Delta Sigma Theta Sorority, Incorporated, Quaker City Alumnae Chapter offers activities and a curriculum that promotes dialogue, introspection and maturity, which will result in positive growth among the participants.

Catching the Dreams of Tomorrow, Preparing Young Women for the 21st Century: The Dr. Betty Delta Academy youth program was created out of an urgent sense that bold action was needed to save our young females (ages 11-14) from the perils of academic failure, low self-esteem, and crippled futures. Dr. Betty Shabazz Delta Academy provides an opportunity for local chapters to enrich and enhance the education that our young teens receive in public schools across the nation. Specifically, we augment their scholarship in math, science, and technology, their opportunities to provide service in the form of leadership through service learning defined as the cultivation and maintenance of relationships. A primary goal of the program is to prepare young girls for full participation as leaders in the 21st Century.

IMPORTANT DATES

Application Deadline November 13, 2021

MANDATORY Parent Meeting-Monday, October 25, 2021 @ 7:00pm

All regularly scheduled meetings are (parents will be notified in advance of any changes):

Time: 11am -12pm - via zoom unless otherwise specified. 

Days: 3^rd Saturdays of the month, October 2021– May 2022

Meeting Address (unless otherwise noted)

Virtual Meetings Via Zoom

Behavior Policy

Participants must comply with the rules and regulations established by Delta Sigma Theta Sorority, Inc., Quaker City Alumnae Chapter, and the Dr. Betty Shabazz Delta Academy program. 

Attire

Virtual Session:
All participants are asked to be appropriately dressed while on camera. NO PAJAMAS, Tank tops or revealing shirts. The expectation is for all participants to have cameras on UNLESS communicated to the chair or co-chair prior to session. 

Cost:

The Cost Of This Program Is Free.

For  More Information Contact:
Dr. Betty Shabazz Delta Academy
deltaacademydstquakercity@gmail.com
Chair: Malene Green, 610-659-8722
Co-Chair:  Calische Gully, 267-515-3401
President : Shawn Anthony,  quakercitypresident@gmail.com

Student's Personal Information

Student Standards of Conduct 

I agree by signing this form that I will comply with the established Dr. Betty Shabazz Delta Academy rules and instructions for student behavior.  I also agree that Quaker City Alumnae Chapter has the right to enforce appropriate Standards of Conduct and that, at any time during our programming, Quaker City Alumnae Chapter has the right to terminate my child’s participation for failure to abide by the Standards of Conduct, or for any actions which the Coordinators deem incompatible with the interest, harmony, comfort and welfare of other participants.  

Student’s Printed Name:   First Name   Last Name   Student’s Signature:   Signature   Date Signed:   Date   

            

Parental/Legal Guardian Release

I give permission for my child to be a part of the Delta Sigma Theta Sorority Inc., Quaker City Alumnae Chapter’s Dr. Betty Shabazz Delta Academy.  I agree by signing this form that my child will comply with the established Dr. Betty Shabazz Delta Academy rules and instructions for student behavior.  I also agree that Quaker City Alumnae Chapter has the right to enforce appropriate Standards of Conduct and that, at any time during our programming, Quaker City Alumnae Chapter has the right to terminate my child’s participation for failure to abide by the Standards of Conduct, or for any actions which the Coordinators deem incompatible with the interest, harmony, comfort and welfare of other participants.  

I hereby release Delta Sigma Theta Sorority, Inc., Quaker City Alumnae Chapter, and its agents or assigns from any and all liability relating to any physical injury which may occur as a result of my child’s direct or indirect participation in activities conducted under the supervision and direction of Delta Sigma Theta Sorority, Incorporated and Quaker City Alumnae Chapter.

In the event reasonable attempts to reach me are unsuccessful, I hereby give my consent for medical or dental treatment deemed necessary to be administered to my child.  I agree to release Delta Sigma Theta Sorority, Incorporated and Quaker City Alumnae Chapter from any and all liability associated with the care and treatment of my child.

I understand all the rules and regulations of the program, and agree to abide by them. I promise to be an active participant/supporter of my child in this enrichment program.

Parent/Guardian Printed Name:   First Name   Last Name   Parent/Guardian Signature:   Signature   Date Signed:   Date   

Photo/Video Release Form

In consideration of my participation and my child’s participation in The Dr. Betty Shabazz Delta Academy program, I hereby grant Quaker City Alumnae Chapter (“QCA”), the absolute and irrevocable right and permission with respect to the photographs and videos taken of my child or taken of me, in which we may be included with others:

a) To copyright the same in the name of QCA or any other name that it may select;

b) To use, re-use, publish and re-publish the same in whole or in part, separately or in conjunction with other photographs/videos, in any medium now or hereafter known, and for any purpose whatsoever, including but not limited to, illustration, promotion, advertising and trade, without inspection or notification and;

c) To use our names in connection therewith if it so decides.

