Welcome 4. Contact Information 4. Guidelines for the High School Student 5. Forms 10

Transcripción

1 Bourgade Catholic High School Student/Parent Handbook

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3 Welcome 4 Contact Information 4 Directory 4 Address 4 Hours of Operation 4 Guidelines for the High School Student 5 Behavioral Expectations 5 Search and Seizure 5 Dress Code 5 Electronic Devices 7 Entering/Exiting the Campus 9 Identification Cards 9 Visitors/Guests 9 Student Parking Acknowledgement 9 Forms 10 Student Registration Form 11 Voluntary Waiver, Release and Assumption of Risk Agreement 12 Renuncia Voluntaria, La Liberación Y La Asunción De Riesgos De Acuerdo 13 Model and Testimonial Release Form 14 Grand Canyon University Lounge Agreement 15 3

4 Welcome Grand Canyon University s K12 Outreach serves and supports public and private learning organizations. Grand Canyon University (GCU) leads the design and implementation required to extend learning opportunities by providing access to the GCU Lounge with one-on-one and small group tutoring services for high school students by college student-scholars. The GCU Lounge: Provides one-on-one and small group tutoring services at no cost to the student Offers convenient hours Monday through Friday (3 8 p.m.) Tutors are excelling college scholars in the areas of mathematics and reading Tutors possess high energy and have a passion to serve others Each tutor receives specialized training to assist the high school student Beyond tutoring services, the GCU Lounge offers an eatery, a study area with oversized couches and chairs, a small computer lab and a TV area, plus many others amenities. Contact Information Directory Joseph Veres, Ed.D. Director of K12 Outreach Programs Joe.Veres@gcu.edu Arlin Guadian Manager of K12 Outreach Programs Arlin.Guadian@gcu.edu Address 3300 W. Camelback Road Phoenix, Arizona Hours of Operation Monday Friday 3-8 p.m. *This handbook will be reviewed on a regular basis and may be modified or changed at any time. 4

5 Guidelines for the High School Student The following expectations have been designed to maintain the safety and integrity of the Grand Canyon University Lounge. Behavioral Expectations The Grand Canyon University Lounge s behavioral expectations are to maintain an educational setting that provides for safe and effective learning without inappropriate disruption. The behavior expectations are as follows: Wear identification card in a visible location at all times while on the GCU campus. Identification cards are required in order to be admitted on the GCU campus and into the GCU Lounge. Use appropriate language and maintain proper actions while on the GCU campus. Be respectful of self, other students, faculty and staff while on the GCU campus. Check-in at the reception desk when entering the GCU Lounge. Talk quietly so as not to disturb others while in the GCU Lounge. Do not use mobile devices for the purpose of phone calls, texts, s and social networking during your tutoring session. Mobile devices may be used at the tutor s discretion for relevant learning opportunities. Do not eat or drink near the computers. When leaving, make sure you have collected all of your belongings. GCU strictly enforces behavioral expectations. Any violation of the behavioral expectations is grounds for dismissal from the GCU Lounge and campus. Additionally, violating the behavioral expectations may result in discipline administered by Bourgade Catholic High School. GCU has zero-tolerance for any behavior that causes a disruption to the learning environment such as but not limited to: aggression of any nature (physical or verbal/sexual or non-sexual), theft, intimidation, disrespect of self or others and insubordination. Search and Seizure For safety purposes, all purses, bags and outer wear are subject to inspection upon entering the Grand Canyon University Lounge. GCU reserves the right to confiscate items which may cause danger or disruption to the environment or other guests, or which are in breach of university or Phoenix Union School District policies and/or prohibited items. Any guest who declines to be searched may be denied entry to the GCU Lounge. Dress Code The GCU Lounge adheres to the Bourgade Catholic High School Dress Code. Bourgade Catholic High School requires that students dress appropriately and conduct themselves in a manner that does not disrupt instructional programs. The dress code of Bourgade Catholic High School has four purposes: 5

