Informed Consent and Acknowledgement: I hereby give my approval for my child’s participation in any and all activities prepared by Children 1st Community Development Services(Children 1st) during the selected coding workshop. In exchange for the acceptance of said child’s candidacy by  Children 1st ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Children 1st  and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against  Children 1st . including all staff, volunteers and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Photo Use Release Authorization: As Parent and/or Guardian, herby grant and authorize Children 1st Community Development Services the right to take, edit, alter, copy, exhibit, publish, distrubute, and make use if any an all pictures or video taken of the child listed above, by Children 1st Community Development Services to be used in and/or for legelly promotional materials materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, funderaising letters, annual reports, press kits, and submissions to journalists, websites, social networking sites, and otherprint and digital communications, without payment or any other consideration. This authorization extends to all languages, media, formats, and markets now known or hereafter devised. This authorization  shall coninute indefinitely it is otherwise revoked in writing by the person signing this acknowledgment. I understand and agree that these materials shall become propety of Children 1st Community Development Services and will not be returned. I hereby hold harmless, and release Children 1st Community Development Services from all liabilty, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate. I hereby certify that I am the parent or guardian of the above named child. I do hereby give my consent with reservation to the forgoing on behalf of this individual. 

Transportation Authorization, Consent, and Release: I, the undersigned parent or legal guardian of the minor child listed below, hereby grant permission for my child to be transported to, from, and during Summer Camp activities sponsored and supervised by Children 1st Community Development Services.

I understand that transportation may be provided by authorized employees, staff members, volunteers, contractors, or approved drivers designated by Children 1st Community Development Services. Transportation may occur in organization owned vehicles, leased or rented vehicles, personal vehicles approved for program use, chartered transportation services, or other lawful means of transportation deemed appropriate for the activity.

I acknowledge and understand that participation in transportation and off site activities involves certain inherent risks, including but not limited to motor vehicle accidents, injuries related to entering or exiting vehicles, and unforeseen events. I understand that Children 1st Community Development Services will take reasonable precautions to ensure the safety and supervision of all participants during transportation.

I certify that my child is physically able to participate in transportation and related camp activities and does not have any medical condition that would prevent safe transport unless otherwise disclosed in writing. I agree to provide current emergency contact information and medical insurance information prior to the start of camp.

In the event of illness, injury, or medical emergency during transportation or while participating in camp activities, I authorize staff of Children 1st Community Development Services to obtain emergency medical treatment for my child, including transportation to the nearest appropriate medical facility. I understand that I am financially responsible for any medical expenses incurred.

To the fullest extent permitted by law, I release and hold harmless Children 1st Community Development Services, its officers, directors, employees, volunteers, agents, and representatives from any and all claims, liabilities, damages, or causes of action arising out of or related to my child’s transportation and participation in camp activities, except in cases of gross negligence or willful misconduct.

I acknowledge that I have read this Transportation Authorization, Consent, and Release in its entirety, understand its contents, and voluntarily agree to its terms.

Medical Release and Authorization: As Parent and/or Guardian of the named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named child. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Children 1st and its affiliates including Directors and Staff to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the workshop. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

CONFIRMATION: By acknowledging and signing below, I am providing an electronic signature that has the same legal effect as an original handwritten signature. This electronic signature is equally binding as a manual paper signature.

I have read and agree to the Consent and Acknowledgement, Photo Use Release Authorization, and the Medical Release and Authorization. By submitting this form, I agree to all of the information stated above.