Letter from Amanda (consent form must be signed)

Dear parents and youth –

We are very excited to have you at NexGen next week.  A few things that we wanted everyone to know.
1) We will be going off site on Saturday to a surf leadership program.  3 waivers are needed.  Two are attached to this email and another is at this link
Without these 3 waivers being completed and turned in Friday or Saturday your youth will not be able to go on Saturday
2) We will be leaving the hotel by 9am.  Please have your child check in by 830am so they can get breakfast, signed in etc.
3) Each youth should bring an age appropriate bathing suit, a cover up, sun screen, a hat, a change of clothes and a towel.  We will be gone all day but will have frequent water, food and activities both in and out of the water.
4) If you do not come with us Saturday off site there are NO alternative activities for teens
5) Friday will be engaging and fun, two speakers that will have the teens up out of their seats, interactive and discussing life skills in a fun and interesting way.  Please encourage your youth to attend.
If you have any questions or concerns please do not hesitate to contact me today or during the event at 352-214-6300.  For more information on Urban Surf 4 Kids feel free to look at their website – http://www.urbansurf4kids.org
Amanda

 

 

CODE OF CONDUCT URBAN SURF 4 KIDS

Participation in the organization’s programs is subject to the observance of the rules and procedures. The activities outlined below are strictly prohibited. Any participant or staff member who violates this Code is subject to discipline, up to and including removal from this event and or entire program.

Abusive language towards a staff member, volunteer, event participants or other participants.

No use of flow, cursing, or negative words/language of any kind towards anyone at anytime.

No conduct endangering the life, safety, health or well-being of others.

Failure to follow any Urbansurf4kids policy or procedures.

Safeguard the privacy/confidentiality of our individuals, participants, families/ groups as well as the integrity of Urbansurf4kids. All photos must be approved by said party, individuals, participants, families/groups BEFORE any photos are taken.

I have read and understand the Urbansurf4kids Code of Conduct. I agree to abide the rules and guidelines described above and understand that I may be removed as a participant/volunteer if I violate any of these rules.

Waiver

URBAN SURF 4 KIDS WAIVER 2016 SEASON

In consideration of being allowed to participate in any of Urban Surf 4 Kids programs and / or related activities.

I, ________________________________________________ acknowledge and agree to the have read and fully agreed to the following disclosures:

  1. Risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist.
  2. I Acknowledge That Surfing May Be Dangerous And I Accept And Assume Such Risks, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation: I am aware that open water activities in general, and surfing specifically, involves inherent risks.
  3. I willingly agree to release Urban Surf 4 Kids or any of its employees / volunteers from responsibility and waive all my rights to take any legal action against Urban Surf 4 Kids. If however I will observe any unusual significant hazards during my presence or participation I understand that it is my responsibility to remove myself from participating and bring such to the attention of the nearest official immediately.
  4. I Waive My Right To Sue Urban Surf 4 Kids: In consideration for Urban Surf 4 Kids agreeing to provide me with surfing instructions and allowing me to participate in this class or lesson, I agree that I shall not make a claim or bring any action against, sue, or hold responsible, the local city of the event, Urban Surf 4 Kids, its owners, officers, agents, employees, associates, representatives, volunteers (referred to collectively in this agreement as “Urban Surf 4 Kids”) or expect, require, or pursue them, to be held accountable for any damages. I voluntarily agree to release, discharge, and hold harmless Urban Surf 4 Kids from and against any and all claims of liability, even those arising out of their negligence, fault, recklessness, or any other act or omission which causes me damages, illness, injury, disease, or death, of any nature in any way connected with my participation in this activity. I also expressly agree to release and discharge Urban Surf 4 Kids from any act or omission, excluding acts of wanton or gross negligence, in rendering or failing to render any type of rescue, emergency or medical services.
  5. Urban Surf 4 Kids volunteers are prohibited from posting or distributing pictures of youth at events unless they receive a signed waiver/authorization from the foster parents, guardians, or youth themselves (18 and over). Urban Surf 4 Kids prohibits the photographing

of youth, outside of water activity wearing bikinis, shirtless, or any inappropriate attire. I acknowledge that Urban Surf 4 Kids does contract event photography to commercial vendors. I acknowledge that these pictures will sometimes be utilized in social media campaigns and advertisement. In the event that an individual does not want to be photographed they must contact an Urban Surf 4 Kids staff member at the event. Event photo’s will be made available to volunteers and youth groups through Urban Surf 4 Kids official website or social media sites.

  1. I, for myself and on behalf of my heirs assigns, personal representatives and next of kin,

HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS URBAN SURF 4 KIDS, their officers, officials, agents, volunteers and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessons of premises used to conduct the event (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damages to person property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by the law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY

UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Name (print): ___________________________________________ Phone: __________________________________

Signature: _______________________________________________ Date: ____________________________________

PARTICIPANT SIGNATURE FOR PARENTS/GUARDIAN OF PARTICIPANTS OF

________________________________ MINOR(S) (UNDER THE AGE OF 18 AT THE TIME OF REGISTRATION)

This is to certify that, as parent of guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Surf

Lessons With Katie and affiliates from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

Name of Minor: ________________________________________ Age: ___________________________________

Parent signature: _______________________________________ Date: __________________________________