6 To foster self-respect To reflect the spirit of the student body To encourage students to dress for professional success To eliminate the competitive differences of economic or social backgrounds Students are required to dress and be well-groomed at all Bourgade functions, including dances, in a manner which represents the school in a dignified and modest way. The school reserves the right to determine whether a student s dress/appearance satisfies the school policy. The Uniform consists of: 1. Uniform polo shirts (navy, gold). Bottom button must be buttoned. Uniform light blue oxford shirts, short and long sleeve; only the top button can be opened. Long sleeve oxfords and polo s may not be rolled past the elbow. The short sleeve oxford and polo sleeves are not to be rolled. 2. Dress shorts and slacks in dark khaki or navy blue. Shorts must have an inseam of at least 8 and must not extend past the knee. 3. Black, brown or white leather or twill belts worn with shorts or slacks. The tongue of the belt must not exceed 3 beyond the buckle. No decorated buckles are allowed. 4. Girls may wear the pleated -LL plaid skirt. The skirt length should extend to the knee. Skirts must have the logo displayed at the hem line. 5. Navy vest with school crest (optional). 6. A School Tie may be purchased from Dennis Uniform and can be worn with the Oxford Shirts (optional). GENERAL UNIFORM GUIDELINES: 1. All shorts and slacks must be properly fitted and neat. They are not to be faded, torn or to have holes. Shorts and slacks are to be worn at the waist. Shorts may be cuffed or un-cuffed, but not rolled. 2. Shirts are to be tucked in at all times, with a minimum of blousing. 3. White or the same color undershirts are appropriate as long as logos are not seen through the polo shirt. Long sleeve undershirts must be the same color as the polo. 4. Uniforms are to be kept in good repair. Faded pants, shorts, worn out shirts or skirts are inappropriate. For modesty reasons, girls may wear shorts/spandex under their skirt. The skirt length MUST be such that the shorts do not show. 5. White, navy, khaki or black socks (solid in color with no logo) or footed tights or nylons must be worn with all shoes. Girls may wear solid-colored tights or nylons in navy, black, white or neutral. Tights must be the full foot length, not Capri or ankle length. 6. Dress shoes, athletic shoes and sandals. Sandals must have permanently attached heel straps. Not allowed: ankle-high or higher boots, shoes with heels higher than 2 inches, skeletoes and slippers/moccasins. Walking barefoot is never permitted on campus. 7. Outerwear: gray Bourgade Catholic crest sweatshirt, navy blue with plaid BC lettered sweatshirt, official BCHS letter jacket, navy fleece crested jacket or the 6

7 crested windbreaker jacket. Hooded sweatshirts, purchased through the athletic department (generic no team sweatshirts) and drama club which display the approved BCHS logo. Jackets may be worn indoors at the discretion of the teacher. Outerwear is bought through the Dennis Uniform, with the exception of the letter jacket and the hooded sweatshirts. A uniform shirt must be worn under the BCHS outerwear. 8. The use of make-up by students must be done in modest taste. 9. Female Hair Guidelines Hair is to be neat and well-groomed at all times. Ultrashort, shaved, unnatural-colored hair or extremely contrasting streaking is not allowed. The excessive use of bleach or black hair dye is not permitted. Fad hair styles/accessories are not acceptable. (Feathers, corn rows, Dred locks, faux Mohawks, etc.) 10. Male Hair Guidelines Hair is to be neat and well-groomed at all times. The length may not extend past the collar, to mid ear and to the top of the eyebrows. Dyed/bleached/highlighted hair must be in natural colors only. Males should be clean-shaven each day. Side burns must not extend past the mid ear. Continued violations will result in further disciplinary action. Fad hair styles/accessories are not acceptable. (corn rows, Dred locks, faux Mohawks, etc.) 11. No hats, caps, visors, hairnets or sunglasses can be worn inside the building. 12. Jewelry If jewelry is to be worn at school, it should be simple and inexpensive. Only one necklace or bracelet may be worn. Wallet chains and other chain like jewelry are not appropriate for school. 13. Piercing - the only piercing that is acceptable is the ears. Only ten and above gauged earrings are allowed. Students may wear two earrings per ear that are simple in style and modest in size. Earrings are to be worn in the lobe of the ear. 14. No tattoos are to be exposed or seen while on campus at any time, this would include temporary tattoos or writing on oneself or others. Grand Canyon University has the authority to determine what appropriate apparel is and reserves the right to modify the dress expectations as needed. Electronic Devices The use of certain electronic devices is permitted at the Grand Canyon University Lounge as described below. Electronic devices are classified as disruptive, nondisruptive and mobile phone devices. Permissibility of each type of electronic device is described as follows: Disruptive Electronic Devices Recording devices, radios, pagers, laser pointers and other electronic devices are deemed distracting to the educational environment. As such, these devices are not permitted. The misuse of permissible electronic devices in a manner distracting to other students or university personnel is not allowed. The misuse of electronic devices includes, but is not limited to: Use of any electronic device in any area not authorized by university personnel. 7

