Youth Participation Liability Waiver & Permissions

PARTICIPANT AND PARENT/GUARDIAN INFORMATION
Participant Name*
First Last
Parent or Guardian Legal Name*
First Last
Relationship to Participant*
Parent / Guardian Email*
Enter Email Confirm Email
Parent / Guardian Phone*
Parent / Guardian Mailing Address*
Street Address City State ZIP Code
Which program or programs is your child participating in this year?*
- Summer Camp Session 1
- Summer Camp Session 2
- South Sound Rocks Summer Camp
- Advanced Music Program (AMP)
- Amplified Teen Voices (ATV)
- Other

PARTICIPATION LIABILITY WAIVER AND INDEMNIFICATION
Participation Liability Waiver

Thank you for participating in the Rain City Rock Program for Girls (known as “Rain City Rock Camp” or “RCRC”) Programming (“Program(s)”). By signing this Participation Liability Waiver and Indemnification (“Waiver”), the participant (and if the participant is under the age of 18, the participant’s parent or legal guardian) above (“I”) agrees to be bound by the terms of this Waiver. The parties may execute this Waiver in any number of counterparts. Each counterpart is an original and all counterparts constitute one agreement binding both parties. Facsimile and electronic signatures will be binding for all purposes.

Follow All Rules

While participating at the Program, I agree that I will obey all applicable rules, regulations, and laws. I will also obey all rules, regulations, and policies of RCRC associated with the Program and will remain within the parameters of Program Activities (as defined below) at all times. If I violate any rules, regulations, laws, or policies, I understand that RCRC may suspend me from the Program.

I release, discharge, and otherwise agree to indemnify Rain City Rock Camp, its affiliated organizations and sponsors, its officers, directors, employees, volunteers, and agents against any claim by or on behalf of myself or my minor child as a result of my child's participation in any program or activity sponsored, coordinated, or supervised by Rain City Rock Camp.

Assumption of Risk

I understand that attending the Program as a participant will involve activities, including but not limited to self-defense, active group games, using electrical equipment such as amplifiers, speakers, and musical instruments, moving heavy equipment and objects, screen printing, stencil making, and dancing (“Program Activities”) and that Program Activities may take place in a loud environment. I understand that attending the Program and participating in Program Activities may pose risks of bodily injury, including death, due to the inherent nature of each activity. I am solely responsible for determining whether I have adequate skills and whether I need personal protective equipment to attend the Program and participate in Program Activities. I understand the risks associated with attending the Program and participating in Program Activities, and that the risks may be caused by my own actions or inactions or the actions or inactions of others involved with the Program or the condition in which the Program or Program Activities take place. I also fully understand that there may be other risks and losses either not known to me or readily foreseeable at this time. I FULLY ACCEPT AND ASSUME ANY AND ALL RISKS AND RESPONSIBILITY FOR INJURIES (INCLUDING DEATH), LOSSES, COSTS, AND DAMAGES, regardless of severity, that I incur as a result of my attending the Program and participating in Program Activities and fully accept and assume any and all risks and responsibilities surrounding my attendance at the Program and my participation in Program Activities.

Waiver and Release

I hereby fully WAIVE AND RELINQUISH any and all claims and demands, including those for any injury (including death), losses, costs, or damages, that I may have arising out of, connected with, or in any way associated with or otherwise incidental to my attendance at the Program and my participation in Program Activities, against RCRC, including its administrators, directors, agents, officers, officials, volunteers, representatives, successors, assigns, employees, and contractors (each a “Releasee”). I hereby fully RELEASE, forever discharge, and covenant not to sue each of the Releasees from and against any and all liability, claims, and demands, including those for any injury (including death), losses, costs, or damages, that I may have arising out of, connected with, or in any way associated with or otherwise incidental to my attendance at the Program and my participation in Program Activities, including whether caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise.

