Youth Supervision
I understand that I must make arrangements to ensure that my child has an adult at home with them during virtual Pickles Group meetings in case they require assistance or support.
Program Information Sharing
I understand that Pickles Group may need to share reasonable and relevant updates about my family with staff and volunteers to facilitate the program.
Third-Party Endorsements
Pickles is not acting as a referral service for, or endorsing, any therapist, counselors or other service providers for my child/children.
Youth Expectations
I understand that Pickles Group incorporates the following expectations of youth into programming and that Pickles Group reserves the right to discuss and address behaviors or actions that are in violation with the following expectations with parents and/or guardians to support the health and wellbeing of the group.
1. Confidentiality
2. Take turns
3. Listen to each other
4. Show respect
5. Be kind/the Golden Rule
6. Be inclusive
7. Be safe
8. Phone usage (no photos, videos, or screenshots without permission)
Medical Consent & Release
I give Pickles Group volunteers, employees, and other agents permission to seek emergency medical treatment for my child if their emergency contact cannot be reached. I authorize the use or disclosure of my child's health information for purposes of securing health treatment. I agree that I may be required to pay all or most of the expenses incurred for such treatment.
This would be necessary in the unlikely event that we could not reach you and we needed to call 911 and seek emergency medical services for your child during the session.
Parent / Guardian Waiver of Liability
By signing this agreement, I waive any right to present or future claims against Pickles Group, its officers, board members, employees, and volunteers in the event of accident, injury, or loss of personal items. I understand that participation in Pickles Group programming includes risk of injury or harm that may range in severity from minor to disabling to even death. Although serious injuries or harm are not common in youth programming, it is impossible to eliminate the risk. I understand that my child’s participation in Pickles Group’s programs is voluntary and that my child and I are free to choose not to participate. I consent to my child’s participation.
I understand that Pickles Group will discuss illness, cancer, feelings, coping skills, and other topics related to a parent or guardians cancer.
I, on behalf of myself and my minor child, agree to release, hold harmless and indemnify Pickles Group, their employees, officers and agents, from any loss, cost, damage and/or expense of any nature, including all attorneys’ fees and costs which I or my child may have resulting, either directly or indirectly, from my child’s participation in Pickles Group's voluntary programs or activities. I give permission for child to participate in all Pickles Group activities, and do forever waive Pickles Group and its employees, volunteers, and agents from any and all actions, all known and unknown personal injuries or property damage of said minor arising out of said activities, and also all claims or right of action for damages which said minor has or hereafter may acquire.
Communications
Pickles may send me news and updates about its programs, services, fundraising, volunteering, and other organization updates. I understand that I can opt out of any such communications at any time.