As the parent or legal guardian of the student described above, my signature below certifies the following:
I acknowledge that my student has my permission to participate in this program.
I authorize the Northern Vermont AHEC & Governor's Institutes of Vermont (GIV) to use photographs, video, and audio of or produced by my student, such as photos of my student, for promotional, descriptive, social media, or other educational-related purposes.
I understand that Northern Vermont AHEC & GIV staff are mandated reporters, like school personnel, who have the legal responsibility to report child abuse/neglect.
I acknowledge that all risks cannot be prevented and I agree to hold harmless Northern Vermont AHEC and the GIV, its directors, officers, employees, partners, and agents from any and all liability, claims, or causes of action arising out of my student's participation in this program.
By electronically signing, I acknowledge I am the legal guardian of the student described above and that my electronic signature is the legally binding equivalent of my handwritten signature.