I hereby release, discharge and agree to hold harmless QCA and those acting with its authority and permission, from all and any claims and demands ensuing from or in connection with the use of the photographs/videos, including without limitation any claims for libel and invasion of privacy.

This authorization and release shall inure to the benefit of the legal representatives, licensees and assigns of QCA as well as the person(s) for whom it took the photographs/videos.

Parent/Guardian Printed Name:   First Name   Last Name   Parent/Guardian Signature:   Signature   Date Signed:   Date   

 The Youth Participant Virtual Meeting and Publicity Code of Conduct serves as codified guidance for youth participation in Delta’s Youth Initiative Programs, namely those of a virtual nature. It is recommended that the Youth Participant Code of Conduct be disseminated in all application materials, Zoom meeting invitations, and reviewed at the START of all Virtual Youth Initiative programs. Youth Participants MUST read and sign the Youth Participant Virtual Meeting/Event Participation Agreement in Appendix A (which includes the Code of Conduct – Schedule 1 and Media Release – Schedule 2). Their signatures ensure their complete understanding and compliance with this Code of Conduct. Failure to comply with this Code of Conduct may result in loss of privileges and/or removal from Delta’s Virtual Youth Initiative Programs. As a youth participant in Delta’s Virtual Youth Initiative Programs you are expected to: 

• Refrain from use of any profane, foul, hurtful, obscene or otherwise vulgar language in any virtual chatroom and during the virtual meetings and events; 
• Refrain from engaging in any violence, cyber-bullying5 , or other aggressive behaviors that may threaten the welfare of other participants; 
• Refrain from any disruptive behavior that may disrupt the virtual meetings and events; 
• Be properly groomed and dressed for all virtual youth initiative meetings and events, refrain from wearing articles of clothing that displays profane or obscene language and/or images; 
• Keep your camera on at all times during all virtual youth initiative meetings and events; As means to ensure a safe and secure environment for all participants, you are required to keep your camera on during the course of any programming. If you do not have access to a camera and/or experience technical issues with your camera, please inform the organizer/presenter as soon as issue arises in order to continue participation in the program. 
• Provide a noise-free environment while participating in any and all virtual youth initiative meetings and events; 
• Refrain from taking, presenting, and posting any photographs, screen shots, video recordings, and/or screen recordings of any virtual youth initiative meetings or any confidential information disseminated during any virtual youth initiative meetings; 
• Refrain from taking, presenting, and posting any and all inappropriate content including photographs, screen shots, video recordings, and/or screen recordings of any other youth participants of Delta’s youth initiative programs; 
• Contact the leader of your youth initiative program if you have any questions or need clarification regarding the Code of conduct. 

SANCTIONS FOR VIOLATING CODE OF CONDUCT

1. Bad Language/Abusive Teasing and Related Acts: 

• 1st Time: Verbal warning, parent or guardian notified from this point forward
• 2nd Time: Loss of privileges 
• 3rd Time: 1-week suspension from program 
• Next occurrence youth is removed from the program. 

2. Physical Violence and Other Misconduct: • 1st Time: Removal from situation, loss of privileges, guardian notified from this point forward • Next occurrence youth is removed from the program. 

3. Illegal Substances or Dangerous Weapons – 1st Time: Youth is removed from the program. If a youth is in possession of an illegal substance or dangerous weapon, the police will be notified as well.

Cyber-bullying is defined in Delta’s Technology Guidelines as identified in Footnote

