Minor Model /Photo Release
I hereby grant Blackfoot Community Center and those persons acting with the Blackfoot Community Center authority and permission, the right to take and create photographs & video (in all formats) and other graphical depictions incorporating my child's likeness, in any and all media, whether now known or hereafter created (the "Video & Photographs").
I hereby agree that all rights in and to the Video & Photographs, including the copyright, are and shall remain the sole property of Blackfoot Community Center free and clear from any claims by me or anyone acting on my behalf. These rights include, but are not limited to, the rights, in perpetuity, to: use, re-use, publish, and re-publish the Video & Photographs; Combine the Video & Photographs with textual matter and/or with other pictures and/or media; and, Use the Video & Photographs for illustration, promotion, art, editorial, advertising, trade, publishing, or any other purpose whatsoever.
I hereby release, discharge, and agree to hold harmless Blackfoot Community Center and its legal representatives and assigns, and all persons in authority or those for whom he/she is acting, from any liability by virtue of any use of the video & photographs or any changes or alterations made thereto.
Field Trips and Transportation
Participants enrolled in classes at the Blackfoot Community Center are transported to various local destinations throughout the week. In addition, periodic Field Trips to more distant destinations may be scheduled. If your child does not wish to attend a Field Trip or scheduled activity, the parent or guardian needs to advise the staff in advance so that other arrangements can be made.
I hereby grant permission for my child(ren) to be transported to regularly scheduled local destinations and to participate in other educational Field Trips or any other destinations as determined by the Blackfoot Community Center. I also understand that my child may at times walk to nearby destinations, or may travel via a Blackfoot Community Center bus / van or by private vehicles provided and driven by staff of the Blackfoot Community Center. I agree to and give my permission for my child(ren) to travel to program destinations according to these terms.
Release of Liability
Participant and the Participant's Parents/Guardians understand and acknowledge that, in consideration of the Participant's participation in any Program /Class/Event at the Blackfoot Community Center, that neither the program nor the personnel, nor any other individual or group associated with the program shall be held responsible nor liable for any injury to Participant or Participant's Parents/Guardians, nor for any damage to, or loss of, the Participant's or Participant's Parents/Guardians' property occurring in connection with the Blackfoot Community Center, or for any damage or loss suffered by the Participant, from any cause whatsoever, regardless of whether the said damage or injury results from conditions arising from participation in a Program/Class/Event of the Blackfoot Community Center.
Participant and Participant's Parents/Guardians do hereby release and forever discharge Released Parties, their officers, agents, employees, members, managers, and assigns from any and all claims, demands, causes of action, suits, damages, costs and expenses for any and all losses, personal injuries, pain and suffering, or property damage arising out of or occurring in connection with Participant's participation in any BCC Program.
Furthermore, Participant and Participant's Parents/Guardians agree to comply with all rules, regulations, policies, and procedures governing the any BCC Program, and both Participant and Participant's Parents/Guardians understand and acknowledge that participation in any BCC Program is expressly conditioned upon such compliance.
Payment Policies
I agree to pay all fees / tuition to the Blackfoot Community Center by the agreed due date for student. I understand it is my responsibility to contact billing personnel at the Community Center if any abnormal circumstances arise. If I apply for ICCP assistance, it is my responsibility to complete and submit all documentation on time and to pay my assigned co-pay by the established monthly due date. I understand that I am responsible for any payment due if ICCP does not accept my application or if I fail to re-certify my application on time. Furthermore, I understand that if I am late on payments or have past due bills my child may be denied admission to a Class / Program / Event. I understand and agree that I can be charged a $50 per month late fee for any carry-over balance from month to month. I also understand and agree that if I unenroll my child with a balance on my account, I can be charged a $25 per week penalty for not paying all my fees by the due date as agreed.
Medical Emergencies
In the event that my child suffers any illness or accident requiring emergency treatment or hospitalization while participating in this Program/Class/Day Camp/Event, I hereby give permission for any necessary medical treatment or hospitalization. I hereby authorize the attending physician to perform any test, order x-rays, hospitalize, or secure proper treatment as deemed necessary by a medical professional for the health of the above named participant. I agree to accept responsibility for the cost of any medication / medical services / or transportation prescribed by a licensed physician.
I realize that every effort will be made to contact me and/or to contact the person(s) whose phone numbers I have provided in case of emergency. I understand that in such case that I am not immediately available, I will notified as soon as possible at the phone numbers that I have provided. I will notify the BCC immediately of any changes to my contact information.