SITA Permission Form 2016-2017
 
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 ENRICHMENT PROGRAM PARTICIPATION PERMISSION FORM 

 
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Please complete separate forms for each your children. Upon completion of the current form, return to the the following page. http://www.thompsonschools.org/Page/10338
 
   
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  Dear Families:

Your child has requested to participate in one or more district-sponsored extracurricular enrichment programs for the 2015-2016 school year.

Participants might use hand tools, scissors, paints, markers, sewing items, wire, weights, etc. and engage in strenuous activities. While accidents and injuries are rare, there is a risk of injury to participants at meetings, practices, competitions and when traveling to and from scheduled activities. No amount of instruction or precautions will totally eliminate all risk of injury. The obligation of parents and children in making a choice to participate in an activity where the risk of injury may be inherent cannot be overstated. Participants have the responsibility to help reduce the risk of injury by participating in the activity in a safe and effective manner.
   
  Transportation to and from meetings and competitions is the parent or guardian’s responsibility. The District cannot and does not assume any responsibility for the safety of the driver or passengers, training of drivers, condition of vehicles, adequacy for the use or purpose intended or any other matters related to any non-District transportation.
   
  Your signature acknowledges that your child is being allowed to participate in district-sponsored extracurricular enrichment programs with the understanding that you accept the risks involved. You agree to indemnify and hold the Thompson School District R2-J, their officers, employees, volunteers, and agents harmless from all loss, costs, damage, injury, liability, claims and causes of action whatsoever, arising out of or related to participation in this field trip/activity. Nothing in this Agreement shall be construed as a waiver by Thompson School District of any rights, immunities, privileges, monetary limitations to judgments, or defenses provided to Thompson School District by the Colorado Governmental Immunity Act, Sec. 24-10-101 et seq., C.R.S., as from time to time amended, or otherwise available to Thompson School District.
   
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We/I, as parents/guardians of the above named student (“the student”), hereby grant permission and consent to Thompson School District R2-J to use the student’s work and to photograph, film and/or videotape the student in the classroom or other settings for educational, informational or instructive purposes and to edit, portray, and exhibit the photograph, film/videotape produced thereby, in part or in whole, for cablecast and/or broadcast, Web media or other public viewing. We/I understand that there will be no financial or other remuneration for the use of the student’s work or any photograph, film and/or videotape and hereby release the Thompson School District R2-J and waive any and all causes of action of every kind and nature including any claim for breach of confidentiality, privacy, or otherwise arising out of or occasioned by the activities consented to hereby. The consent and permission hereby granted may be withdrawn if written notice is delivered to the Thompson School District Public Information Officer, 800 S. Taft Ave., Loveland, CO 80537. We/I understand that revocation will not affect any photograph, film and/or videotape that has been produced before the written notice is received.
 
We/I, as parents/guardians of the above named student (“the student”), hereby grant permission and consent to Thompson School District R2-J to use the student’s work and to photograph, film and/or videotape the student in the classroom or other settings for educational, informational or instructive purposes and to edit, portray, and exhibit the photograph, film/videotape produced thereby, in part or in whole, for cablecast and/or broadcast, Web media or other public viewing. We/I understand that there will be no financial or other remuneration for the use of the student’s work or any photograph, film and/or videotape and hereby release the Thompson School District R2-J and waive any and all causes of action of every kind and nature including any claim for breach of confidentiality, privacy, or otherwise arising out of or occasioned by the activities consented to hereby. The consent and permission hereby granted may be withdrawn if written notice is delivered to the Thompson School District Public Information Officer, 800 S. Taft Ave., Loveland, CO 80537. We/I understand that revocation will not affect any photograph, film and/or videotape that has been produced before the written notice is received.
   
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