Indemnification

I hereby agree to INDEMNIFY, DEFEND, AND HOLD HARMLESS each of the Releasees from and against any and all liability, claims, proceedings, suits, causes, demands, or actions of any nature for any loss, liability, cost, damage, or injury (including death) to person or property, or of any other kind, whether known or unknown, including my person and my property and including claims for attorneys’ fees and costs, arising out of or related to my intentional acts or omissions or my breach of this Waiver or RCRC’s rules, policies, or Code of Conduct.
Signatures / Acknowledgements
Parent / Legal Guardian Acknowledgement*
I understand and acknowledge that this Waiver is intended to be as broad and inclusive as permitted by the laws of the State of Washington. I understand and agree that if any portion of this Waiver is held invalid by a court of competent jurisdiction, the invalidity of such clause or provision will not otherwise affect the remaining provisions of this Waiver, which will continue to be enforceable. I further agree that this Waiver will be governed by the laws of the State of Washington without regard to conflicts of laws.

I represent that I am the parent or legal guardian of the minor who has signed above and is the participant in the Program. I agree that we both shall be bound by this Waiver, including the provisions in the Signatures section above Participant’s Signature. I understand that this Waiver binds me and my family, heirs, executors, administrators, and assigns. I agree to discuss the terms of this agreement with my youth participant.

I Confirm and Agree
Date*
MM slash DD slash YYYY

VIRTUAL PROGRAM NOTICE
RAIN CITY ROCK CAMP VIRTUAL PROGRAM NOTICE REGARDING THE COLLECTION AND SHARING OF PERSONAL INFORMATION WITH THIRD-PARTY PLATFORMS
In connection with offering components of our Program in an online format, Rain City Rock Camp (“RCRC”) may request that participants in the program (“Participants”) utilize third-party platforms to connect with our staff and other Participants, learn, and collaborate on projects. By signing this document, you acknowledge that you have reviewed the description of information collection and sharing practices contained herein and understand that it is your responsibility to control what information you (or your child, if you are signing this document on behalf of a Participant) share with these platforms.
- I retain full supervisory responsibility for any and all activities that happen as a part of virtual Programs .
- I agree to have an adult nearby who is available during the hours of virtual Programs. I will set up my child’s access to the internet/virtual Program in a place other than their bedroom.
- I will be aware of their background and what/who is visible. I release Rain City Rock Camp from any responsibility for use of the internet outside of Program channels.
- I agree to talk to my child about being online, such as safety, online searches, oversharing and cyberbullying.
Explanation of Information Collection Practices

RCRC may use third-party platforms as follows:
- Video conferencing tools used to offer programming and instruction to multiple Participants and facilitate connections across our Program community
- Music collaboration tools used to enable Participants to work together on a particular Project
- Platforms that enable the distribution of documents and facilitate written communication, including chats
Some of these platforms require Participants to create an account and login in order to use the tool. RCRC will not create accounts for any Participants and will not provide Participant names or email addresses to any third-party platform. Where an account is required, RCRC will inform Participants of the need to create their own accounts. Parents/Legal Guardians are responsible for creating accounts for Participants under 13 years old. Participants and Parents/Legal Guardians should review the privacy notices associated with third-party platforms at the time of registration to understand their information collection, use, and sharing practices. If you have concerns about the practices associated with any third-party platform that requires registration, please contact us to discuss alternatives.

Where a platform does not require the creation of an account, the platform may nonetheless collect certain information regarding a Participant’s use of the platform, such as information about the device used to access the platform, through the use of tracking technologies such as cookies, pixels, and web beacons. Please review the privacy notices associated with these platforms to understand more about their information collection, use, and sharing practices. You may be able to exercise choice regarding the collection of information through cookies and other tracking technologies by making changes to your browser settings, or by submitting an opt-out request on the website of the third-party platform.
Signatures / Acknowledgements
Parents/Legal Guardians of Participant*
I (“Parent”) acknowledge that I have reviewed the Notice Regarding the Collection and Sharing of Personal Information with Third Party Platforms. I recognize that Third Party Platforms used in connection with the RCRC Programs may collect information about my child, and that RCRC does not control the information collection, use, and sharing practices of these platforms. I further acknowledge that it is my responsibility to review the privacy policies associated with these platforms, and to adjust my browser settings or contact the platforms directly to exercise choices regarding my child’s personal information.
I Acknowledge
Date*
MM slash DD slash YYYY

