Delta SD - Music DJ Program 2024
Consent Form

Language:

Your child has been invited to attend the program offered by Yo Bro | Yo Girl Youth Initiative (YBYG) in partnership with the Delta School District.

DistrictSchoolDatesTimeContact (School)
DeltaJarvis ElementaryJuly 3 – 27
Mondays and Wednesdays
10AM – 12PMKirsten Hermanson (Manager – Prevention and School Wellness). 604.328.5098 or khermanson@deltaschools.ca
Amy Bains (Manager, Safer Schools) at 604 9525370

YBYG is an extra-curricular program for children and youth, and is offered to youth at no cost.  The program will be operating out of Jarvis Elementary on Monday’s and Wednesday’s July 5-27th from 10am-12pm.

Through a series of instructor-led sessions, students will be provided with an enriching music experience and the tools necessary to listen, create, express, and present their music works.

Tools include: Creative Deck (digital audio workstation), headphones and music software. Students will learn personal Awareness & Responsibility, social Awareness & responsibility, critical & reflective thinking and creative thinking.

A YBYG Instructor will supervise and run the program, in partnership with the Delta School District.  The YBYG instrcutor will be will be following BC Ministry of Health and Delta School District guidelines.  Snacks will be provided, and parents should indicate food restrictions on the consent form.

Students who are ill should not attend the program. Please do not send your child if your child is sick.  If they become ill or experience any symptoms while at the YBYG Program your child will not be able to participate in activities.  Parents should provide contact information and be available to pick up their child immediately should their child become ill during the day.

The consent package must be completed and submitted to the front office at the school.  Parents may also register child online at http://ybyg.ca and select the Parent link at the bottom right side of the web page, and then click on the blue Delta School program 2024 on the left side of the page.  Registration must be completed before your child can participate in the program.  Space is limited and registration will be accepted on a first come first serve opportunity and a waitlist will be maintained.

If you have any questions, please contact Kirsten Hermanson (Manager – Prevention and School Wellness). 604.328.5098 or khermanson@deltaschools.ca.

CONSENT, CONFIDENTIALITY and ACKNOWLEDGEMENT OF RISK

Accidents or illness can result when children or youth participate in activities and can occur with or without any fault on either the part of the participant (the student, child or youth), the school district or its employees or agents, or contracted service providers (such as the Yo Bro | Yo Girl Youth Initiative staff), or the facility where the activity is taking place. By allowing my child to participate in the Yo Bro | Yo Girl Youth Initiative (YBYG) program, I, the PARENT/GUARDIAN (s) am accepting the risk of an accident occurring, and agree that this program is suitable for my child. I, the PARENT/GUARDIAN (s) recognize that some examples of risks to my child include risk of physical injury or acquiring an illness such as COVID-19, among other risks.

CONSENT

By signing the Consent, I, the PARENT(S)/GUARDIAN(S) agree that:

  1. I, the PARENT/GUARDIAN (s) read and understand the materials provided by YBYG, outlining the YBYG Program and initiatives and agree the activities are appropriate for my child and have provided consent for my child to participate in the activities;
  2. I, the PARENT/GUARDIAN (s) represent to YBYG that my child is medically fit to participate in the activities, and have informed my child not to participate further if he/she/they feel anything to be unsafe;
  3. I, the PARENT/GUARDIAN (s) agree that I shall pay any and all financial obligations, loss or claims for compensation that YBYG or Delta School District may suffer or incur in any way as a result of my child’s participation in the activities;
  4. I, the PARENT/GUARDIAN (s) waive any and all legal rights that may exist now or in the future and release from liability and agree not to sue YBYG or the Delta School District for any loss or damage that it may suffer as a result of my child’s participation in the YBYG Program;
  5. I, the PARENT/GUARDIAN (s) recognize releasing YBYG and the Delta School District from liability prevents me from claiming for money from YBYG or the Delta School District;
  6. I, the PARENT/GUARDIAN (s) represent that I have discussed with my child my expectations, as well as YBYG and the Delta School District’s expectations, and the risks and consequences if he/she/they does not follow guidelines stated by the YBYG mentor or school district personnel;
  7. I, the PARENT/GUARDIAN (s) accept and assume all of these risks and the consequences and freely choose to permit my child to participate in the YBYG program activities regardless;
  8. I, the PARENT/GUARDIAN (s) agree that it is my responsibility to arrange insurance to cover any loss or damage my child may suffer, or liability that may incur, as a result of my child’s participation in the YBYG program;
  9. I, the PARENT/GUARDIAN (s) understand that it is my right to obtain as much information as required about this program or activity and associated risks and hazards, including information beyond that provided to by the school or program;
  10. I, the PARENT/GUARDIAN(S) recognize that YBYG may wish to promote my child’s positive interactions, accomplishments, photographs, and video on YBYG’s media, including without limitation, the YBYG website, emails, social media, and printed or digital promotional materials (“YBYG Media”);
  11. I, the PARENT/GUARDIAN (s) acknowledge that YBYG and Delta School District consents and written communication will be stored and shared between YBYG and Delta School District in an online repository, and once participants such as my child are in the YBYG program, communications will be conducted via phone, other online platforms or in person;
  12. I, the PARENT/GUARDIAN (s) acknowledge that YBYG preserves confidentiality of children, youth and families except when required by law, continuity of care, or the child’s, youth’s and family’s safety;
  13. I the PARENT/GUARDIAN (S) agree that the Youth will not attend the Program or related activities if he/she/they is ill, including, but not limited to, symptoms associated with any respiratory disease (e.g., the common cold, allergies or COVID-19;
  14. I the PARENT/GUARDIAN (S) agree give my permission for the Youth to consume drink and food items provided during the Program and related activities;
  15. I, the PARENT/GUARDIAN (S) agree that I or my designate (authorized pick-up person) will pick my child up after the program or provide written authorization that my child may go home unaccompanied.

JARVIS ELEMENTARY SCHOOL
YO BRO | YO GIRL YOUTH INITIATIVE REGISTRATION CONTRACT

I am of the understanding that my acceptance and retention in the Yo Bro | Yo Girl program is dependent upon my fulfilling the following conditions:

  1. That participation and cooperation are required in all activities including field trips, P.E., and all program events (except for sound medical reasons).
  2. Student must be willing to meet with staff when requested to discuss any concerns.
  3. Expulsion from the program may result from any of the following:
    – destruction of any of the facilities or equipment (including theft),
    – drugs or alcohol taken to the school or to any school function,
    – under the influence of either drugs or alcohol while at school or any school function,
    – carrying weapons,
    – physical fighting,
    – bullying.
  4. The following behaviours are not permitted during the program:
    – inappropriate/abusive language to staff and/or fellow students,
    – gossiping, disrespect to staff, skipping classes, etc.
  5. Use of laser pointers and pagers are prohibited. Cell phones must be turned off in class.
  6. There is to be no visiting by other students from other schools during hours of operation.
  7. Students are expected to have respect for school property. This includes general cleanliness of classrooms, washrooms and grounds.
  8. Students shall not wear clothing that is inappropriate to the learning environment such as clothing that advertises or advocates drug, alcohol abuse or violence.

YO BRO | YO GIRL YOUTH INITIATIVE DELTA SCHOOL DISTRICT
Student Acceptable (Responsible) Use of Technology Policy

 

  1. I will keep my username and password to myself.
  2. I will be respectful of myself and others when using technology.
  3. I will not view, download, or upload anything that is illegal, inappropriate, or that may cause harm or distress to others.
  4. I will not take photographs or video of other students without their permission, nor will I post pictures of others without their permission.
  5. I understand that school systems and devices are primarily intended for educational purposes.
  6. I will respect others’ work and property and will not access, copy, remove or otherwise alter any other person’s files or information without their knowledge and permission.
  7. I understand that if I use my personal devices at school, I will follow the rules set out by this Acceptable (Responsible) Use of Technology policy and my teacher’s instructions.
  8. I will immediately report any damage of devices or software, cyberbullying, inappropriate content, and other concerns to my teacher.
  9. I understand that I am responsible for my actions when using technology both inside and outside of school.
  10. I understand that the school will take appropriate action if I don’t follow the rules.
 

I have read and understand the rules for using technology. (please print clearly).