LIABILITY CONSENT This waiver and permission slip is a legal document which includes a release of liability and identification. Please read carefully and fill out one form per participant or together via the registration portal. The undersigned parent/legal guardian hereby given permission to ICJC for my child to take part in the ICJC Youth Activities at Islamic Center of Johnson County. I understand that activities can have inherent dangers and risk for harm to my child. Should my child require immediate or emergency medical care while engaged in an activity sponsored by ICJC, in my absence, I hereby grant ICJC authority to release my child for medical treatment to such medical personnel as ICJC determines appropriate under the circumstances. In consideration for the privilege of allowing my child to participate in the above-named activity, I agree to release and hold harmless ICJC, its officers and agents, from any liability to or responsibility for bodily injury, damage or illness to the above-identified child while participating in any youth or social activity which may be directly or indirectly sponsored by ICJC. Further, I agree to identify and hold harmless ICJC, its officers and agents with respect to any claim asserted by or on behalf of my child as a result of bodily injury, illness, or damage. PHOTO CONSENT I/We, (Parent/Guardian), the Parent/Guardian of (child), give permission for our child, while participating in any activities by Islamic Center of Johnson County, to have photos/videos taken, displayed, or used for but not limited to record keeping, promotion, outreach, and celebratory purposes. I/we authorize ICJC staff, ICJC members, ICJC volunteer teachers and other volunteers to photograph, video record, and use said media for Islamic Center of Johnson County. In this digital age the Islamic center takes many pictures of special events, activities, camps, etc. We use these photos/videos/images to record, promote, and celebrate our Islamic center through various venues including, but not limited to ICJC website, ICJC Facebook page, ICJC Instagram, slide shows, bulletin boards, etc. Photos/videos/images are almost always in public areas and/or at public events. We will not knowingly post anything that would be embarrassing, objectionable, or hurtful to anyone in photo/video/image. Having understood the above, I hereby disclaim, release, and agree to hold the Islamic center of Johnson County, ICJC volunteers, ICJC staff, ICJC members and ICJC board members harmless from any liability to us, to our youth, or to any other person or entity as a result of or in connection with the use of said photographs/videos/images, including but not limited to, any claims for invasion of privacy or defamation. This consent form will remain in effect until revoked by Parent/Guardian via a written notification to ICJC at youth@icjc.org MEDICAL EVENT Students that are sick (including lice infestation) should not be brought to the Event. In case of illness during Event hours, a parent/guardian will be notified and asked to pick up their student. A parent/guardian will be notified in case of an accident or illness to their student and shall arrive at the Event within 15 minutes of the notification. If the parent/guardian cannot arrive within 15 minutes of the notification or cannot be reached to make necessary arrangements, or in a critical emergency or life-threatening incident requiring immediate medical care, the parent/guardian authorizes ICJC and the Event Staff to call 911. All medical expenses related to an accident occurring on the premises of ICJC the sole responsibility of the parent/guardian of the injured student. Under no circumstances will ICJC pay or reimburse the parent/guardian, student, or any other injured parties for medical care or medical expenses BEHAVIORAL COMPETENCY Students are expected to interact with and understand the material taught at the Event. Every reasonable effort is made to teach all students in all events. If, for any reason, a student faces difficulty in learning material at a level required by the grade in which they are placed, parent(s)/guardian(s) must advise the Event Staff of any competency limitations related to their student(s) BEFORE enrollment and/or as soon as they become aware of such a competency limitation. The Event Staff is not responsible for any actions arising out of the parent’s/guardian’s lack of advising the Staff regarding such a competency limitation. The Event is run strictly by volunteers on a tight budget, with no paid positions. Accordingly, the Event lacks sufficient resources to adequately educate students who face difficulty in learning material at a level required by the grade in which they are placed. Thus, the Event Staff reserves the right not to enroll students and cancel the enrollment of existing students who face difficulty in learning material at a level required by the grade in which they are placed.