Winter STEAM Club Grades 9-12 Cohort 1

Cohort 1: Winter STEAM After School Club for Grades 9-12

Our free after school STEAM Club is available for students in Grades 9-12. The 3-week recurring club gives students the opportunity to learn from mentors, create STEM based projects and develop fundamental digital literacy skills. This program encourages confidence and works to inspire students to further explore STEM fields through fun and innovative learning. Each registered participant will receive all required project materials each week! We are excited to welcome you to McMaster University’s campus in a supportive, collaborative, and fun environment for students to connect with each other and discover the excitement of Engineering! This club will meet once a week for 3 concurrent weeks. Dates: Cohort 1: Thursday’s January 30th- February 12th 6:00-8:00pm (no dinner provided)

Participant Information

Child's Name(Required)

First Last

Current Grade(Required)

Please enter a number from 9 to 12.

Allergies

Anything else we should know about this participant?

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/ Guardian Information

Parent Email(Required)

Parent/ Guardian Name(Required)

First Last

Phone number(Required)

Asumption of Responsibility, Risk and Liability Waiver(Required)

I am the Parent/Guardian of Participant Minor listed below and am authorized to sign this Agreement, on behalf of the Participant Minor

McMASTER UNIVERSITY

BY SIGNING THIS LEGAL DOCUMENT, YOU GIVE UP CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY!

McMASTER UNIVERSITY
PARTICIPANT RISK, ACKNOWLEDGEMENT & WAIVER

I
This McMaster University Participant Risk, Acknowledgment and Waiver (the “Agreement”) MUST be signed/initialed by a parent or legal guardian for the Participant Minor as named below who is participating in the Venture Academy Program (the “Program”) within the Faculty of Engineering at McMaster University

McMaster University advises that participation in the activities associated with the Program (the “Activities”) contains elements of risk, both obvious and inherent. Further, by participating in the Activities, I am also aware I will be exposed to many inherent risks and dangers (“Risks”) that may result in, among other things, mild or severe illness, potential exposure to infectious and communicable disease, including but not limited to COVID-19; contracting COVID-19, physical injury, partial or total disability, death and/or property loss or damage.

1. By signing this Agreement I agree and acknowledge that:

the Participant Minor’s and/or my participation in the Activities may have inherent risks as a result of which personal injury, including death, or property damage may occur and I accept and assume all such risks arising from the Activities and hereby waive my individual right to commence legal action against the Released Parties for all claims I, or my representatives, may have for such personal injury, death or property damage;

participation in the Activities is NOT MANDATORY;

there will be other participants in the Program, such as but not limited to:
1.3.1 employees of Program with the Faculty of Engineering at McMaster University,

1.3.2 other registered participant minors of the Program, and

1.3.3 if requested by their parents/guardians, the parents/guardians of other registered participant minors;

McMaster University may use any media content recorded or taken during the Program for promotional material for McMaster University, Venture Academy and without any further permission or payment;

I am responsible for the condition of any tools or equipment appropriate or needed for the Participant Minor to participate in the Program;

I am responsible for ensuring that the I and/or the Participant Minor will have and will wear equipment suitable for safety and properly participating in the Program;

I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns or beneficiaries may have to sue the Released Parties resulting from my death;

I, and will ensure that the Participant Minor, will follow the laws, recommended guidelines, policies and protocols issued by the Government of the Province and/or McMaster University, in respect of COVID-19, including practicing physical distancing and mask wearing, and in accordance with McMaster University’s Vaccination Policy – COVID-19 Requirements for Visitors https://secretariat.mcmaster.ca/app/uploads/Vaccination-Policy-COVID-19-Requirements-for-Visitors.pdf;

I, and on behalf of the Participant Minor, will complete the COVID-19 Ontario Provincial Screening Tool and/or any McMaster University COVID-19 screening tool as required prior to entry onto McMaster University premises;

the Participant Minor, if 12 years of age or older on the start date of the Program, will be vaccinated in accordance with McMaster University’s Vaccination Policy – COVID-19 Requirements for Visitors https://secretariat.mcmaster.ca/app/uploads/Vaccination-Policy-COVID-19-Requirements-for-Visitors.pdf; and

I, and will ensure that the Participant Minor will follow and abide by any and all risk assessments, health and safety regulations and instructions, received prior to taking part in the Activities.

2. I indemnify, hold harmless and release McMaster

University, its directors, officers, employees, agents and contractors (the “Released Parties”) from all claims, costs, damages, liability or responsibility whatsoever for personal injury, property damage or wrongful death howsoever caused, including, but not limited to, the negligence of the Released Parties, whether passive or active, which arise from my participation in the Activities and/or the Program.

3. I agree that this Agreement shall be governed in all respects by and interpreted in accordance with the laws of the Province of Ontario and the laws of Canada applicable therein.

4. I confirm that I have read and understood this Agreement and that by initialing in the box below, this terms as provided in this Agreement will be binding on me, the Participant Minor and on my, and their, heirs, next of kin, executors, and administrators.

☐ I am the Parent/Guardian of Participant Minor listed below and am authorized to sign this Agreement, on behalf of the Participant Minor.

Photo Consent

PLEASE READ THE FOLLOWING CAREFULLY! BY SIGNING THIS LEGAL DOCUMENT, YOU GIVE UP CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE

This document relates to the Venture Academy scheduled to occur between September 1 2024 to April 30 2025.

Permission. I, the undersigned, hereby grant permission to McMaster University (“McMaster”) and its representatives to photograph and video me, and otherwise capture my image, and to make recordings of my voice at the event or location referenced above.

McMaster Rights. I hereby grant to McMaster and its representatives, the right to use, reproduce, distribute, and broadcast my image, including my name, voice, likeness and affiliation with McMaster captured in such recordings in any media now known or later developed as well as my name for promoting, publicizing or explaining McMaster and its activities and for administrative, educational or research purposes. This right also extends to any of the contents performed, created or provided by me which are captured in any recordings, such as my performances, artwork, compositions or similar materials (the “Materials”). This right is irrevocable, royalty-free, worldwide, non-exclusive and transferrable.

Ownership. I acknowledge that McMaster owns all rights to the images and recordings.

Waiver. I hereby waive:
i. any right to inspect or approve the use of the images or recordings or of any written copy;
ii. all moral rights; and
iii. any right to royalties or other compensation arising from or related to the use of the images,
recordings or materials.

Indemnity. I hereby release, defend, indemnify and hold harmless McMaster, its Board of Governors, officers, employees or agents from and against any and all claims, damages or liability arising from or related to the use of the images, recordings or materials, including but not limited to claims of defamation, invasion of privacy or rights of publicity or copyright infringement, or any misuse, distortion, blurring, alteration, optical illusion or use in composite form that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.

Winter STEAM Club Grades 9-12 Cohort 1

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Cohort 1: Winter STEAM After School Club for Grades 9-12

Participant Information

Parent/ Guardian Information