAUSES OF ACTION, OR PROCEEDINGS OF ANY KIND WHICH MAY BE INITIATED BY PARENT, PARTICIPANT, OR ANY OTHER PERSON OR ORGANIZATION FOR ITSELF OR ON PARENT OR PARTICIPANT’S BEHALF, INCLUDING NOT TO LIMITED TO DEMANDS FOR DAMAGES, JUDGMENTS, COSTS, LOSS OF SERVICES OR EXPENSES AND ATTORNEY’S FEES ARISING FROM ANY OF THE ABOVE REFERENCED BUSING/TRANSPORTATION ACTIVES.

    Parent and Participant authorize emergency medical treatment to Participant or Parent in the event of any accident. Parent and Participant acknowledge and understand that every reasonable effort to notify Parent and Participant shall be taken upon learning of an accident and/or prior to rendering emergency treatment, if feasible in the sole opinion of Opportunity Knocks, its officers, directors, volunteers, and employees. In addition, Parent and Participant

    authorize Opportunity Knocks to release medical information to the extent that Opportunity Knocks determines, in Its sole discretion, that same may be helpful for Participant’s or Parent’s treatment.

    PARENT AND PARTICIPANT ARE AWARE OF, ACKNOWLEDGE, AND AGREE THAT THIS WAIVER. RELEASE. AND INDEMNITY AGREEMENT IS LEGALLY BINDING UPON PARENT AND PARTICIPANT AND THAT PARENT AND PARTICIPANT ARE RELEASING THE LEGAL RIGHTS EXPRESSED HEREINABOVE FOR PARENT, PARTICIPANT, AND THEIR RESPECTIVE HEIRS BY EXECUTING AND DELIVERING SAME.

    PARENT AND PARTICIPANT FURTHER EXPRESSLY ACKNOWLEDGE AND AGREE THAT THIS AGREEMENT IS INTENDED TO BE AS BROAD AND INCLUSIVE AS MAY BE PERMITTED BY LAW AND THAT IF ANY PORTION THEREOF IS HELD TO BE INVALID, THEN THE BALANCE OF SAME SHALL CONTINUE IN FULL LEGAL FORCE AND EFFECT.

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  • Individual COVID-19 Risk Analysis Health Survey

    According to the CDC, people of any age with certain underlying medical conditions are at increased risk for severe illness from COVID-19. Below check each box that applies to the paricipant. Learn more about underlying conditions as well as actions to take based off each medical condition and risk factor. Learn More

  • OK COVID-19 Program Participation Waiver

    In consideration of the particpant being allowed to participate in OPPORTUNITY KNOCKS, INC. ( hereinafter “OPPORTUNITY KNOCKS”) programs or activities, the undersigned, for himself, herself and for his or her minor or adult children/wards and the PARTICIPANT, hereby AGREES TO AND DOES FOREVER DISCHARGE AND RELEASE OPPORTUNITY KNOCKS, ITS OFFICERS, DIRECTORS, EMPLOYEES,AND VOLUNTEERS FROM ANY AND ALL LEGAL LIABILITY AND TO NOT SUE OPPORTUNITY KNOCKS AND ITS OFFICERS, DIRECTORS, EMPLOYEES,AND VOLUNTEERS FOR ANY CONTRACTED SICKNESS OR ILLNESS, WHETHER COVID, COVID RELATED OR ANY OTHER ILLNESS, WHICH MAY BE OR HAS BEEN CAUSED BY OR DIRECTLY OR INDIRECTLY ARISING FROM THE PARTICIPATION BY PARTICIPANT OR PARTICIPANT’S MINOR OR ADULT CHILDREN/WARDS IN ANY OPPORTUNITY KNOCKS PROGRAM OR ACTIVITY, WHETHER HELD INDOORS OR OUTDOORS. THIS INCLUDES BUT IS NOT LIMITED TO COVID, COVID RELATED, OR OTHER ILLNESS ANY KIND OR NATURE, ARISING FROM ANY NEGLIGENCE BY OPPORTUNITY KNOCKS, ITS OFFICERS, DIRECTORS, EMPLOYEES, AND VOLUNTEERS.
    FURTHER, THE UNDERSIGNED HEREBY AGREES TO HOLD HARMLESS OPPORTUNITY KNOCKS, ITS OFFICERS, DIRECTORS, EMPLOYEES, VOLUNTEERS OF AND FROM ANY AND ALL LIABILITY OF ANY NATURE WHATSOEVER AND FROM ALL DEATH, ILLNESSES OR SICKNESS, COVID OR OTHERWISE TO PARTICIPANT AND PARTICIPANT’S MINOR OR ADULT CHILDREN/WARDS OR DAMAGES WHICH MAY BE SUFFERED BY PARTICIPANT OR PARTICIPANT’S MINOR OR ADULT CHILDREN/ WARDS DURING THEIR PARTICIPATION IN ANY OK PROGRAM OR ACTIVITY AND FROM ANY ACT OR FAILURE TO ACT OF OPPORTUNITY KNOCKS, ITS OFFICERS, DIRECTORS, EMPLOYEES, VOLUNTEERS. FURTHER, THE UNDERSIGNED HEREBY INDEMNIFIES OPPORTUNITY KNOCKS, ITS OFFICERS, DIRECTORS, EMPLOYEES, VOLUNTEERS FROM ANY CLAIMS THAT MAY ARISE FROM OR BE RELATED TO THE PARTICIPATION BY PARTICIPANT AND PARTICIPANT’S MINOR OR ADULT CHILDREN/WARDS IN ANY OPPORTUNITY KNOCKS PROGRAM OR ACTIVITY. THIS INCLUDES BUT IS NOT LIMITED TO ALL CLAIMS FOR COMPENSATION, ILLNESS, MEDICAL CARE, BODILY INJURY, DEATH, PROPERTY DAMAGE, COSTS, EXPENSES, AND ATTORNEY’S FEES, WHETHER OR NOT ARISING OUT OF THE NEGLIGENCE OF OPPORTUNITY KNOCKS, ITS OFFICERS, DIRECTORS, AND VOLUNTEERS.

    THE UNDERSIGNED AGREES TO AND SHALL FOR PARTICIPANT, PARTICIPANT’S MINOR OR ADULT CHILDREN/ WARDS, AND ALL OF THEIR RESPECTIVE HEIRS, ASSIGNS, AND REPRESENTATIVES INDEMNIFY OPPORTUNITY KNOCKS, ITS OFFICERS, DIRECTORS, EMPLOYEES, VOLUNTEERS FROM ANY AND ALL LOSSES, CLAIMS, ACTIONS, CAUSES OF ACTION, OR PROCEEDINGS OF ANY KIND WHICH MAY BE INITIATED BY OR FOR PARTICIPANT, PARTICIPANT’S MINOR CHILDREN/ WARDS, OR ANY OTHER PERSON OR ORGANIZATION FOR ITSELF OR ON BEHALF OF PARTICIPANT OR PARTICIPANT’S MINOR OR ADULT CHILDREN/WARDS, INCLUDING BUT NOT LIMITED TO DEMANDS FOR DAMAGES, JUDGEMENTS, COSTS, EXPENSES, LOSS OF SERVICES OR PROFITS AND ATTORNEY’S FEES FROM ANY PARTICIPATION IN, ACTIVITIES RELATED TO OR OCCURRENCES RELATED TO PARTICIPANT’S PARTICIPATION IN ANY OPPORTUNITY KNOCKS PROGRAM OR ACTIVITY.

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