GARY ALUMNI PATHWAY TO STUDENTS

Parental Permission Information Form

We are excited to share that your child has expressed interest in participating in the Gary Alumni Pathway to Students (GAPS) programs. This is a wonderful opportunity for your child to engage in enriching activities designed to foster creativity, teamwork, and skill-building, all while contributing to their personal and academic growth.

To ensure your child's involvement in the GAPS programs, we kindly ask that you complete these documents at your earliest convenience. Rest assured, the information you provide will be kept strictly confidential and used solely to support your child's participation. Should you have any questions or concerns, please feel free to reach out to us.

Parent/Guardian Consent for Program Participation

I, the undersigned, hereby give my permission for my child,_______________to participate in the Gary Alumni Pathway for Students (GAPS) mentoring, career guidance, and skills-building program. I understand that this non-profit organization is committed to fostering my child's personal and professional development through educational activities, mentorship, and career exploration. I acknowledge that I have been informed of the program's goals and structure and consent to my child's full participation. I also agree to support my child in engaging with the opportunities provided by the program.

Please verify the student's information below:

Parent/Guardian Information

Emergency Contact Information Emergency Contact Name:

 

Authorization for Text Message and Email Communication

I, the undersigned, hereby authorize Gary Alumni Pathway for Students (GAPS) to contact me and/or my child via text message and/or email for the purposes of program updates, reminders, and important announcements. I understand that standard messaging and data rates may apply.

Medical Release & Consent

I hereby authorize Gary Alumni Pathway for Students (GAPS) and its designated representatives to seek and provide medical treatment for my child in case of illness or injury during participation in program activities. I understand that every effort will be made to contact me in the event of a medical emergency. In the event I cannot be reached, I give my consent for emergency medical care as deemed necessary by a licensed healthcare provider. I release GAPS from any liability related to medical treatment provided during the program.

Media Release Form

In consideration of participating in the Gary Alumni Pathway to Students (GAPS) programs, I grant GAPS the right to photograph, record, and use my child's image, voice, or likeness ("Media") for use in materials and marketing. I provide GAPS and its affiliates an exclusive, royalty-free, and irrevocable license to use the Media in current and future promotional materials, including online platforms. I release GAPS from any claims related to the use of the Media, including privacy or copyright concerns. I have read and agree to these terms, which are governed by the laws of the State of Indiana.

Participation Waiver and Liability Release

I voluntarily agree to allow my child to participate in the activities and programs organized by Gary Alumni Pathway for Students (GAPS I understand that participation may involve certain risks, and I assume full responsibility for any injuries or damages that may occur as a result. I hereby release and hold harmless GAPS, its staff, volunteers, and affiliates from any claims, liabilities, or expenses arising from my child's participation, except in cases of gross negligence or willful misconduct.

Transportation Permission

I give permission for my child to be transported by Gary Alumni Pathway for Students (GAPS) or its designated representatives for program-related activities. I understand that all reasonable safety precautions will be taken during transportation. I release GAPS and its affiliates from any liability in the event of an accident or injury, except in cases of gross negligence.

Confidentiality Statement

I understand that during my child's involvement with Gary Alumni Pathway for Students (GAPS), my child may have access to confidential information, including personal details of participants, organizational data, and proprietary materials. I agree to keep all such information confidential and will not disclose it to any unauthorized individuals or parties. This obligation extends beyond my child's participation in the program, and I will take appropriate measures to protect the confidentiality of all sensitive information.

I acknowledge that I have read and understand this Agreement, along with all the policies and permission clauses outlined herein. By signing, I agree to comply with the terms of this Agreement. This Agreement is governed by the laws of the State of Indiana.

For your reference, the student has also agreed to adhere to the following code of conduct during their participation in GAPS Programming.

CODE OF CONDUCT AND BEHAVIOR AGREEMENT

As a participant in the Gary Alumni Pathway for Students (GAPS) program, you are expected to adhere to the following guidelines to ensure a positive and productive environment for all students and facilitators. This program is committed to fostering personal growth, career development, and the acquisition of valuable life skills. By signing this agreement, you acknowledge and agree to the following:

1. Respect for Others

• Treat all participants, facilitators, and program staff with courtesy, kindness, and respect.
• Harassment, bullying, or discrimination of any kind will not be tolerated.

2. Active Participation

• Be engaged and actively participate in all program activities, workshops, and mentoring sessions.
• Come prepared and contribute positively to group discussions, exercises, and projects.
• Complete any assigned tasks or activities on time.
• Always maintain an eager and willing attitude, demonstrating focus and accountability.
• Avoid disruptive behaviors, including excessive talking, inappropriate language, or failure to follow directions.
• Wear appropriate clothing that reflects the professional and respectful nature of the program. Clothing with offensive language or images is not permitted.
• Clean up after yourself and respect the rules of any facilities used by the program.
• 4. Attendance and Punctuality Attend all scheduled sessions, unless prior arrangements have been made. Arrive on time and stay for the entire duration of each session.

5. No Electronics During Sessions

• Cell phones and other electronic devices should be silenced and put away during workshops, unless instructed otherwise by a facilitator for program-related purposes.

6. Consequences for Misconduct

• First Incident: A verbal warning will be issued.
• Second Incident: A meeting will be held with the participant and parent/guardian to address the behavior.
• Further Incidents: The participant may be subject to removal from the program if behavior does not improve.