EYES strives to mitigate risks in all our activities by working closely with the U of R’s Health, Safety & Environment, Risk Management, and Human Resource units and all activities are reviewed by multiple individuals in a three tired safety and security review. EYES instructors are provided First Aid and U of R Safety training as safety is a core component of our programming. However, there are inherent risks that are associated in participating in the program that may result in illness, personal injury or damage.
I understand that the University of Regina collects and creates information about EYES campers for purposes of admission, registration, recruitment, safety, promotion, and the administration of the University and its programs and services. Some of this information may be reported as required by federal or provincial authority. By enrolling in EYES at the University of Regina, I consent to the collection, use, and disclosure of my own and my child’s personal information as described above.
Photography/Use of Image Clause
I give the University of Regina, EYES, its sponsors and Actua permission to use my child’s photographs and likeness in any program informational or marketing material in any medium, and/or to televise my child’s participation in program activities for the purpose of promotion, fundraising, marketing, documentation, and public display.
Three Strike Policy
In case of an emergency regarding my Child(ren), I understand every effort will be made to contact me. In the event that I cannot be reached in an emergency situation, I hereby give permission to University of Regina staff, licensed emergency and health care personnel to provide treatment/services they deem necessary with respect to my Child(ren). In the event of medication, medical advice, treatment and/or equipment are required; I agree to accept financial responsibility for fees in excess of provincial and or private medical insurance. I agree that the information on this form and the Medical Information Release form may be disclosed to such emergency and health care personnel. In the event of illness, accident, emergency, or any other circumstance requiring medical treatment, such treatment may be procured for the Participant without legal or financial obligation to the University.
I understand that it is my responsibility to advise the University of Regina of any Medical Information with respect to my Child(ren) that the University of Regina staff should be aware of. I understand and agree that the University of Regina will disclose this medical information as required to appropriate staff. I understand that the University of Regina employees are not medical professionals. I agree that my child(ren) are medically fit to participate in the Program. I understand that medical information may be stored in a University of Regina database and/or in paper form in a physical location at the University of Regina.
I hereby give consent for my child’s participation in the EYES and related activities on and off campus. I understand that EYES is a program designed to encourage scientific interest and will involve hands-on activities and laboratory experiences. I agree that neither EYES, Actua, nor the University of Regina will be held liable for any injury to my child, or loss or damage to my child’s personal property. In consideration of my child being allowed to participate in EYES, I, the parent/guardian of the child, on my own behalf and on behalf of my child, waive all present and future claims against the EYES, Actua, the University of Regina, and its directors, Board of Governors, employees, officers, servants, representatives, insurers and agents (and their respective successors and assigns) (collectively, the “Releasees”) and hereby release the Releasees from and against all liabilities, claims, actions, demands, costs and expenses relating to injury, illness, death, loss, damage to person or property or loss of property, foreseen or unforeseen, howsoever caused (including negligence of any one or more of the Releasees), arising out of or in connection with my child’s participation in EYES. I, on my own behalf and on behalf of my child, also agree to indemnify the Releasees for, on account of or by reason of any claim advanced against any of them, or any loss or damage sustained by them, arising out of my child’s participation in EYES.
The information in this application is correct and I am the parent or guardian of the child indicated in the online registration form. I have read and agree to all terms and conditions on this application. EYES reserves the right to refuse further participation to any participant