C.A.N. On-Line Class Consent Form for December 2020
Conservatory ASL Northwest utilizes the Zoom platform to host learning opportunities for youth and adults. These meetings will be secured with controlled waiting room entry and a meeting room password.
Parents are encouraged to participate with their children. We value your privacy and security and will use your contact info only for contacting you. You can also see Zoom's privacy and security information at https://zoom.us/privacy-and-security
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Email *
I am at least 18 years of age. *
Name of adult/parent/guardian: *
Phone Number: *
Name of child or children participating: *
Age(s) of child or children participating *
I give permission for myself and/or my child to participate in C.A.N.'s Zoom group meetings and to use this platform. *
I understand that some meetings may be recorded for archival and social media purposes. Meetings may be posted in part or totality on the internet. I give consent for myself and/or my child to participate in these recorded meetings. *
To respect the privacy of other participants I will not record or photograph the meeting or its attendees. *
By typing my name, I give my consent for myself and/or my child to participate in C.A.N.'s on-line meetings. Futhermore, I hereby waive, release, covenant not to sue and forever discharge active and all other persons associated with Conservatory ASL Northwest, for all liabilities, claims, actions, or damages that I may have against them arising out of or in any way connected with my registration and/or participation in this program, including without limitation any liabilities, claims, actions, or damages caused by negligence of the above parties (including any negligent rescue attempt), the action or inaction of any of the above parties, or otherwise : *
I am interested in the following chat sessions:
Today's Date: *
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