INSTRUCTIONS: All fields must be completed for EACH person attending. Upon completion, please click “submit.” No one will be allowed entry without completed forms, so do it now and don’t miss out!

My Parent/Guardian Permission

PRIDE Prom hosted by Abington ASPIRE

I am the parent or legal guardian of the participant named above, who will be attending PRIDE Prom on Friday, June 13, 2025, 7-9 pm, hosted by the Abington High School GSA and Abington ASPIRE and taking place at Channing Unitarian Universalist Church at 45 Webster St. Rockland, MA.

I hereby give my consent for the chaperones and staff at this event to take any reasonable action to help ensure the safety, health, and welfare of my child. I also give my consent for a certified first aid provider to apply first aid, or for the nearest hospital to provide emergency medical treatment if needed.

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH Abington ASPIRE's PRIDE PROM.

I certify that there are no health-related issues that preclude my participation in this activity.

In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Channing Unitarian Universalist Church and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers; (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. I acknowledge that they are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

Participant Covenant for Channing Church Youth Events (required by venue)

Policy on Sexuality and Community for All Participants

While sexuality is a healthy and important part of young people's lives, there are times and places where sexual behavior is inappropriate. This policy seeks to create a healthy and safe space for all participants.

Exclusive relationships detract from the community. All participants must abide by the following policies: Participants must respect each other's physical boundaries. Participants shall refrain from sexual, seductive or erotic behavior while at the event. Sexual behavior between participants at the event and sexual harassment are not permitted and will not be tolerated. Any harassment regarding race, color, national origin, religion, age, sex, gender, sexual orientation, or disability will not be tolerated. Such harassment includes unsolicited remarks, gestures or physical contact, display or circulation of written materials or derogatory pictures directed at any of these categories. In addition, sexual advances, jokes, explicit or offensive pictures, requests for sexual favors, sexting, and other verbal or physical conduct of a sexual nature constitute sexual harassment. The event leadership team is responsible for ensuring this policy is enforced. Parents/guardians are invited to discuss this policy with youth.

Adults who work with youth are in positions of power and play a key role in the spiritual and identity development of younger members of the community. Therefore, it is especially important that adults be qualified to provide the special nurture, care, and support that will enable youth to develop a healthy, positive sense of self and responsibility. Youth and adults suffer damaging effects when adults become sexually involved with young persons in their care; therefore, adults will not engage in any physical, sexual, seductive, erotic or romantic behavior with youth. Neither shall they sexually harass or engage in behavior with youth which constitutes verbal, emotional, or physical abuse. In cases of violation of this code, appropriate action will be taken.

Adults are expected to identify and report suspicion of use or possession of illegal substances, harassment, abuse, and sexual or other misconduct, and will not engage in such behaviors themselves.

In addition to their reporting obligations to the UUA, certain UUA employees are mandated reporters of suspected abuse or neglect of students as specified by applicable state law.

Behavioral Guidelines for Participants

Respect the Policy on Sexuality and Community and Code of Ethics for Adults above. No drugs, weapons, or alcohol. No pets. All participants will remain on-site during the event. Adults must remain in the role of advisor at all times. Participants must provide all requested, signed permission and release forms.

I have read and agree to adhere to these policies and guidelines while at the event. I understand that breach of this covenant will result in disciplinary action up to and including dismissal from the event and the inability to attend future Abington ASPIRE or Channing Church Youth events.