For the purpose of this form, a guardian is an adult your child/dependent lives with, and a "Trusted Adult" is someone the child lives with or another person in your community you trust to pick them up from the program and/or serve as an emergency contact. 

Primary Parent/Guardian Information

Parents/Guardians: Please review the section below with your child/dependent to make sure they understand it is everyone's job to make GIGP safe and enjoyable for mentees and mentors. To make sure we all have a safe and enjoyable space, we agree to shared community guidelines. For decisions regarding attendance and participation in the program and special events, mentors and GIGP staff will consider the alignment of kids' behavior with the community guidelines outlined below.

Please read the following waivers and initial at the bottom to indicate your understanding and agreement.

I understand that as part of my child/dependent’s involvement in Girls Inc. of Greater Pittsburgh afterschool programming at the site indicated above (the "GIGP Program") my child/dependent may participate in activities including but not limited to, weekly programming, team building games, outdoor or active play, a journal writing exchange, and field trips using approved transportation. I authorize my child/dependent to participate in these activities. I agree that GIGP may end my child's participation in the GIGP Program at any time, and for any reason, at its sole discretion. I recognize that safe participation in the GIGP Program requires my child's attention to instructions provided by GIGP.

I understand that GIGP may take photographs, videos, and other audio and/or visual recordings, in-person or virtually, of the children participating in the GIGP Program, including my child/dependent, in order to document, evaluate, and market the GIGP Program, and that such materials may be edited by GIGP in its sole discretion. I further understand that the virtual sessions may be video and/or audio recorded and links to these sessions will only be shared with the children and authorized mentors, staff, and volunteers of the GIGP Program.

In consideration of my child's participation in GIGP, I hereby grant and convey to GIGP, a perpetual, irrevocable, worldwide, unconditional, and exclusive right (including without limitation copyright) to use, distribute, reproduce, modify, display, print, and/or publish (i) my child’s name, likeness, image, voice, and/or appearance, (ii) written (e.g., testimonials), photographic, video, audio or multimedia materials made by my child in connection with the GIGP Program and other GIGP activities, and (iii) photographic images and video or audio recording of my child made by GIGP (collectively the "Materials"), in any media, including but not limited to photographs, video recordings, audiotapes, digital images in which the Materials may be in whole or in part, composite or distorted in character, sound or form, without restriction as to changes or transformations in conjunction with my child’s own or a fictitious name, or reproduction hereof. I agree that the Materials may be used for any purpose consistent with GIGP’s mission, including in news releases, advertisements, publications, marketing campaigns, media coverage, videos, websites, and any other promotional or educational materials compiled by or on behalf of GIGP.

I understand and agree that GIGP has and will have complete ownership of the Materials, and that I will not receive any compensation for the use of the Materials. I hereby release GIGP, and its affiliates, directors, officers, employees, agents, licensees, successors, assigns, and representatives, from any and all claims arising out of their use of the Materials as agreed to in this document, including without limitation any claims based on the right of publicity or privacy, misappropriation or misuse of image, and/or defamation, including liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise. I further hereby waive any future right to prior review of any use of the Materials.

Notwithstanding anything to the contrary herein, my child and I, on behalf of ourselves and our respective heirs, executors, administrators, personal representatives, and next of kin (collectively, "Releasers") hereby release and forever discharge GIGP and its affiliates, directors, officers, employees, agents, licensees, successors, assigns, and representatives, from any and all liabilities, claims, demands, and causes of action that Releasers might now or hereafter have arising directly or indirectly from the exercise of any rights granted hereunder.

I have read this GIGP Parent/Guardian Agreement prior to signing it, and I understand its contents, which is governed by and construed under the laws of Pennsylvania (excluding its conflicts of laws principles).