Parent/Guardian Consent Form 25/26

  • OLI Parent/Guardian Consent Form

    This OLI Parent/Guardian Consent Form must be completed by ALL OLI participants (and their parent/guardian if under 18) in order to continue participating in any of our programs, including the Community Dance Program and Future Leaders Program If you have any questions regarding this form, please contact us at info@olishow.com.

  • PARTICIPANT INFORMATION

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  • Please note that OLI will use your preferred name for all communications related to our programs and show, as well as for any OLI print materials. However, your legal name will still be required for any communications with external parties such as travel partners or medical professionals.

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  • OLI Dance Contract and Agreement

    NOTE: This contract must be read and signed by a parent/guardian and the participating youth.

  • Between and Outside Looking In. This agreement sets forth the conditions for my participation in the Outside Looking In program:

  • : This contract must be read and signed by a parent/guardian and the participating youth. 


    1. I understand that I must attend all academic classes and dance rehearsals regularly and abide by the OLI Dance Program Policy (ABC's of OLI) in order to continue participating in the Dance Program. 

    2. I understand and agree that I must complete multiple assessments, the OLI Booklet and a Culminating Project in order to receive the OLI Dance Credit. 


    3. I understand that I must have a passing mark of 50% in the Dance Program in order to receive the OLI Dance Credit. 


    4. I understand that it is not my teachers, principals, or volunteers who remove me from the program. If I do not follow the program criteria OR if I demonstrate that I am not yet ready for the OLI experience, I remove myself. 


    5. I understand that the Dance Program Policy between OLI and my school states that: 

    • I must maintain an 80% rate of attendance in each of my academic classes. 
    • I must maintain an 80% rate of attendance for my OLI Dance rehearsals. 
    • I must maintain a passing grade or higher in ALL my subjects with an average of at least 50% in order to continue in the Dance Program. (unless provincial ministry requirements or the school has a different diff't avg standard). 
    • If I am participating in the Future Leaders Program, I understand that I am expected to maintain a 70% in each academic class to remain in the program.
    • I must be a positive role model in school, community and OLI Dance Rehearsals. OLI expects all youth to respect themselves, others and the environment around them. Failure to do so puts me at risk of removal. 
    • It is my responsibility to ensure that my dance skills and performance continue to improve through continuous effort, engagement, and focus during rehearsals. 

    6. If I do not meet the requirements above, I will first be given a warning/retention letter and must show improvement between assessment periods. Multiple performance, academic, attendance and behaviour assessments will be conducted throughout the school year. 


    7. I understand that I can choose to attend the Annual Camp/Show Trip. To attend the Annual Camp/Show Trip, I must meet the camp/show minimum criteria (a 65% average in all my classes) to be eligible for application. 


    8. I understand that Outside Looking In will make the final decision on the participants attending the Annual OLI Camp/Show Trip. Applying for this trip does NOT guarantee my attendance. 


    9. I understand that I must complete the school year and pass ALL of my classes. If not, I may not be eligible to join the program the following year. 


    10. I understand that I must complete a community culminating project to complete the program and earn my credit, regardless of whether I attend Camp/Show or not. 


    If the participant and their parent/guardian agree to these set criteria and conditions, and if they agree to support each other to the best of their abilities, please sign below.

    Program Academic Attendance Dance Rehearsal Attendance Academic Averages Other Notes
    OLI Dance Program 80% in each class 80% in rehearsals 50% overall average Must pass all classes to remain eligible
    Future Leaders Program 80% in each class 80% in rehearsals 70% in each class  Must pass all classes to remain eligible
    + Must be a positive role model in school, community, and OLI rehearsals
    Annual Camp/Show Trip Same as Above Same as Above Dance Program: 65% in all classes
    FL:  70% in all classes    		 Meeting minimum requirements does not guarantee selection. The higher you achieve, the more better your chances get — final decision by OLI 
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  • EMERGENCY CONTACT INFORMATION

  • Format: (000) 000-0000.

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  • MEDIA CONSENT

  • If you are under 18, a parent or guardian will have to complete this section.

  • By signing this form, I allow Outside Looking In to obtain the following records of:

    • my name
    • a description of me, including but not limited to my community involvement, etc.
    • a photograph of me
    • a videotape, an electronic or other image of me
    • a recording of my voice
    • a quotation or summary of my opinion that I expressed orally
    • quotation or summary of my opinion that I expressed in writing, including in an electronic medium
    • school/ academic grades for each course in which I am or have been enrolled, report cards and records of attendance
    • high school transcript - to be sure that the OLI credit has been added to the student record

    OLI will only be obtaining these records for the uses described below, and for no other purpose:

    • advertising on television, radio, newspaper or other medium
    • publications sent to some or all communities, corporate sponsors or donors
    • training video & communications materials that may be released to the media
    • Web, Internet, Intranet-based communications materials
    • participation in an event where representatives of the media (television, radio, newspaper, etc.) may be present. I acknowledge that my image, name, voice, etc. may be used by the media
    • mini-documentaries in the OLI show
    • tracking attendance, academics, and school records to check that program criterion is being met, results are being recorded, and to obtain baseline data and current trends

    Personal information collected pursuant to this form is collected in compliance with section 38(2) of the Freedom of Information and Protection of Privacy Act.

