MIGIZI Enrollment and Permission

MIGIZI uses this form for basic contact and demographic information. We also request that the parent/guardian completes our field trip and talent release form and a Release of Information form specific to your school district or education/employment status form if you are no longer in high school. These three items are required for enrollment.

I/We the undersigned Parent(s)/Guardian(s) of {studentName} grant permission for MIGIZI Communications, Inc. to transport my student to MIGIZI school and other sites as needed to complete field trips, work assignments, etc.

Field trips typically take place during regular business hours and will be fully supervised by MIGIZI staff. This permission slip is for field trips of students enrolled in programming, you will be contacted directly if there are any special activities taking place in evening hours, on weekends or requiring over night stays.

I/We the undersigned Parent(s)/Guardian(s) of {studentName} grant permission for our child to attend field trip activities with MIGIZI Staff. I/We the undersigned Parents(s)/Guardians(s) understand the adult leaders(s) will attempt to enforce reasonable safety precautions. However, I will not hold MIGIZI Communications, Inc. or any staff member connected with MIGIZI Communications, Inc. responsible in case of accident or injury to the above child. I understand that MIGIZI Communications, Inc. may not provide medical insurance coverage and that any or all medical expenses incurred by this child may be the sole responsibility of (I)(We) the undersigned Parent(s)/ Guardian(s). (I)(We) the undersigned Parent(s)/Guardians(s), also authorize MIGIZI Staff to act as agent(s) of the undersigned, to consent to any professional transportation (i.e. ambulance), X-ray examination, anesthetic, medical/surgical diagnosis or treatment and hospital care which is deemed advisable by, and to be rendered from a licensed Physician or Surgeon. This authorization will remain effective for the duration listed above or till the child is returned to (I)(We) the undersigned Parent(s)/Guardians(s).

I grant permission to MIGIZI Communications Inc. their successors and assignees to use my child's image and/or photographic likeness, comments, projects, or writings completed as part of MIGIZI programs in connection with any reproduction in print or digital form or for subsidiary (business) purposes.

I as a parent/guardian, on behalf of my child, acknowledge that that I am aware of the possible risks of exposure to COVID-19, and acknowledge that even though MIGIZI staff are taking all recommended precautions to protect my child against exposure to COVID-10, there are no precautions that can guarantee that any participant will not be exposed to COVID-19. On behalf of my child, I agree to assume the risk that my child may be exposed to COVID-19 because of my child's participation in any MIGIZI programming, event, or space. As a parent/guardian, I acknowledge that MIGIZI does not provide medical, health, or hospitalization insurance or aid for participants. I also acknowledge and agree by my signature that I, on behalf of my child, shall not hold MIGIZI staff, MIGIZI partners, and any participants for any injuries related to COVID-19, by in child in MIGIZI's programming and/or events and will not seek damages in any legal avenue.