I/We,   First Name   Last Name   (“Parent/Guardian”), as parent(s) or legal guardian(s) of   First Name   Last Name  , give permission for Delta Sigma Theta Sorority, Inc. (“the Sorority”) and the Quaker City Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated (the “Chapter”, together with the Sorority, “Delta”) to host and facilitate closed virtual meetings/events using Zoom (“the Virtual Meeting Platform”), that my/our child will attend during participation in      Youth Initiative Program activities, without payment or any consideration and without notifying me in advance and hereby acknowledge, understand, and agree to the terms enumerated below, including the terms set forth on any Schedules attached hereto and incorporated by reference (the "Participation Agreement"). I/We also understand that the Virtual Meeting Platform may collect information about its users and has its own privacy terms and conditions to which users must adhere. I/We will be responsible for reviewing the virtual meeting platform’s privacy terms and conditions before registering for virtual meetings/events. I/We also understand that my/our child will need the following to participate in a virtual meeting platform. • A computer, mobile, or tablet device with access to the Internet • A quiet space in which participants can participate in the virtual meeting/event under the supervision of an adult • Registration for the virtual meeting/event platform and provide some customer data (including but not limited to an email address, first and last name, etc.) I/We also understand, acknowledge and agree to indemnify, defend, protect and hold harmless the Chapter and any of its officers and members; and the Sorority and any of its officers; National Executive Board; employees; members; representatives; agents; and assigns from and against any and all liability, whether in law or in equity, should there a breach of security of the Virtual Meeting Platform and any subsequent injury, malice, or harm that might occur as a result, and waive and release any and all rights with respect to the same. I/We hereby hold harmless and release and forever discharge the Chapter and any of its officers and members; and the Sorority; its officers; National Executive Board, employees; members; representatives; agents; and assigns from any and all claims, costs, suits, actions, judgments, and expenses which my child, his/her heirs, representatives, executors, administrators, or any other persons acting on his/her behalf have or may have by reason of the use of the Virtual Meeting Platform as a venue for meetings or events. This release specifically includes, without limitation, a complete release and discharge of any liability by virtue of any editing, distortion, alteration, or optical illusion, whether intentional or otherwise, that may occur or be produced in the taking of or editing of said images and content of the virtual meeting/event, unless it can be shown that such was maliciously caused, produced and published solely for the purpose of subjecting my child to conspicuous ridicule, scandal, reproach, scorn and indignity. I/We hereby certify that I/we are the parents/guardians of   First Name   Last Name  , authorized legally to give this consent, and do hereby give my/our consent without reservation to the foregoing behalf of my/our child. I/We have fully read and understand the Code of Conduct (attached hereto as Schedule 1). I understand that my child’s compliance with the Code of Conduct is a condition of her/his participation in the program. I further acknowledge, understand, and agree that the sanctions for violating the Code of Conduct are reasonable and should my child be non-complaint, they will be subject to the prescribed disciplinary action. I/We also give permission for the Chapter and the Sorority to highlight my/our child’s achievements and activities in efforts to promote the youth initiative program through the Virtual Meeting Platform that will include the use of still photographs, moving images or live images, and chats including, if applicable any sound recordings accompanying the images (“Images”) taken of my/our child or provided by my/our child during 6 Please distribute all pages of the Participation Agreement INCLUDING Schedules 1 & 2 to Participants for review and signature. 11 participation in the      Youth Initiative Program in accordance with the terms set forth in the Media and Publication Releases (attached hereto as Schedules 2 ). Participant Acknowledgement (Student Participant) With my parent/guardian, I have fully read and understand the Participation Agreement. I acknowledge that should I fail to abide to the Code of Conduct that my actions will be subject disciplinary action as defined. I hereby acknowledge, understand, and agree to comply with the terms set forth in the Participation Agreement. Participant Signature Date Participant Print Name ************** Parent/Guardian Acknowledgment I have fully read and understand the Participation Agreement. I also understand that my child’s compliance with the Code of Conduct is a condition of her/his participation in the program. I hereby acknowledge, understand, and agree to comply with the terms set forth in the Participation Agreement. 

Parent/Guardian Signature:    Signature    
Date:Date      
Parent/Guardian Print Name:   First Name   Last Name   

Parent/Guardian Signature:    Signature    
Date:Date      
Parent/Guardian Print Name:   First NameLast Name

