My “Child” wishes to participate in Spark Program Inc’s
program (the “Program”). I understand and agree that participation in the
Program is a privilege, and that I agree to everything written in this Parent
Consent and Release in exchange for my Child’s right to participate in the
Program. I understand that Spark is relying on the promises and statements that
I make in this document and that Spark has only allowed my Child to participate
in the Program because it trusts that my promises and statements are true.
1.
Waiver and Release - I understand that my Child’s
involvement in the Program (including receiving rides to and from the Program)
may involve some serious risks. For example, property owned by myself, my Child
or some other person may be damaged or, my Child or another person may be
injured, get sick or even die during my Child’s involvement in the Program,
including during transportation to or from my Child’s apprenticeship or as a
result of receiving medical care, or after my Child is no longer involved in
the Program as a result of something that happened during my Child’s
apprenticeship. I accept all risks of my Child’s involvement in the Program,
even those risks that I do not know exist. I agree that I will not hold Spark
Program, Inc., its directors, officers, employees, volunteers, and agents
(collectively, “Spark”) legally responsible in any way for any risk or for any
harm, injury, illness, death or monetary costs that I or my Child might suffer
because of or in any way connected to the Program. I further release Spark from
any and all claims that I or my Child may have against any of them arising from
or related to any and all such risks. I agree to everything in this paragraph
on behalf of myself, my Child, and any heirs, family, estate, administrators,
and personal representatives of my Child and me.
2.
Medical Certification and Consent for
Medical Treatment -
I promise that I have indicated any and all of my Child’s special dietary
needs, medical treatments and medications as well as all necessary medical
information by writing them on the Student Participation Form. I understand
that Spark does not provide health, accident or liability insurance to my Child
or to me. I further understand that while Spark will attempt to contact me in
order to approve medical treatment or make for my Child, I will not hold Spark
liable for any failure to do so. In particular, if my Child needs any medical
care, including first aid, surgery or administration of drugs, blood or
anesthetic and Spark cannot contact me or there is no time for Spark to contact
me because it is an emergency, I expressly give my permission for Spark, in its
good faith judgment, to call for and authorize any medical services for my
Child. I understand and agree that Spark assumes no responsibility for any
injury or damage that might arise out of or in connection with any such medical
service or treatment.
3.
Transportation Acknowledgment – I
understand my Child may need to travel to and from his/her Program events or
sessions in order to participate in the Program and hereby request and grant
permission that my Child may be transported by a licensed third-party
driver such as a private charter bus or school bus hired by Spark, or may
walk, or use public transportation. I understand that in some emergency
circumstances my child may be also transported by any other mode of
transportation that Spark, in its sole discretion, determines to be
appropriate, including but not limited to carpool arrangements with other Spark
families, by his or her Spark mentor, by a school or Spark employee, by Spark
volunteers or other Spark agents. I understand that while safety is a top
priority for the organization, Spark has not and cannot make any promise
regarding the safety of any transportation arrangements. Moreover, I understand
that Spark has no control over children who are not present at the appropriate
times and places scheduled for pick-up, or over children or families who choose
alternative travel methods outside of Spark sponsored-transportation
arrangements. I hereby release and agree to hold harmless Spark and its agents
from any liabilities which have or may arise in connection with any such
transportation arrangements.
4. (Optional) Media Release - I hereby grant permission to
Spark Program Inc., its agents, school partners where students have been
released to participate in Spark's program and corporate partners whose
employees have volunteered with Spark (collectively, “Spark”) to
use and publicly display (including in brochures, booklets, videos, reports,
press releases, websites, social media, marketing, and mobile applications, in
each case in any medium) any image or recording in which I or my Child appear
(and any derivative works thereof), to use and cite any comment(s), verbal or
written, I or my Child make in connection with Spark, and to use my or my
Child’s name and likeness in connection with any such use or display and in
such manner as determined by Spark. I acknowledge that Spark has no
obligation to use my or my Child’s image, comments or name.
I hereby waive any right to inspect or approve publications containing
my or my Child’s image, comments or name, whether that use is known to me or
unknown. I also understand that my permission to use my or my Child’s
image, comments, name and likeness requires no notice regarding any particular
use and is for an unlimited duration. Neither I nor my Child will receive
any compensation for granting this permission or for Spark’s use, if any, of my
or my Child’s image, likeness, comments or name. I hereby unconditionally
release Spark from any and all claims and demands that may arise out of the
activities authorized under the terms of this release.
I represent and warrant that I have the full power and authority to
enter into this Consent and Release. By signing below, I acknowledge that I
have read and understand this media release. I understand that this release is
entirely optional and will not impact Spark’s ability to enroll
my Child in the Program.