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2021 Parent Release Form
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As a part of my child/children’s membership with the Boys & Girls Clubs of Greater Tarrant County (BGCGTC), I agree to the following:
I hereby authorize the Boys & Girls Clubs of Greater Tarrant County to administer or seek medical aid in the event of an injury or illness involving my child. I understand that in the event of an emergency, BGCGTC staff will notify the proper authorities and will not be held liable for any financial charges that occur as a result of any medical care.
I agree that the Boys & Girls Clubs of Greater Tarrant County nor any of their representatives shall be held liable for any accidents or injuries incurred while being transported by a vehicle operated by the Boys & Girls Clubs of Greater Tarrant County or one of its affiliates. This transportation includes but is not limited to school pick ups and field trips. I also give permission for my child to participate in off site activities in conjunction with Club activities. I understand that the Boys & Girls Clubs of Greater Tarrant County maintains some facilities that are not child care licensed programs and that the staff cannot assume responsibility for a child leaving the facility. BGCGTC staff are not authorized to physically confine Club members to prevent them from leaving the facility. BGCGTC does implement processes to ensure participants are checked in and checked out of facilities, including vehicles safely. Parents are expected to follow all check in and check out procedures
I authorize my child to use the Boys & Girls Clubs of Greater Tarrant County internet access and release the Club from any and all liability. I understand that while computer content is restricted by the organization, it is ultimately my child’s responsibility to utilize BGCGTC computers, tablets, and mobile electronic devices for appropriate purposes. I also agree that the use of mobile technology on personal devices must be monitored by the child and agree to waive all liability related to my child’s personal mobile devices.
I give full permission for my child to participate in all Boys & Girls Clubs of Greater Tarrant County programs, thereby giving permission for my child to participate in the tracking of outcomes/goals which include taking surveys, participation in focus groups, and participation in field trips. I consent to my child’s participation in all club programming and understand that I will be notified when new programming is implemented. I understand that by giving my full permission, that some programs within BGCGTC teach necessary skills to aid members in refraining from drug, alcohol, tobacco use, to discourage child and sexual involvement, as well as other health risk behaviors. If my child is selected to attend the Too Good for Drugs program or the Positive Action program, more information will be provided at that time. I hereby give authorization for my child to be the recipient of education, case management and counseling services. I also give permission for my child to participate in mentoring programs provided through the Boys & Girls Clubs of Greater Tarrant County partner affiliations and/or BGCGTC selected staff.
I consent to and authorize the unrestricted use by BGCGTC and their subsidiaries, affiliates, partners and advertising agencies of my child’s name, photographs, videos, works of art and identity in various BGCGTC website and collateral material, as well as miscellaneous print publications and other media outlets. I understand that this will be undertaken without any right or prior review or further approval, whether I grant BGCGTC permission to obtain school records, transcripts, grade reports, disciplinary information and test results from my child’s school. I also agree to allowing BGCGTC staff permission to speak with teachers, counselors, and other school administrators at my child’s school in order to obtain and exchange information as part of the services provided by BGCGTC programs. I also grant BGCGTC permission to provide reciprocal information to school personnel regarding my child’s educational or behavioral performance during their time at Boys & Girls Clubs of Greater Tarrant County.