8 Listening to video or audio without headphones or ear buds. Use of headphones/ear buds at a volume level where others can hear. Non-disruptive Devices Non-disruptive devices are defined as electronic devices primarily used for educational purposes. The categories of non-disrupted devices are (a) laptops, (b) netbooks, (c) tablets, (d) e-readers and (e) audio players (MP3 players). These devices may be used during tutoring and in areas as permitted and directed by university personnel. Mobile Phones Use of mobile phones for any voice or text communication is not permitted during tutoring sessions. Mobile phones may be used as directed by university personnel. Otherwise, mobile phones must be turned off, muted or silenced within the GCU Lounge. Mobile phones may possess advanced functions including Internet access, e-reader and video/audio functions. These functions may be used within the learning environment. Use of these functions during the tutoring session is at the discretion of university personnel. Internet Connection Wireless Internet connection may be provided by the GCU Lounge for students to connect their devices to the Internet. Students may connect to the Internet using their Internet provider. In this case, the student and family will be responsible for any Internet connection expense. Devices that cause disruption to the GCU Lounge network may be blocked from connecting to the network. Any personal device used at the GCU Lounge is subject to search. Anyone failing to comply will have the device confiscated until the investigation is complete. Online Synchronous or Asynchronous Communication and Social Networking Student users shall not access or use online synchronous or asynchronous communication applications such as , chat, blogs, wikis or social networking website functions (i.e., discussion threads, document posting, RSS feeds, etc.) during tutoring sessions. Lost or Damaged Device The GCU Lounge assumes no responsibility for theft, loss or damage of an electronic device brought to the University. Students bring these devices at their own risk. The GCU Lounge fully expects that student users will follow these instructions. Students 8

9 shall inform a teacher if they mistakenly access inappropriate information or content. Entering/Exiting the Campus The Grand Canyon University Lounge has policies and procedures in place for students, visitors and walk-ins. Students are encouraged to make tutoring appointments in advance. All students, visitors and walk-ins are subject to search. Identification cards for students and visitor badges must be properly worn and visible at all times while on campus. Students are expected to enter and exit GCU in a timely fashion. Trespassing and/or loitering may lead to criminal offenses. Failure to enter or exit the campus appropriately may prevent further visits or admittance to the GCU Lounge. Identification Cards Students are expected to wear their identification card at all times while on the Grand Canyon University campus. Identification cards are to be displayed above the waist, on the front of the body with photo visible. Identification cards assist staff in identifying and removing non-students from campus. It also helps to maintain a safe learning environment. Identification cards are required to enter the Grand Canyon University campus and the Grand Canyon University Lounge. Visitors / Guests Students are not allowed to bring guests to the Grand Canyon University Lounge. Some social activities will allow student guests with prior approval. Parents and legal guardians are always welcomed at the GCU Lounge with staff approval. They are asked to sign in at the registration counter to obtain a visitor s pass. Visitor passes must be obtained from the receptionist s desk. Student Parking Acknowledgement Lock your vehicle while parking on campus and do not leave valuables in the car. Neither the Grand Canyon University Lounge nor GCU assumes any responsibility for losses from vehicles or damage to them. All thefts, accidents and vandalism need to be reported for investigation to campus security immediately. Vehicles parked on campus may be searched if suspected of containing illegal substances. If students desire parking privileges, they agree not to allow contraband in their automobiles. Additional parking regulations may be added throughout the year to provide safety, security and appropriate operation of the school parking lot. Students are permitted to park on school premises as a matter of privilege, not a right. The university retains authority to conduct routine patrols of student parking lots and inspections of the exteriors of student automobiles on school property. As part of the routine patrols, the University may observe items that are in plain view on the dashboard or seats of a vehicle. Dogs trained to locate illegal drugs or weapons may be used to patrol the parking lot from time to time. The university may inspect the interiors of student automobiles whenever a school 9

