We are pleased that you have submitted to be a volunteer chaperone for the Young Entrepeneur Academy. We are looking forward to our 5-day Academy and are confident that IF YOU ARE SELECTED, you will find the experience worthwhile. Chaperones are critical to the success of the program. While you will have a lot of fun, being a chaperone is hard work and is a big responsibility. NOTE: THIS IS AN APPLICATION AND NOT A CONFIRMATION. BACKGROUND CHECKS AND INTERVIEWS WILL BE COMPLETED PRIOR TO APPROVAL.
Safety is of paramount concern, but despite training, safety measures and emergency procedures, we must be aware of the possibility of some inherent risk. It is for this reason that we must insist that each chaperone read the enclosed Release and Waiver of Liability, agree to its terms, sign and date the form. The completed form should be returned by Sunday, June 18, 2023.
WE REGRET THAT WITHOUT SIGNING THE RELEASE AND WAIVER OF LIABILITY, YOU WILL NOT BE ABLE TO ACT AS A CHAPERONE, PARTICIPATE IN THE PROGRAM, OR BE ON CAMPUS.
Following is information describing the nature of the activities of our various programs, and of your responsibilities as a chaperone. Should you have any questions or need any additional information about the risks involved, skills or physical demands required, please call the Program Director of the facility you will be attending
Be an active part of the program, including participating in activities.
Supervise students in dorms. Enforce dorm rules, dorm hours, limit general horseplay, conduct bed checks and supervise housekeeping.
Supervise students during meals. Sit at tables with students, help to control noise and facilitate a pleasant dining experience.
Supervise recreational activities. Limit general horseplay in order to prevent injuries.
During classes, assist instructors in the control, discipline and overall safety of the students.
Supervise sick or injured children. For minor injury or illness, a chaperone escorts the student to the first aid room, which is stocked with medication and supplies.
Chaperones must consult the student’s medical form and act accordingly before administering first aid. Chaperones must Immediately Call 911 in case of an emergency.
I agree that I have full knowledge of the nature and extent of all such risks and am not relying on all such risks being described in this document. I have investigated the Program and know the types of activities in which I will engage, and I am
not aware of any physical, emotional, or mental problem or limitation that would prevent or impair my participation or increase the risks involved.
With this knowledge, I accept and Assume the Risk and Full Responsibility for any personal injury, property damage, disability, death, sickness or disease, and other damage and expense which may result from my presence, participation, and or use of equipment in the Program, whether caused by the negligence of the T. ROSE Foundation (Foundation), its agents, employees, landlords, lessors, or representatives, Foundation, or otherwise.
I hereby agree to Release, Waive, Discharge and Promise Not to Sue the Foundation, and each of them for any liability to me, my heirs, next of kin, and personal representatives, arising from any loss, damage claim, or cause of action that may result from my presence, participation, and or use of equipment in the Program or activities incidental thereto, and any injury, disability, illness, or disease to my person or property, including death, whether caused by the negligence of the Foundation or otherwise.
I further agree to indemnify, save, and hold harmless the Foundation and each of them, from and against any loss, liability, damage, or expense, including attorney’s fees, they may incur as the result of my breach of this Agreement.
This Agreement is intended to be as broad and inclusive as permitted by, and shall be construed and governed under, the law of the State of Michigan. If any part of this Agreement is held to be invalid the remaining terms shall remain in full force and effect.
I have Read and Understand this Agreement and its Legal Consequences and knowingly and voluntarily Agree to Be Bound by its Terms.
Photographic Release:
I hereby grant to T. ROSE Foundation all right, title, and interests in any and all photographs, video or audio recordings of my likeness or voice made by Starpointe Photography in connection with my participation in Academy activities.