Getting To and From Camp
- Participants of the Rain City Rock Camp (“RCRC”) Program (“Program”) may arrive as early as 30 minutes prior to Program start time and no later than 30 minutes past Program end time.
- Any earlier drop-offs or later pick-ups must be arranged prior to the first day of Program. We reserve the right not to accommodate such a request.
- Anyone picking up a Participant must be prepared to show proof of identification. We will NOT allow a Participant to leave with anyone other than an authorized adult.
- Unless a parent or legal guardian signs the Public Transport Release below, we will not allow a participant to leave the Program unsupervised at the end of the day.
- If the need arises, we will accept verbal instructions from an authorized adult to (a) add an additional authorized adult to the pick up list, or (b) allow a Participant to ride public transportation home.
Permission for Picking Up a Participant
In addition to the parent or legal guardian listed above, the following adult(s) have my permission to pick up my child (the Participant listed above) from Program:
Authorized Person #1
First Last
Phone
Authorized Person #2
First Last
Phone
Signature
I have read and understood the above policy and give my permission to Rain City Rock Camp to release my child (the Participant listed in this form) from Program to the adults listed immediately above.
I consent to the above authorized persons picking up my child.
Public Transit Release
My child (the Participant listed in this form) has my permission to take public transportation unsupervised to and from Program.

I give pubic transit permission as described above.

Medical Care Permission and Information
Medical Care Permission
In the event of accident, injury, illness, incapacity, or any other medical or dental emergency and until such time as one of the parents or legal guardians listed below is contacted, I hereby give permission for any and all medical and dental care, including hospitalization, to be administered to my child (the Participant listed above) under the direction of the Rain City Rock Camp representative who bears this Medical Permission and Information Form. This permission applies whether or not the medical and dental care is covered by insurance, and I assume full responsibility for the payment of any such medical and dental care expenses regardless of whether I would have authorized such expenses under separate circumstances. I confirm that the Medical and Insurance Information provided in the box below is correct.
I give medical care permission as described above.
Medical Information
Participant Birthdate
MM slash DD slash YYYY
Known Allergies
Medical or Dental Conditions
Current Medications

PERMISSIONS FOR RAIN CITY ROCK CAMP FOR GIRLS
Permission for Rain City Rock Camp to Use Photos, Recordings, and Statements

For good and valuable consideration, the sufficiency and receipt of which is hereby acknowledged, I grant to Rain City Rock Camp (“RCRC”) and its agents, licensees, successors, and assigns a perpetual, irrevocable, non-exclusive, royalty-free right, license, privilege, and authority to publish, disseminate, use, reproduce, prepare derivative works based on, distribute copies of, perform, and display my name, age, likeness (including without limitation photographs and video recordings), voice (including without limitation video and audio recordings), statements, artwork, zines, compositions, music, and any other creative work/expressions in connection with the execution and promotion of RCRC Program (“Program”) and for advertising, publicity, fundraising, and promotional purposes (whether or not in connection with the Program), in any manner, and in all media and formats whether now known or later developed, throughout the universe, in perpetuity, without any notice, permission, or compensation (except where prohibited by law).
Signatures / Acknowledgements
Agreement*
- Yes, I agree to allow the permissions listed above.
- No, I do not agree to allow the permissions listed above.
Parent or Guardian Acknowledgement*
I represent that I am the parent or legal guardian of the minor who has signed above and is the participant in the Program. I agree that we both shall be bound by this Permissions for Rain City Rock Camp for Girls including the provisions in the Signatures section above Participant’s Signature.

I Acknowledge
Date*
MM slash DD slash YYYY

PERMISSIONS FOR PRESS OUTLETS
I hereby give my permission to RCRC to (1) allow my artwork and zines to be photographed and video recorded; and (2) allow my music to be video and audio recorded. For good and valuable consideration, the sufficiency and receipt of which is hereby acknowledged, I hereby grant to such news or press outlet and its respective affiliated companies, agents, licensees, successors, and assigns a perpetual, irrevocable, non-exclusive, royalty-free right, license, privilege, and authority to publish, disseminate, use, reproduce, prepare derivative works based on, distribute copies of, perform, and display my voice (including without limitation video and audio recordings), artwork, zines, compositions, and music for purposes of news articles about the Program or RCRC, in any manner, and in all media and formats whether now known or later developed, throughout the universe, in perpetuity, without any notice, permission, or compensation (except where prohibited by law).
Signatures / Acknowledgements
Agreement*
- Yes, I agree to allow the permissions listed above.
- No, I do not agree to allow the permissions listed above.
Parent / Guardian Acknowledgement*
I represent that I am the parent or legal guardian of the minor who has signed above and is the participant in the Program. I agree that we both shall be bound by this Permissions for Press Outlets, including the provisions in the Signatures section above Participant’s Signature.
I Acknowledge
Date*
MM slash DD slash YYYY

