2024 CADCA National Leadership Forum January 29-February 1, 2024 201 Waterfront St. Oxon Hill, MD Statement of Informed Consent for Parents/Guardians
This parent/guardian consent form is required for ALL youth attending CADCA’s 2024 National Leadership Forum (the “Event”). ”CADCA” is a nonprofit organization headquartered in Alexandria, Virginia whose mission is to create and maintain safe, healthy and drug-free communities globally. CADCA’s National Leadership Forum consists of youth and adult training sessions aimed at making coalitions smarter and faster.
If you agree to have your child participate in this training, they will be expected to participate in a comprehensive training course with their adult advisor who has agreed to assume responsibility for them while traveling and during the event. All data obtained will be treated with the highest level of confidentiality.
The youth trainings offered is through CADCA’s Youth Leadership Courses and our community partners. CADCA's Youth Leadership Courses enhance the effectiveness of youth and their coalition advisor within community coalitions. It empowers thousands of young people yearly to get involved in the community problem-solving process for the development of safe, healthy and drug free communities.
By submitting this form, you give permission to CADCA to use and grant unto CADCA all right, title, and interest in any photographs, videotapes, film and audio in which Youth appear as a participant for educational and publicity/promotional purposes for or related to CADCA’s and/or the coalition’s work, including, but not limited to, any donations, proceeds, or other benefits derived from such photographs or recordings. These can also be used by CADCA in published materials.
I hereby give consent, authorization, and release from liability CADCA and its employees, officers, volunteers, agents, affiliates, partners, event hosts, owners and operators of the premises used to conduct the Event and each of them, their affiliates, partners, agents, and employees (collectively, the “Releasees”) to secure emergency medical treatment and take appropriate action as needed in the event of an emergency in which the parent/guardian cannot be contacted, and agree to be responsible for the costs thereof. I acknowledge that CADCA does not provide medical insurance coverage for Youth.
You understand that Youth’s participation in the Event is voluntary and may expose Youth to risk including but not limited to physical injury, death, and/or property loss. CADCA does not provide health or accident insurance for Youth, and you understand that any medical expenses, property loss, or other personal expenditures that result during or to/from this Event are to be borne by yourself. You also understand that Youth’s participation in the Event will involve activities off of CADCA property and therefore Releasees will have no responsibility for the condition and use of any non-CADCA property. You further understand that CADCA is not responsible for Youth’s supervision during such period of time when Youth may be absent from a CADCA supervised activity.
You assume full responsibility for any risk of personal or property damages arising out of or related to Youth’s participation in the Event, including any acts of negligence or otherwise from the moment that Youth is under CADA supervision and throughout the duration of the Event, and travel to and from the Event.
You further acknowledge that Youth may be a passenger in another’s private vehicle in connection with travel to and from the Event and that CADCA’s auto insurance does not cover such private vehicle. You also understand and agree that CADCA is not responsible for assuring the safety and reliability of such private transportation, or driver, nor for any non-sponsored activities and travel that Youth might choose to participate in before, during or after the Event, and you therefore accept the risks and responsibilities associated with such private vehicle travel and activities.
The “digital signatures” to be provided below are not actual written signatures, however they are held to the same standards and legality as an official signing. Simply type the requested name into the required space.
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