March Break STEM Academy at Ontario Tech University  

Parents/guardians are responsible for reading, understanding, and agreeing to the detailed information on the following documents:  Assumption of Risk and Release of Liability and Code of Conduct. The notes below do not contain all the information on the forms. 

All youth and staff have the right to a positive and safe experience.  For this reason, youth are asked to follow the Code of Conduct when attending Engineering Outreach programs (whether virtual or in person). In general, we ask that youth:

1. Be safe
2. Be kind to yourself and others
3. Respect yourself and others
4. Listen to others and follow directions
5. Have fun!

Please read the Code of Conduct before continuing

Over the counter medication(s) will not be administered by program staff and should not be brought to campus. Program staff will confiscate any over the counter medication(s) from students, which will be held until check-out for the parent/guardian to retrieve.

We recognize that participants may carry an inhaler and/or epi-pen. If this is the case please contact engineeringoutreach@ontariotechu.ca to complete the necessary forms, share pertinent information, and/or address any further questions. Epi-pens required for life-threatening allergies must remain in close proximity to the participant.

We will be taking photos and videos during in-person programs that may be used in future marketing materials. By consenting to the Photo/Video Release you give Ontario Tech University permanent permission:

• to take photos and video of the student.
• to use all photos and video taken in various ways for marketing, promotion and advertising.
• to fully own and edit all photos and video taken.
• to use all photos and video taken without the need for approval from you of its use or how it is used.
• to not be prevented from using all photos and video taken.

By checking Yes, you give permission for your child's photo and video to be used externally through social media and the Engineering Outreach website to share this experience with the community. This also gives permission to Actua, the national organization, and Ontario Tech University to use this material for the purpose of promotional activities.

PLEASE READ THE FOLLOWING CAREFULLY!

In accordance with the section 26(c) of the Freedom of Information and Protection of Privacy Act (FIPPA) Ontario Tech University is seeking consent to host the Program with the participant minor as named below (the “Participant Minor”).

1. By signing this Consent and Waiver I agree and acknowledge that:
    1.1 The Participant Minor’s participation in the Program is NOT MANDATORY;
    1.2 There will be other participants in the Program, such as but not limited to:
          1.2.1 employees of the Faculty of Engineering at Ontario Tech University,
          1.2.2 other registered participant minors of the Program, and

2. I release Ontario Tech University, its directors, officers, employees, agents and contractors (the “Released Parties”) from all claims, costs, damages, liability or responsibility whatsoever for personal injury, property damage, breach of personal information, security breaches, use of third party services, wrongful death howsoever caused, including, but not limited to, the
negligence of the Released Parties, whether passive or active, which arise from my participation in the Program and related activities.

3. I acknowledge and agree that the Participant Minor’s participation in the Program and associated activities may have inherent risks as a result of which personal injury, including death, property damage or breach of personal information may occur and I accept and assume all such risks arising from the Program and related activities and hereby waive my individual right to commence legal action against the Released Parties for all claims I, or the Participant Minor, my representatives, may have for such personal injury, death or property damage.

4. I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns or beneficiaries may have to sue the Released Parties resulting from my death.

5. I confirm that I have read and understood this Consent and Waiver and agree that by initialing in the box below, this agreement will be binding on me, the Participant Minor and on my, and their, heirs, next of kin, executors and administrators.

6. I agree that this Consent and Waiver shall be governed in all respects by and interpreted in accordance with the laws of the Province of Ontario and the laws of Canada applicable therein.

Personal information on this form is collected under the authority of the University of Ontario Institute of Technology Act, SO 2002, c 8, Sch O and will be collected, protected, used, disclosed and retained in compliance with Ontario's Freedom of Information and Protection of Privacy Act R.S.O. 1990, c. F.31. This information will be used to administer the Engineering Outreach Program for which your child is registered at Ontario Tech University. Questions regarding the collection of your personal information may be directed to: Ontario Tech University Access and Privacy Office, 2000 Simcoe Street North, Oshawa, ON L1G 0C5, 905.721.8668, ext. 6705, email: accessandprivacy@ontariotechu.ca.

By checking Yes, you have read, understand and agree to the Collection of Personal Information Notice. You warrant that you are the parent(s) or legal guardian(s) of the individual named in the online registration form who is a minor and that you are entitled to give consent to this Collection of Personal Information Notice. You indemnify Ontario Tech University, and its successors and assigns against any loss or claim if the minor disavows the Collection of Personal Information Notice because the minor was a minor or for any other similar grounds.