10 authority has reasonable suspicion to believe that illegal or unauthorized materials are contained inside the automobiles. The patrols and inspection referred to above may be conducted without student consent, and without a search warrant. Students may NOT loiter nor sit in cars to socialize at any time. A student who fails to provide access to the interior of the car upon request by a university official may be subject to disciplinary action. Forms The forms on the following pages are required in order to receive tutoring services at the Grand Canyon University Lounge. 10

11 STUDENT REGISTRATION FORM/BCHS Today s Date: Student I.D. # Family Information Student s Last Name: Student s First Name: Middle Initial: Date of Birth (month/day/year): / / Gender: Male Female Parent/Guardian Last Name: Parent/Guardian First Name: Middle Initial: Relation to Child: Current Grade Level: Math Teacher Name: Language Arts Teacher Name: Mailing Address Street Address: Parent/Guardian Day Phone Number: Parent/Guardian Evening Phone Number: Address (If applicable): Emergency contact information (Please list two names and applicable phone numbers) 1st Emergency Contact Person: 1st Emergency Contact Phone Number: 2nd Emergency Contact Person: 2nd Emergency Contact Phone Number: Allergies: Medical conditions: 11

12 GRAND CANYON UNIVERSITY VOLUNTARY WAIVER, RELEASE AND ASSUMPTION OF RISK AGREEMENT I, [Name of Visitor or Participant], hereby acknowledge that I voluntarily desire to participate in, observe and/or otherwise take part in the recreational or other activities offered to me by, or located at, Grand Canyon University (hereinafter, referred to as the Company ) at the premises, facilities and on the land located at 3300 W. Camelback Rd. and/or on any adjacent properties (collectively, the Properties ) and/or any off site locations associated with particular events. These recreational or other activities include, without limitation, intramural sports, GCU events, program events, academic related activities, etc. In consideration of the Company s consent to allow me to participate in any or all recreational or other activities, I hereby knowingly, freely and voluntarily agree to waive, release and discharge any and all claims for damages for death, personal injury or property damage that may have, or that may subsequently accrue to me as a result of my participation in recreational or other activities offered, afforded, sponsored by, or located at, the Company or the Properties. I understand that during my participation in any or all recreational or other activities at, near or on the Properties, I may encounter unforeseen and unknown hazards, dangers and risks that may result in bodily injury, death, emotional trauma, burns, and/or other hazards. I voluntarily and freely, with full understanding that I may be exposing myself to extreme danger, assume all risks in connection with my participation in a recreational or other activity on the Properties. I understand that I am completely responsible for all insurance coverage which I may wish to purchase to cover my participation in any recreational or other activities on the Properties. I agree to follow all instructions, procedures, measures and directions given to me by the Company or any of its staff or representatives and understand that my failure to do so may result in property damage or injury or death to me or to a third party. I understand that my invitation to participate in recreational or other activities on the Properties may be revoked at any time for any reason by the Company or any of its agents, managers, employees or representatives. I have had opportunity to obtain a physical examination from a doctor prior to engaging in any recreational or other activity on the Properties. I agree to use all equipment in accordance with manufacturer s specifications when engaging in any recreational or other activity on the Properties. Photos may be taken by a campus photographer at the event. I agree that any photos containing my likeness may be used for the use of the University for Marketing Purposes. I UNDERSTAND THAT THIS WAIVER, RELEASE AND INDEMINTY IS INTENDED TO WAIVE, RELEASE, DISCHARGE AND INDEMINIFY IN ADVANCE THE COMPANY AND ITS AFFLIATES, SUBSIDIARIES, MEMBERS, MANAGERS, OFFICERS, EMPLOYEES, INSURERS, AGENTS, REPRESENTATIVES, SUCCESSORS AND ASSIGNS, FOR, FROM AND AGAINST ANY AND ALL LIABILITY TO ME ARISING FROM MY PARTICIPATION IN ANY AND ALL RECREATIONAL OR OTHER ACTIVITIES ON THE PROPERTIES, INCLUDING ANY DEMAND, RIGHT OR CAUSE OF ACTION OF ANY KIND OR NATURE WHATSOEVER, WHETHER BASED ON TORT, CONTRACT, WARRANTY, OR ANY OTHER THEORY OF RECOVERY, AT LAW OR INEQUITY, VESTED OR CONTINGENT, THAT I OR MY SPOUSE, FAMILY, PARENTS, CHILDREN, ESTATE, HEIRS, AGENTS, INSURERS, SUCCESSORS OR ASSIGNS MAY AT ANY TIME HAVE AS A RESULT OF MY PARTICIPATION IN RECREATIONAL OR OTHER ACTIVITIES ON THE PROPERTIES. THIS ALSO INCLUDES, WITHOUT LIMITATION, ANY LIABILITY (INCLUDING CONSEQUENTIAL, INDIRECT, SPECIAL OR INCIDENTAL DAMAGES) ARISING FROM INJURY OR DAMAGE THAT I SUFFER OR CAUSE DURING MY PARTICIPATION IN RECREATIONAL OR OTHER ACTIVITES ON THE PROPERTIES, WHETHER SUCH INJURY OR DAMAGE IS FORESEEN OR UNFORESEEN OR WHETHER RESULTING FROM NEGLIGENCE OR OTHERWISE. I agree that this Waiver and Release is intended to be as broad and inclusive as permitted by applicable law. If any provision of this Waiver and Release shall be ineffective or invalid, such provision shall be ineffective or invalid only to the extent of such prohibition or the remaining provisions of this Waiver and Release, which shall remain in full force and effect. I agree to comply with all Applicable Law during my participation in any recreational or other activities on the Properties. Applicable Law shall include all federal, state and local laws, statutes, regulations, codes, ordinances, rules and/or executive orders, as amended. I HAVE READ THIS AGREEMENT BEFORE SIGNING IT, AND FULLY UNDERSTAND AND AGREE TO ITS TERMS. Participant: Print Name: Date: Guardian* Print Name: Date: Signature: Phone Number: Signature: Phone Number: *IF PARTICIPANT IS UNDER THE AGE OF 18, THIS FORM MUST ALSO BE SIGNED BY A PARENT OR LEGAL GUARDIAN WITH AUTHORITY TO EXECUTE THIS RELEASE. 12