In accordance with the terms of the Participation Agreement, Delta Sigma Theta Sorority, Inc. (“Delta”) will be filming, recording and photographing this event for use in Delta promotional videos, photography, advertisements, social media platforms, web pages, and other future Delta events, as the case may be, (the “Production”). In addition, Delta may use and publicize the name, image, likeness, and any other personal characteristics or other information provided by or related to the Participant that is derived from the filming, recording and photographing of this event for use in Delta videos, photography, articles, as well as any advertising and promotional materials on mediums that may include on-demand, streaming, or other web services, social media platforms, and print news and information outlets, and any other the case may be (the “Publication”). As specified within the Agreement therein, participant and participant’s parent/guardian (participant and participant’s parent/guardian together, “Participant”), via continued participation in and by continuing to remain logged into this event, hereby: (i) acknowledges that Participant may be photographed, filmed or otherwise recorded while on the premises of the event, (ii) grants Delta, its successors, assigns and licensees (“Authorized Persons”) irrevocable consent to include Participant’s name, likeness, photographic image, mannerisms and voice or other recording (“Media”) in any Publication or for any purpose whatsoever in any and all mediums now known or hereafter devised throughout the universe in perpetuity without compensation and/or credit, (iii) acknowledges no right to review or approve Materials before they are used by Delta, and that Delta has no liability to me for any editing or alteration of the Materials or for any distortion or other effects resulting from Delta’s editing, alteration, or use of the Materials, or Delta’s presentation of me, should Delta choose create or use the Materials or to exercise any rights given by this Agreement, (iv) acknowledges that Delta is the exclusive owner of all display, publication, and ownership rights, including copyright, trademarks, and any other intellectual property, from Media and Materials arising in any jurisdiction throughout the universe in perpetuity, including all registration, renewal, and reversion rights, and the right to sue to enforce such intellectual property against infringers, (v) acknowledges that Delta holds and shall forever hold all display, publication and ownership rights, licenses and privileges to any and all Media, whether in law or in equity, which may be asserted, ascertained, registered or in any way utilized with respect thereto, (vi) waives all legal and equitable rights against Delta and any authorized persons relating to all liabilities, claims, demands, actions, suits, damages, and expenses, including but not limited to claims for copyright or trademark infringement, infringement of moral rights, libel, defamation, invasion of any rights of privacy (including intrusion, false light, public disclosure of private facts, and misappropriation of name or likeness), violation of rights of publicity, physical or emotional injury or distress, or any similar claim or cause of action in tort, contract, or any other legal theory, now known or hereafter known in any jurisdiction throughout the world, arising directly or indirectly from Authorized Persons ' exercise of their rights under this Release and whether resulting in whole or in part from the negligence of the Sorority, the Chapter, or any other persons, and (vii) agree that this Agreement cannot be terminated, rescinded, or modified, in whole or in part. Participant further agrees to abide by and comply with any and all terms of use and/or additional participation rules as applicable and specified during relevant sections of the program and acknowledges, understands, and agrees that violation of such participation rules shall result in legal recourse and disciplinary action.

In accordance with the terms of the Participation Agreement, Delta Sigma Theta Sorority, Inc. (“Delta”) will be filming, recording and photographing this event for use in Delta promotional videos, photography, advertisements, social media platforms, web pages, and other future Delta events, as the case may be, (the “Production”). As specified in the Participation Agreement, participant and participant’s parent/guardian (participant and participant’s parent/guardian together, “Participant”), via continued participation in and by continuing to remain logged into this event, hereby: (i) acknowledges that Participant may be photographed, filmed or otherwise recorded while on the premises of the event, (ii) grants Delta, its successors, assigns and licensees irrevocable consent to include Participant’s name, likeness, photographic image, mannerisms and voice or other recording (“Media”) in the Production or for exploitation for any purpose whatsoever in any and all media now known or hereafter devised throughout the universe in perpetuity without compensation and/or credit, (iii) represents, warrants and agrees that Delta holds and shall forever hold all display, publication and ownership rights, licenses and privileges to any and all Media, whether in law or in equity, which may be asserted, ascertained, registered or in any way utilized with respect thereto (“Rights”), and (iv) waives, releases and transfers, as the case may be, any and all such Rights, whether in law or equity, as may be necessary or required to effectuate Delta’s establishment of ownership. 

Participant further agrees to abide by and comply with any and all terms of use and/or additional participation rules as applicable and specified during relevant sections of the program and acknowledges, understands, and agrees that violation of such participation rules shall result in legal recourse and disciplinary action.

APPENDIX B MEDIA RELEASE (TO BE DISPLAYED AT THE BEGINNING OF ALL VIRTUAL PROGRAMMING)

In accordance with the terms of the Participation Agreement, Delta Sigma Theta Sorority, Inc. (“Delta”) will be filming, recording and photographing this event for use in Delta promotional videos, photography, advertisements, social media platforms, web pages, and other future Delta events, as the case may be, (the “Production”). As specified in the Participation Agreement, participant and participant’s parent/guardian (participant and participant’s parent/guardian together, “Participant”), via continued participation in and by continuing to remain logged into this event, hereby: (i) acknowledges that Participant may be photographed, filmed or otherwise recorded while on the premises of the event, (ii) grants Delta, its successors, assigns and licensees irrevocable consent to include Participant’s name, likeness, photographic image, mannerisms and voice or other recording (“Media”) in the Production or for exploitation for any purpose whatsoever in any and all media now known or hereafter devised throughout the universe in perpetuity without compensation and/or credit, (iii) represents, warrants and agrees that Delta holds and shall forever hold all display, publication and ownership rights, licenses and privileges to any and all Media, whether in law or in equity, which may be asserted, ascertained, registered or in any way utilized with respect thereto (“Rights”), and (iv) waives, releases and transfers, as the case may be, any and all such Rights, whether in law or equity, as may be necessary or required to effectuate Delta’s establishment of ownership. 


Participant further agrees to abide by and comply with any and all terms of use and/or additional participation rules as applicable and specified during relevant sections of the program and acknowledges, understands, and agrees that violation of such participation rules shall result in legal recourse and disciplinary action.