    The information will be used for purposes described on this form and for no other purpose. If you have any questions about the collection, use or disclosure of this personal information, contact us at info@olishow.com

    By signing this form as indicated below, you also understand that the Youth Criminal Justice Act contains provisions that protect the privacy of young offenders, alleged young offenders, young persons who are victims of such offences, as well as young persons who may be witnesses to such offences. Under the Youth Criminal Justice Act, it is an offence to disclose the identity of these individuals, as well as information relating to the offences or alleged offences in which they are involved.

    Signing this form does not, in any way, permit the disclosure of such information.

    I acknowledge that the personal information referred to above was provided freely and voluntarily.

    By signing this form, I agree to release Outside Looking In and its employees from any claim or liability that may arise out of the use or disclosure of the information collected on this form.

  • Assumption of Risks, Responsibilities and Liability Waiver

  • If you are under 18, a parent or guardian will have to complete this section.

  • Format: (000) 000-0000.

  • In consideration of being permitted to participate in   *   hosted by Outside Looking In, I agree as follows:

  • NOTE: BY SIGNING THIS LEGAL DOCUMENT, YOU GIVE UP CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE

    ASSUMPTIONS OF RISKS


    I understand that participation in an Outside Looking In ("OLI") trip (the “Program“) will take me away from my home for an extended period of time. During this period, I understand that I will be in unfamiliar surroundings and will be exposed to risks to my person and possessions. I understand that I may suffer physical injury, sickness or death, or damage to or loss of my property as a result of my participation in the Program; and that there is a possibility of violence and crime, war, terrorism, civil unrest, homesickness, and loneliness, poor road and transportation problems, extreme weather conditions, unsafe areas, failure to perform on the part of the travel agents or airline companies and problems relating to customs, immigration or visa requirements. I understand that medical facilities may be of lower standards. I freely and voluntarily accept and assume all such risks, dangers and hazards. Accordingly, I understand that OLI may not be able to ensure my safety at all times from such risks and dangers.

    ASSUMPTIONS OF RESPONSIBILITY AND INDEMNITY
    I understand that it is my responsibility: to abide by all applicable OLI policies and local laws; to ensure that I have adequate medical, health, life, insurance coverage; and to protect of my person and possessions. More particularly, I understand that OLI does not carry any insurance for my benefit. I also understand that there may be certain matters for which I could be held at fault personally depending on the OLI’s policies and local laws. In these cases, I agree to be accountable in all respects for my own actions and not to ask OLI or its employees to accept the consequences thereof; further, I agree to indemnify and hold harmless OLI regarding any damages it suffers as a result of any claims arising from such actions. I will not knowingly participate in any activity, including political activity, that might endanger either party. I acknowledge that while OLI will endeavour to assist its participants in the event of war, terrorism, or local or general civil unrest or emergency or health risk or disruption during the Program, OLI will not be responsible for my safety or well-being or any consequence of my detention or my inability to leave the Program and return home. I understand that OLI, through its appointed staff members, can require my withdrawal from the Program, for reasons of illness, risks within the host city, or conduct unbecoming an OLI participant and that in such circumstances, OLI shall be the sole arbiter in any determination concerning my withdrawal, which shall not be subject to any appeal or review, notwithstanding any procedural or other OLI rules to the contrary.

     

    LIABILITY WAIVER AND INDEMNITY
    I hereby release, exonerate and discharge and agree to hold harmless OLI, its officers, agents, employees and participants, from any and all liability for any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer, as a result of my participation in the Program due to any cause whatsoever including, but not limited to, negligence, breach of contract or breach of any statutory or other duty of care, including any act, omission or negligence of OLI, its employees or other participants; delay, expense resulting from events beyond their control, acts of God, war, terrorism, local or general civil unrest or emergency or health risk, sickness, transportation, scheduling, arrangements or accommodations, the failure or restriction of any private or public service or business, and government restrictions or regulations and any and all expenses which I may incur while participating in the Program. I acknowledge that OLI is unable and unwilling to accept for any loss, damage, injury or expense suffered, sustained or incurred by me while I am a participant in the Program and that my participation is subject to this condition and I hereby assume responsibility for any such loss, damage, injury or expense. In consideration of my being by OLI to participate in the Program, my signature below is given voluntarily in order to indicate my understanding of these realities and my acceptance of this agreement and that I have had full opportunity to review this agreement with my legal advisor(s). This agreement is effective for the period of time that I will be participating in the Program. I understand that this agreement cannot be modified except in writing signed by OLI and that no oral modification or interpretation shall be valid. This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns. I appoint the following person my Designated Next of Kin and authorize OLI to contact that person for or with information about me in my absence. I have fully informed my designated Next of Kin regarding all aspects of my proposed Program including the nature of any possible risks and the content of this agreement.

    CORONAVIRUS / COVID-19
    I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participating in activities hosted by OLI such exposure or infection may result in personal injury, illness,
    permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, OLI, including employees and volunteers, and program participants and their families.

     

    CONSENT TO USE OF INFORMATION
    I hereby consent to the collection, use and disclosure of personal information by OLI for the purpose of facilitating any of OLI’s acts or communications that OLI considers reasonably necessary as a result of my participation in the Program or any events related thereto.

     

    I HAVE READ THIS DOCUMENT CAREFULLY AND I ACKNOWLEDGE MY RESPONSIBILITIES AND THE EFFECT OF THE ASSUMPTION OF RISK, THE ASSUMPTION OF RESPONSIBILITY AND THE LIABILITY WAIVER.

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