CODE OF CONDUCT & FREEDOM OF ARTISTIC EXPRESSION
Code of Conduct

Code of Conduct Agreement

In order to maintain a safe environment, everyone who attends programs at Rain City Rock Camp must read and sign the Code of Conduct Agreement. Thank you for your cooperation.

By signing this Code of Conduct Agreement, you agree that you will abide by the guidelines listed below while attending the Rain City Rock Camp Program (“Program”):

Code of Conduct

Our hope is that Rain City Rock Camp will be a place for Participants to make friends and find support. By signing this Code of Conduct Agreement, you agree that you will abide by the guidelines listed below while attending the Rain City Rock Camp Program (“Program”):

In order for Rain City Rock Camp to be safe, fun and enjoyable for everyone, here are the RCRC expectations:
- Always respect each other’s differences in race, ethnicity, ability, gender identity, size, sexuality, religion, politics, and economic status.
- No violence of any kind.
- Bullying will not be tolerated. Issues and consequences will be addressed with Participant and parent including and not limited to temporary or permanent removal from Program.
- No smoking, drug or alcohol consumption or possession on the Camp premises.
- No foul or offensive language.
- Sexual or suggestive behavior/comments/conversations is not appropriate or acceptable at Rain City Rock Camp.
- Be respectful of all staff members, participants, volunteers, and guests.
- Respect all instruments, equipment, and property. Treat them with care.
- Be supportive of one another, especially with respect to individual musical abilities and creative efforts.
- Stay off all phones and devices not related to camp during workshops and classes.
Virtual Program Expectations
- In virtual conference meetings, Participants will use their chosen first name and pronouns in parenthesis—for example: Shay they/them. (You might need to change your profile name once you enter the group. We’ll show you how to do this in a video leading up to the Program!)
- Participants will only use the designated platforms to contact Participant staff and fellow Participants during the scheduled Program times.
- Screenshots, recordings, and private, separate chats by Participants are not allowed during virtual Program sessions.
- Participant backgrounds will be appropriate, such as, but not limited to, a blank wall, virtual background image, or the poster provided by Rain City Rock Camp.
- Just like in real life, Participants will be respectful during performances and workshops, and unmute themselves to ask questions when called on.
Signatures / Acknowledgements
Parent / Guardian Acknowledgement*
I represent that I am the parent or legal guardian of the minor who has signed above and is the participant in the Program. I agree that we both shall be bound by this Permissions for Rain City Rock Camp including the provisions in the Signatures section above Participant’s Signature.
I Acknowledge and Agree
Date*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Step 1 of 8 – PARTICIPANT AND PARENT/GUARDIAN INFORMATION

PARTICIPANT AND PARENT/GUARDIAN INFORMATION

PARTICIPATION LIABILITY WAIVER AND INDEMNIFICATION

Participation Liability Waiver

Follow All Rules

Assumption of Risk

Waiver and Release

Indemnification

Signatures / Acknowledgements

VIRTUAL PROGRAM NOTICE

Explanation of Information Collection Practices

Signatures / Acknowledgements

Getting To and From Camp

Permission for Picking Up a Participant

Medical Care Permission and Information

Medical Information

PERMISSIONS FOR RAIN CITY ROCK CAMP FOR GIRLS

Signatures / Acknowledgements

PERMISSIONS FOR PRESS OUTLETS

Signatures / Acknowledgements

CODE OF CONDUCT & FREEDOM OF ARTISTIC EXPRESSION

Code of Conduct

Code of Conduct Agreement

In order to maintain a safe environment, everyone who attends programs at Rain City Rock Camp must read and sign the Code of Conduct Agreement. Thank you for your cooperation.

Signatures / Acknowledgements