13 Grand Canyon University RENUNCIA VOLUNTARIA, LA LIBERACIÓN Y LA ASUNCIÓN DE RIESGOS DE ACUERDO Yo, [nombre de visitante o participante], por la presente reconozco que voluntariamente deseen participar en, observar o de lo contrario, participar en el recreo u otras actividades me ofrecieron por, o se encuentra en Grand Canyon University (en adelante, denominado la compañía ) en las instalaciones, servicios y propiedades adyacentes (colectivamente o el terreno ubicado en 3300 W. Camelback Rd.las propiedades ) y/o de cualquiera de ubicaciones del sitio asociadas con eventos particulares. Estas recreativas u otras actividades incluyen, sin limitación, deportes intramuros, eventos GCU, eventos de programa, actividades académicas relacionadas. Teniendo en cuenta el consentimiento de la compañía para permitirme participar en actividades recreativas u otras cualquiera o de todos, por este medio a sabiendas, libre y voluntariamente acepto renunciar, liberar y descarga todos los reclamos por daños y perjuicios por muerte, lesiones personales o daños a la propiedad que tenga, o que posteriormente me pudieran devengarse como consecuencia de mi participación en actividades recreativas u otras, que, patrocinado por o en la empresa o las propiedades. Entiendo que durante mi participación en cualquier o todos recreativas u otras actividades en, cerca o sobre las propiedades, puedo encontrar imprevistos y desconocidos peligros, peligros y riesgos que pueden causar lesiones, muerte, trauma emocional, quemaduras y otros peligros. / INICIALES del participante y el padre/tutor [si se aplica] Yo libre y voluntariamente, con plena comprensión de que puedo ser exponer yo a un peligro extremo, asume todos los riesgos con respecto a mi participación en una actividad recreativa o de otra en las propiedades. Entiendo que soy totalmente responsable de todos los seguros que puedo quiero comprar para cubrir mi participación en actividades recreativas u otras de las propiedades. / INICIALES del participante y el padre/tutor [si se aplica] Estoy de acuerdo en seguir todas las instrucciones, procedimientos, medidas y direcciones dadas la compañía o cualquiera de su personal o representantes y entiendo que mi no hacerlo puede resultar en daños a la propiedad, lesiones o muerte a mí o a un tercero. Entiendo que mi invitación a participar en actividades recreativas u otras de las propiedades puede ser revocado en cualquier momento por cualquier razón la compañía o cualquiera de sus agentes, directores, empleados o representantes. / INICIALES del participante y el padre/tutor [si se aplica] He tenido oportunidad de obtener un examen físico a un médico antes de participar en cualquier actividad recreativa o de otro en las propiedades. / INICIALES del participante y el padre/tutor [si se aplica] Estoy de acuerdo en utilizar todos los equipos según las especificaciones del fabricante