Acknowledgement of Risk & Release of Liability (Minor)

This form must be read and completed by a custodial parent/guardian prior to participation. 

As parent/guardian of the above-named minor (the "Participant"), I acknowledge that the Participant has been offered an opportunity to participate in a program operated by Gizmo-CdA, Inc. on the North Idaho College campus (the “Program”). I understand that in this form, “Gizmo-CdA” includes Gizmo-CdA, Inc, North Idaho College, their employees, officers, directors, partners, representatives, agents, servants, subsidiaries, shareholders, parents or affiliate corporations, successors, assigns, and any volunteers. I acknowledge that I have read a description of the Program and understand all of the inherent and potential risks of the intended activities related to the Program.

I also understand that Participant’s participation in the Program involves the Participant's use of facilities and equipment at the Program and participation in the activities offered at the Program.

ACTIVITIES:

The activities at the Program may include, but are not necessarily limited to:

• Low-energy activities such as: coding, robotics and electronics, computer skills, design and engineering.
• High energy activities such as: open recreation periods at local parks.
• Working with tools and equipment that require exposure to risk of injury when not used in a safe and reasonable way.
• Transportation to off-site activities, including bus, subway, car or on foot

RISKS:

Participation in the Program including each of the activities involves a risk of injury or death and/or damage to or loss of property. Participants must assume these risks. All of the risks cannot be listed on this Form, but may include the possible conduct of other participants, whether it is negligent or intentional.

ACKNOWLEDGEMENT & ASSUMPTION OF RISK:

I accept any and all risks, including the risk of injury or death and/or damage to or loss of property associated with Participant’s participation in the Program. I hereby provide my full, voluntary and informed consent to the Participant’s participation in the Program.

WAIVER, AGREEMENT NOT TO SUE AND INDEMNITY:

In exchange for Gizmo-CdA, Inc and North Idaho College allowing Participant’s participation in the Program, I agree to the following:

1. To waive any and all liability, of any kind, of Gizmo-CdA, Inc. and North Idaho College, including for North Idaho College and/or Gizmo-CdA, Inc’ negligence or vicarious liability, if any, resulting from Participant’s participation in the Program;
2. That I will not commence or participate in any type of claim or lawsuit against Gizmo-CdA, Inc and/or North Idaho College in any way related to Participant’s participation in the Program; and
3. That will completely defend, indemnify and hold harmless Gizmo-CdA, Inc. and/or North Idaho College for any claims or lawsuits against Gizmo-CdA, Inc and/or North Idaho College by any person or corporation in any way associated with Participant’s participation in the Program, including any claims or lawsuits commenced in a personal capacity or by any legal person as a representative of me/us or the Participant.

UNFORESEEN EVENTS

I understand that Gizmo-CdA, Inc. and/or North Idaho College will be facilitating Activities of the Program. I understand that despite all reasonable precautions being in place to provide proper organization, supervision and equipment for all Activities, circumstances may arise which are  not foreseeable or which are beyond GIzmo-CdA, Inc. and/or North Idaho College control.  I understand  and acknowledge that GIzmo-CdA, Inc. and/or North Idaho College is not responsible for any damages caused by the delay or failure to perform or complete any activities or to provide any aspect of the Program when such delay or failure is due to fires, strikes, floods, acts of God, lawful acts of public authorities, or delays or defaults caused by common carriers, which cannot reasonably be foreseen or provided against.

RULES AND REGULATIONS

I acknowledge that Gizmo-Cda, Inc. and/or North Idaho College has a policy of “I’ll come. I’ll make something. I’ll help others and stay safe.” I have explained to Participant that they must use the facilities, tools, and materials in a safe way, and to alert fellow participants, mentors, and/or program leaders when facilities, tools, and materials are being used in a way that could cause harm to themselves or others.

I acknowledge that parents are not allowed to sit in on classes, unless previously agreed in writing.

I acknowledge that while participants are welcome to use their own accounts for Scratch, Minecraft and other programs used in the Program’s classes, Gizmo-Cda, Inc. and/or North Idaho College  is  not  responsible if the Participant shares their logins and passwords or if logins become known. Gizmo-Cda, Inc. and/or North Idaho College will not access Participant’s account without a participant’s permission. Gizmo-Cda, Inc. and/or North Idaho College recommends that participants know their logins and that they logout once  class has concluded.

I acknowledge that if Participant is not able to make it to class one week, I acknowledge that Gizmo-Cda, Inc. and/or North Idaho College cannot provide a refund for missed classes.

I acknowledge that I am responsible for Participant outside of class. Gizmo-Cda, Inc is open 15 minutes before and after class. I acknowledge that I am responsible for escorting Participant inside and outside of the Gizmo-Cda, Inc  facility on the North Idaho College campus.  I acknowledge  that Gizmo-Cda, Inc. and North Idaho College cannot monitor Participant outside of this 15 minute window before and after class, and Gizmo-CdA will not be held responsible for Participant’s actions outside of stated class times.

I acknowledge that any behavioral misconduct will result in immediate removal from the Program with no money refunded.

I agree that any violation of the rules of Gizmo-CdA, Inc. and North Idaho College by the Participant, or any behavior or health status that puts the Participant or others at physical or emotional risk may result in the dismissal of the Participant from the Program at the sole discretion of Gizmo-CdA, Inc. and North Idaho College. I agree to accept financial responsibility for any costs incurred should the Participant be sent home or dismissed from the Program for any reason.

 

We agree that any dispute relating to the Participant’s participation in the Program shall be litigated, if at all, in the state of Idaho.  

I waive any and all rights to participating in a class action lawsuit against Gizmo-CdA, Inc. and/or North Idaho College. 

PHOTOS/RECORDINGS

I consent to photos and videos of the Participant being captured and displayed at the Program by Gizmo-CdA, Inc. and North Idaho College for the purpose  of  informing  parents  of  the  day’s  activities and their child's progress. These photos/videos may also be used for promotional purposes for the benefit of Gizmo-CdA, Inc. and North Idaho College without compensation.

IN SIGNING THIS FORM, I ACKNOWLEDGE THAT I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY IN ITS ENTIRETY AND UNDERSTAND ITS CONTENTS. I CERTIFY THAT I AM THE LEGAL PARENT/GUARDIAN OF THE PARTICIPANT AND IN THIS CAPACITY VOLUNTARILY AGREE TO THE TERMS AND CONDITIONS STATED ABOVE.