Consent Form Easterseals Virtual Camp
With the understanding that Easterseals, Inc. will make every reasonable effort to prevent accidents, injuries, or other mishaps, I acknowledge the following:
The undersigned agrees to indemnify and hold harmless Easterseals Inc. Virtual Camp for any and all claims, demands, costs, expenses, including reasonable attorney’s fees that Easterseals Inc. may suffer as a result of any claim, action, demand or judgment against it arising from the attendance at camp by the applicant. Provided, however, that the above and foregoing shall not be construed to indemnify the Easterseals Inc. from any act of negligence or fault on the part of Easterseals Inc., its officers, agents or employees.
The undersigned does consent that photographs, video or motion pictures may be taken of the named applicant during the camp period, and said photographs, video or motion pictures may be published in newspapers, magazines, television, web site, publicity releases and/or other media.
The undersigned does hereby agree to allow participation of applicant in all camp activities (except those restricted).
The undersigned recognizes the right of the Camp Director, in his/her absolute discretion, to remove a camper from the virtual platform at any time due to disciplinary or medical actions that might jeopardize the camper’s or others’ health and safety at camp. The undersigned agrees not to send the applicant to Easterseals Inc. camp if he or she has been exposed to a contagious disease within three (3) weeks of the starting date of camp, and to notify the Camp Director if this situation arises.
The undersigned recognizes that it is their obligation to notify Easterseals Inc. of any other persons, other than parent or guardian, in the location, either on or off camera and who can hear or see the session. I understand that I am responsible to ensure privacy at my location. I will notify Easterseals at the outset of each session of any exceptions and am aware that confidential information may be discussed.
The undersigned recognizes that it is their obligation to ensure that any virtual assistant artificial intelligence devices, including but not limited to Alexa or Echo, will be disabled or will not be in the location where information can be heard.
The undersigned agrees to not record either through audio or video any of the session unless I notify Easterseals and this is agreed upon.
I understand there are potential risks to using virtual technology, including but not limited to, interruptions, unauthorized access, and technical difficulties. I understand some of these technological challenges include issues with software, hardware, and internet connection which may result in interruption.
I understand that Easterseals is not responsible for any technological problems of which Easterseals has no control over. I further understand that Easterseals does not guarantee that technology will be available or work as expected.
I understand that I am responsible for information security on my device, including but not limited to, computer, tablet, or phone, and in my own location.
I understand that the use or presence of weapons, drugs, tobacco and alcohol are not allowed at Easterseals Virtual Camp.
I understand that Easterseals will not be providing supervision for campers, that supervision must be provided by me or another caretaker.