al participar en cualquier actividad recreativa o de otro en las propiedades. / INICIALES del participante y el padre/tutor [si se aplica] Fotos pueden ser tomadas por un fotógrafo de campus en el evento. Estoy de acuerdo que cualquier foto que contiene mi semejanza puede usarse para el uso de la Universidad para fines de Marketing. / INICIALES del participante y el padre/tutor [si se aplica] ENTIENDO QUE ESTA RENUNCIA, LIBERACIÓN Y INDEMINTY SE PRETENDE RENUNCIAR, LIBERACIÓN, DESCARGA Y TAGS.USTED EN AVANZAN EN LA EMPRESA Y SUS ÁREAS, SUBSIDIARIAS, MIEMBROS, DIRECTORES, OFICIALES, EMPLEADOS, ASEGURADORAS, AGENTES, REPRESENTANTES, SUCESORES Y CESIONARIOS, PARA, DE Y CONTRA CUALQUIER Y TODA RESPONSABILIDAD ME DERIVADOS DE MI PARTICIPACIÓN EN ACTIVIDADES RECREATIVAS U OTRAS TODAS SOBRE LAS PROPIEDADES, INCLUYENDO CUALQUIER DEMANDADERECHO O CAUSA DE ACCIÓN DE CUALQUIER TIPO O NATURALEZA, YA SEA BASADA EN AGRAVIO, CONTRATO, GARANTÍA O CUALQUIER OTRA TEORÍA DE RECUPERACIÓN, EN LA LEY O INEQUIDAD, INVESTIDO O CONTINGENTE, QUE YO O MI CÓNYUGE, FAMILIA, PADRES, NIÑOS, ESTATE, HEREDEROS, AGENTES, ASEGURADORES, SUCESORES O CESIONARIOS PUEDEN EN CUALQUIER MOMENTO TIENE COMO RESULTADO DE MI PARTICIPACIÓN EN ACTIVIDADES RECREATIVAS U OTRAS DE LAS PROPIEDADES. ESTO TAMBIÉN INCLUYE, SIN LIMITACIÓN, CUALQUIER RESPONSABILIDAD (INCLUYENDO CONSECUENTES, INDIRECTOS, ESPECIALES O INCIDENTALES DAÑOS), RESULTANTES DE LESIONES O DAÑOS QUE SUFRA O CAUSAR DURANTE MI PARTICIPACIÓN EN ACTIVIDADES RECREATIVAS U OTRAS DE LAS PROPIEDADES, SI DICHA LESIÓN O DAÑO ES PREVISTO O IMPREVISTO, O YA SEA COMO RESULTADO DE NEGLIGENCIA O DE OTRA MANERA. INICIALES del participante y el padre/tutor [si se aplica] / Estoy de acuerdo que esta renuncia y liberación pretende ser tan amplios e inclusivos en la medida permitida por la ley aplicable. Si cualquier disposición de esta renuncia y liberación será ineficaz o inválida, dicha disposición será ineficaz o no es válido sólo para el alcance de dicha prohibición o las demás disposiciones de esta renuncia y liberación, que permanecerá en pleno vigor y efecto. INICIALES del participante y el padre/tutor [si se aplica] / Me comprometo a cumplir con todas las leyes aplicables durante mi participación en actividades recreativas u otras de las propiedades. Derecho aplicable incluirá todas las leyes federales, estatales y locales, estatutos, reglamentos, códigos, ordenanzas, reglas y/o órdenes ejecutivas, enmendada. INICIALES del participante y el padre/tutor [si se aplica] / HA LEÍDO ESTE CONTRATO ANTES DE FIRMARLO Y COMPLETAMENTE ENTIENDO Y ESTOY DE ACUERDO A SUS TÉRMINOS. Participante: Nombre en imprenta: Firma :Fecha Numero de telefono Tutor * Nombre en imprenta Firma Fecha Numero de telefono * Si el participante es menor de 18 años, este formulario debe ser firmado también por A Padre o tutor LEGAL con autoridad para ejecutar esta versión. 13

