One-on-One Waiver
  • One-on-One Waiver

  • One-on-One Policy

  • One-on-one status is determined by collaborating with parents, guardians, and case workers. SNR reserves the right to change one-on-one status if necessary. One-on-one staffing is arranged by the participant's family. SNR does not provide One-on-one staffing.

    If the participant is attending with a one-on-one, that caregiver must stay with the participant at all times while attending SNR events. The participant is their full responsibility, and they are not to be left unattended at any time. 

  • I have read and agree that I will remain with my participant for the entirety of SNR events.
  • Format: (000) 000-0000.
  • Date of Birth*
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  • Have you ever been convicted of a criminal offense?*
  • Are you a registered sex offender?*
  • I consent to a background check.*
  • Code of Conduct

  • Specialized Needs Recreation (SNR) offers participants opportunities to meet new people and try new activities in a fun and safe environment. There is a mandatory Code of Conduct for everyone involved to ensure that all participants, parents/guardians, staff, Board members, and volunteers enjoy the SNR experience. Your signature below is implied and informed consent that you have reviewed, understand, and will follow the Code of Conduct while participating in SNR events.   

    Code of Conduct: 

    ·         All communication is conducted appropriately and respectfully. Inappropriate tones, foul language, unkind words, pushing, shoving, threats, comments in a sexual nature, and bullying are not allowed. 

    ·         Handholding, kissing, or any form of sexual contact is not allowed. 

    ·         Cell phones, handheld games, and other electronic devices are allowed; however, SNR is not responsible for any damage, loss, or theft. If the device contains offensive content or becomes disruptive, it will be put away until after the day’s activity. This includes inappropriate messages to others involved in SNR. 

    ·         Jeans with excessive holes, shorts that do not reach to mid-thigh, graphic t-shirts with lewd, foul language or depict drugs/alcohol/sexual themes, or crop tops exposing the stomach, halter tops, and spaghetti strap (less than two inches tops) are not allowed. Clothing and hats are not to be shared. 

    ·         Individuals shall behave in a manner that does not endanger their health and safety or that of others. 

    ·         All participants are to show respect to both the property of SNR, and locations visited during an SNR activity.  Stealing, damaging, or failing to care for the property of SNR and others is unacceptable. 

    ·         Use of illegal substances, tobacco products, vaping devices, and alcohol is prohibited at SNR or SNR events. 

    ·         Possession of any item considered a weapon (including, but not limited to, firearms, knives, pocketknives, and switchblades) is prohibited at all times. 

    ·         Participation at SNR and its events is voluntary and violation of any of the above Code of Conduct may result in being asked to leave SNR for the day.  At the discretion of SNR Staff and Board, a major violation can result in being barred from all future SNR activities. 

     

    IF A VIOLATION OCCURRED: 

    The individual will be redirected to a more appropriate behavior and receive a verbal warning. The incident will be discussed with them, their parent, and/or their guardian. The verbal warning will be documented in their file.  

    If the problem persists, or if a second but different violation occurs with the same individual, the individual will be redirected, and a written warning will be issued and documented in the individual's file, including but not limited to documenting the specifics of the behavior and the corrective action that took place.  

    If there is a third occurrence or if the individual's behavior threatens his/her immediate safety or that of any other individuals, SNR will have the right to ask the individual to leave (or be picked up immediately). The behavior will be documented, and the Executive Board will be notified and has the right to refuse further participation in all SNR programs.  

    Depending on the severity of the offense/behavior/incident, SNR has the right to expel the individual(s) from further participation in SNR at any time without following these procedures. 

    No refunds will be given to individuals who are removed from the program for violating the Code of Conduct.  

  • I have read this “Code of Conduct” and fully understand it.*
  • Liability Release Waiver

  • I am aware that participation in recreational activities may have obvious and latent hazards, which may be caused by my actions or inactions, by the actions of others participating in the event, or by conditions in which the events take place. I fully accept and assume all such risks and all responsibility for losses, costs, and/or damages I may incur because of my participation. I also understand that Specialized Needs Recreation has no medical insurance to cover medical expenses; all medical costs are my responsibility.  
     
    I hereby release, discharge, and hold harmless Specialized Needs Recreation all staff, directors, administrators, and volunteers in any/all programs sponsored by Specialized Needs Recreation. I also release, discharge, and hold harmless, any person transporting me before, during and/or after such activities. 
     
    If I should need emergency medical treatment during my participation in Specialized Needs Recreation activities and I am not able to give my consent or make my arrangements for that treatment, I authorize Specialized Needs Recreation to take whatever measures are necessary to protect my health and well-being, including, if necessary, hospitalization. 
     
    I also permit pictures and/or videos of myself to be used by Specialized Needs Recreation and any other group they approve of for public relations purposes.

  • I have read this Liability Release Waiver, Assumption of Risk.*
  • Date*
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  • Should be Empty: