I give my informed consent and permission for my student to participate in Eye to Eye’s programs and related activities. I agree to have my student follow all program guidelines and understand that any violation may result in suspension and/or removal from the program. I release Eye to Eye of all liability of injury, death, or other damages to me, my student, family, estate, heirs, or assigns that may result from his/her participation in the program, including but not limited to transportation, and hold harmless any Eye to Eye volunteer, staff member, or other representative, both collectively and individually, of any injury, physical or emotional, other than where gross negligence has been determined.
I agree to allow Eye to Eye to use images and video of my student, with his or her first name, taken while participating in the program for Eye to Eye educational and promotional purposes. I understand that Eye to Eye also collects academic, social-emotional, and behavioral data to evaluate the quality of its programs by surveying its participants regularly. I understand that participation is completely voluntary, my student’s responses are anonymous, and my student does not have to answer any question he or she would rather not answer.