(Please indicate which program you are registering for.)
It is mandatory to submit Proof of Address with your application.
Email: firstname.lastname@example.org Web: www.eliteoneskids.org
Please List 2 Other Relatives/Friends
If there is a person who CANNOT have access to the child, please indicate.
The person listed above have my permission to be responsible for my child in case of an emergency in my absence.
Codes Of Conduct
Adherence to T.E.O.O. Regulations is mandatory to ensure a safe and healthy environment for all participants. Children enrolled in T.E.O.O. Programs are on a probationary basis for 4 weeks. You and your child must demonstrate compliance with T.E.O.O.'s Regulations in order to remain active participants in the program.
HOURS OF OPERATIONT.E.O.O.'s programs will operate all year except for vacation. The program's schedules would be determined by Elite Ones staff as necessitated by the demands of our community. The schedule would be posted in a timely manner for families to make adequate arrangements.
If you are found to be in violation of our Codes of Conduct you will be suspended for ONE WEEK On the second offense, you will be suspended for TWO WEEKS and on the third offense, you will be suspended from the program. There will be no refund of fees due to the student's suspension.
I understand The Elite Ones Organization's Codes of Conduct. I acknowledge that failure to obey these rules will terminate or suspend my participation in The Elite Ones Organization's program.
T.E.O.O's Programs include educational and recreational activities that necessitate continuous participation. As demand arises for registered spots in T.E.O.O.'s programs, consistent attendance would be mandatory. The following regulations apply to all T.E.O.O. programs.
(If there is a person who CANNOT have access to the child/children, please indicate)
T.E.O.O.'s Program, staff, and youth experiences will be assessed in efforts to continuously improve the program. Children may be asked to complete questionnaires about their experiences at various times throughout the year. Their responses are anonymous and individual results will not be shared or published. Only group summary information may be used to provide feedback for program providers. Signing this form gives content for your child to answer questions on such surveys.
AUTHORIZATION TO PRODUCE AND USE AUDIOVISUAL MATERIALS
I hereby voluntarily and without compensation authorize TEOO, Inc. to produce photographs, movies, videotapes, audio-tapes, and PowerPoint Presentations of the below-named student. The authorization is given on the condition that the materials taken or produced will be used for the purpose of community education or program promotion. I understand TEOO, Inc. and its employees will not use these materials for compensation.
I understand that this grant of permission shall only be revoked by a written instrument delivered to the Executive Director of TEOO, Inc. This consent shall remain in full effect unless revoked.
HOLD HARMLESS WAIVER
I hereby waive, release and absolve, indemnify and agree to hold harmless The Elite Ones Organization, its directors, staff, organizers, sponsors, participants and any other affiliates for, from and against all liability because of any bodily injury, or property damage, known or unknown, which may occur or result from the participation of the above named child in any and all activities whether the result of negligence or for any other cause of The Elite Ones Organization I individually and as a part guardian for my child, have read this release and understand all the terms I execute it voluntarily and with full knowledge of its significance.
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Make checks payable to: Elite Ones
Fitness Liability Waiver
I hereby waive, release and absolve, indemnify and agree to hold harmless The Elite Ones Organization, its directors, staff, organizers, sponsors participants and any other affiliates for, from and against all liability because of any bodily injury, or property damage, known or unknown, which may occur or result from the participation of the above named child in any and all activities whether the result of negligence or for any other cause of The Elite Ones organization I individually and as a parent guardian for my child, have read this release and understand all the terms I execute it voluntarily and with full knowledge of its significance. I am physically fit to exercise and have obtained any necessary medical clearance from my physician prior to beginning or continuing any physical activity. In the event that I am injured in any way or suffer any medical condition as a result of participating in The Elite Ones program, and on behalf of myself, my heirs, agents or assigns, I hereby waive any claims, demands or cause of action and release from any liability whatsoever, The Elite Ones Organization and their agents.
Photo/Video & Fitness Liability Waiver
I certify and understand that The Elite Ones Organization staff as well as photographers, newspaper and television reporters, media representatives and public relations personnel may photograph, or record those who participate in these activities and events and the resulting images, videos, and interviews may be used to promote the programs. Therefore, I give permission for my likeness to be photographed, interviewed or otherwise recorded and the resulting images and text may be used by The Elite Ones Organization in any medium, whether now or hereafter:
I do not give permission for photographs, other recordings or interviews to be used by the programs of The Elite Ones Organization in any publication. As a result, I may not be able to participate in events and group activities that may be used for publication purposes.
I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the programs. In addition, I am physically fit to exercise and have obtained prior necessary medical clearance from my physician. In the event that I am injured in any way or suffer any medical condition as a result, on behalf of myself, my heirs, agents or assigns, I hereby waive any claims, demands or cause of action and release from any liability whatsoever from The Elite Ones Organization.