All pictures taken at or in connection with the Youth Employment Program are the sole and exclusive property of Lead The Way Learning Academy and may be used by the organization in any promotional materials and other print media for camp and organization purposes. LTWLA not sellor distribute these photos for any other purposes than those listed above. Participants and guardians understand that all images, video and audio taken at or in connection with the A.M.P Program are the sole and exclusive property of Lead The Way Learning Academy and may be used by Lead TheWay Learning Academy in promotional materials, marketing collateral, and online media for programming purposes. These images, videos and audio may be shared and used by corporate partners, the media, or other organizations who work with Lead The Way Learning Academy. Please note that at times, Lead The Way Learning Academy is contacted by the press, and a student's full name may be used in print, radio, TV and other mediums.
I hereby grant permission for Lead The Way Learning Academy to share my child/ward's program information (name, date of birth, student ID) with Columbus City Schools, KIPP Columbus, Reynoldsburg City Schools, United Schools Network and Whitehall City Schools, Groveport City School, andstarting to implement Graham or other Program Partners. I understand that information will only be shared about my child/ward if it is relevant to mychild/ward's education. The community program may also request access to my child/ward's academic, attendance and behavior records at Columbus City Schools and Whitehall City Schools so that they can provide better services to my child/ward. I understand that this information will be kept confidential but will be shared as requested.
Upon registration, I will need to submit information regarding all of the following information about my child/ward, including: allergies, illnesses, medications, dietary restrictions, and emergency contact information.
We ask for the physician's name, along with the physician's contact information. Additionally, it is required that you provide the medical insurance If carrier.your child is not covered under a health insurance plan or if you do not wish to provide us with your medical insurance information, you must agreeto accept all financial liability should your child become injured while in the care of Lead The Way Learning Academy and release Lead The Way Learning Academy from any such financial responsibility.
As the parent/guardian, I give permission to Lead The Way Learning Academy staff to seek emergency medical or surgical treatment and hospitalization, if necessary. I will be financially responsible for any medical attention needed during camp or resulting from any injury received at camp.My medical insurance shall be the insurance coverage for any medical treatment. I understand that every attempt will be made to contact you, or the emergency contact(s) named, before taking this action and give permission to the program to arrange necessary related transportation foryour child.
Lead The Way Learning Academy staff and instructors are not authorized to give any student any prescription or over-the-counter medication.Please refrain from bringing any medication, i.e. vitamins and/or supplements to work. We ask that students please take ALL medication and/or vitamins before programming. Our policy does not allow for any participant with an acute illness to attend work on those days which obligate the child to take medication during work hours. Any child ill enough to require medication should remain at home under parental supervision or arrange with the child's physician a regimen that allows the medication to be administered before and after work.
Rights All individuals and their property are to be valued and treated with respect.
All individuals have the right to a safe, secure and cooperative environment in which participation, risk taking and confrontingchallengesare encouraged.
Staff should be able to perform their duties in an atmosphere of order and cooperation.
Staff, students and the natural environment have the right to exist in a healthy and environmentally considerate atmosphere. Lead The Way Learning Academy expects support from all students, parents, guardians and staff in implementing this Code of Conduct.
Responsibilities & Expectations All students should treat one another, staff and property with respect.
All students should conduct themselves in a way which does not endanger, intimidate or interfere with the participation of others.
Students should comply with instructions given by any Lead The Way Learning Academy staff and should willingly participate in the daily routine of the A.M.P. Program.
All students should conduct themselves in a healthy and friendly manner towards other students and staff.
All students should behave according to this Code and accept the consequences if it is breached. All staff should fairly, reasonably and consistently implement this Code. Staff and parents should support the in implementing the Code of Conduct. Page 4 of 5
2022-23 AMP/CCMEP Release Form 1/2022