14 Grand Canyon University MODEL AND TESTIMONIAL RELEASE FORM I, the undersigned, give Grand Canyon University permission to copyright and publish all or any part of photographs and/or video and/or voice recordings and/ or written/spoken statements taken of me on the date and at the location listed below for use in any public relations and/or marketing campaigns or collateral for Grand Canyon University. I understand that I will receive no compensation for the use of my likeness. In addition, if I have supplied my testimonial, it has been done by my own free will, involving no type of incentive or coercion. I understand that my testimonial may be used in connection with promoting Grand Canyon University. I authorize Grand Canyon University to use my name, brief biographical information, and the testimonial as defined on this form. Additionally, I waive any right to inspect or approve the finished product, including written copy, wherein my likeness or my testimonial appears. I am 18 years of age or older, and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing before signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release. If I am currently enlisted and serving in a branch of the US Military, I understand that I am responsible for confirming if my participation will be a conflict of ethical responsibility that prohibits me from taking part. With this implied endorsement, I do not give permission to use my Rank, Official Title, Branch of Service, or Unit and cannot appear in any part of an official military uniform. However, I do give permission to identify the military without a specific branch or status and if I am Deployed. Please contact marketing@gcu.edu if you have questions or need assistance. PRINT NAME SIGNATURE DATE HOME ADDRESS 14

15 GRAND CANYON UNIVERSITY LOUNGE AGREEMENT I,, understand and agree to the listed rules and expectations for receiving tutoring services from the Grand Canyon University Lounge. The policies have been explained to me and I will adhere to them in order to represent myself, my family and my school at the highest level of respect. Further, my signature below indicates my agreement of understanding to behave in accordance with all the expectations of Grand Canyon University as follows: Behavioral Expectations Search and Seizure Dress Code Electronic Devices Entering/Exiting the Campus Identification Cards Visitors/Guests Student Parking Acknowledgement I understand that any violation of this agreement may result in loss of tutoring services. Student Signature: Date: Parent/Guardian Signature: Date: Please return the Grand Canyon University Lounge Agreement form along with: Student Registration Form Voluntary Waiver, Release and Assumption of Risk Agreement Model and Testimonial Release Form to the Grand Canyon University Lounge (Annex II) or send to Arlin Guadian, Manager of K12 Outreach Programs at Arlin.Guadian@gcu.edu. Last Reviewed Aug. 23,