Agenda - 03-19-2002 - 8j - Laserfiche WebLink

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11. STATEMENT OF CONDUCT $ We strive to provide a safe and supportive environment for all participants at the National Gathering., We require that each individual agree to uphold the following: • YouthAction holds respect as a primary value in our interactions with one another, which includes.youth; adults, allies, supporters, and.the community at large. We define respect in its broadest terms, including respect.for differences of ideas/opinions; respect for each others' privacy&personal space; and the right.to be safe at YouthAction functions. - • YouthAction recognizes the many bridges we build when coming together from so many -- different communities. To this end, it is paramount that we approach each conversation and interaction in. a way that is respectful and open to each others' cultures, race/ethnicity, gender, gender expression, sexual orientation and class backgrounds. • YouthAction expects that at no time will *alcohol *be present in 'rooms and .reminds participants over 21 that alcohol in rooms.puts "youth" and "adults" in uncomfortable and/or illegal situations. YouthAction recognizes- individuals as representatives of participating Organizations. As a result, organizations will be held accountable for individuals whose conduct violates the above stated guidelines.'Consequences for violation of policies may include, but are not limited to, termination'of participation at the National Gathering. agree to the above conduct:guide.lines arid_ understand the potential"consequences of anji-violation of said guidelines. Date: - w .... III. NOTIFICATION OF PERSONAL RISK YouthAction cannot assume responsibility for theft, loss, or damage of personal property occurring -in any of its programs and/or activities. As a National Gathering participant 1 hereby acknowledge that I am aware of all aspects of my' physical condition(s) and have had either a medical 'exam or deliberately and knowingly.forgone having such an exam prior to engaging in activities•associated.wiih YouthAction. I am responsible for my own medical and/or dietary needs. .•' • ' .• . • . .. • . . I release all YouthAction staff and board from any Aiabilities, demands and/or claims for any damages. In the unlikely event of an accident or medical emergency, I authorize and give my consent to the leaders of this event to obtain any medical treatment for myself or.my child, including, but not limited to, admission to•a hospital for care and administration of medication and/or anesthetic. .. I am aware that YouthAction strives to build'an.alcohol and drug-free environment. YouthAction specific events are conducted alcohol and drug free. if I am An violation of these policies I understand' that I will be asked to leave the conference•facilities by taking the next'available•transportation home ,and-1 will pay all associated costs of•thaf transpiration. - If you are under 1-8,:p.lease.have your,pareriforguardian•sign' as well:. Your Signature: -Parent/ Guardian: - Date: Please print:. Date: . IV: EMERGENCY INFORMATION In case of emergency, please contact: 1. Name: Relationship: Day phone:( ) Night time:(_) 2.- Name: Relationship: Day phone:(_) Night timer) Niail to: YouthAction PO Box 12372,Albuquerque,NNI 87195 or fax 505-873-3245 Got Questions? Call us at 505-873-3345