Students will learn how to prepare for and take AP Exams in an exciting venue! Sunday, April 1, 2012 Toyota Center
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- Sergio Macías Lozano
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1 Rice University AP* Review Session Students will learn how to prepare for and take AP Exams in an exciting venue! Sunday, April 1, 2012 Toyota Center AP Review Session 11:30pm-3:30pm Registration is $20 per student Includes two AP Review Sessions, a t-shirt, and a ticket to the Rockets vs. Pacers game at 6:00 p.m. Tickets for parents that plan to attend the Houston Rockets game are $15 contact Joelle Hardin to secure seats at the time of registration. Student s Name Student Phone District School Billing Address City ST Zip Billing Phone Name on credit card Visa Master Card Amex Discover CC # Exp. Date Check # (Checks should be made out to the Houston Rockets and mailed to the address below - Attn: Joelle Hardin) Name of Chaperone Review Sessions (Select Two): AP Biology AP Chemistry AP English Language AP English Literature AP Human Geography AP US History AP World History AP US Government AP Calculus AP Macroeconomics * AP is a registered trademark of the College Board, which was not involved in the development and delivery of this professional development. I acknowledge and agree that upon submission of this registration form, the following conditions must be met in order to participate in this event: Students must present a school or state issued ID at event registration No student substitutions will be made on the day of registration Registration will not be processed without fully completing student release forms Students are not permitted to leave the Toyota Center during the event Student Signature Parent Signature CENTER for COLLEGE READINESS INNOVATION FOR EXCELLENCE FOR MORE INFORMATION OR TO REGISTER CONTACT: Joelle Hardin Houston Rockets joelleh@rocketball.com 1510 Polk St. Houston, TX FAX
2 SPECIAL NOTICE TO PARENTS AND GUARDIANS: PLEASE BE AWARE THAT RICE UNIVERSITY S PORTION OF THIS PROGRAM WILL END AT 3:30 PM. STARTING AT 3:30 PM, THE STUDENTS WILL BE REQUIRED TO LEAVE THE TOYOTA CENTER FOR ONE (1) HOUR PRIOR TO THE START OF THE ROCKETS ACTIVITIES. YOU SHOULD PLAN FOR SUPERVISION OF YOUR CHILD FROM 3:30 PM TO 4:30 PM. ROCKETS ACTIVITIES WILL START AT 4:30 PM, AND YOUR CHILD MAY RETURN TO THE TOYOTA CENTER AT 4:30 PM FOR THE ACTIVITIES SPONSORED BY THE HOUSTON ROCKETS. HOUSTON ROCKETS RICE UNIVERSITY AP EXAM REVIEW GLASSCOCK SCHOOL OF CONTINUING STUDIES OF RICE UNIVERSITY PARTICIPATION AGREEMENT AND RELEASE OF LIABILITY I, the parent or legal guardian of, desire for my child to participate in the Houston Rockets Rice University AP Exam Review (the Program ) at the Toyota Center in Houston, Texas, and in consideration of my child being allowed to participate in the Program, I hereby acknowledge and agree as follows: The program will take place from 11:30 a.m. 3:30 p.m. on Sunday, April 1, 2012 at the Toyota Center in Houston, Texas. I understand that Rice University will not be responsible for my child s transportation to the Toyota Center. During my child s participation in the Program, my child will be focusing on an AP exam review, including activities to assist my child in navigating the college admission and application process. I understand that at 3:30 p.m., the AP exam review session will end. I understand that all students will be required to leave the Toyota Center facility at 3:30 p.m. and that I am responsible for my child s supervision until they can re-enter the Toyota Center building at 4:30 p.m. for Houston Rockets activities. I understand that Rice will not provide any insurance for my child in connection with his/her participation in the Program. I understand that if my child requires medical treatment while participating in the Program, an attempt will be made to notify me. In the event that I cannot be reached, I consent to such treatment for my child as may be deemed necessary under the circumstances by emergency medical personnel. If my child s participation in the Program is at any time deemed detrimental to the Program or its other participants, as determined by the Program s organizers in their sole discretion, I understand that he/she may be expelled from the Program without Rice or the organizers incurring any liability. I RELEASE, HOLD HARMLESS, and COVENANT NOT TO SUE, Rice University, its students, trustees, employees, and all other representatives from and for any and all claims, causes of action, damages, and liabilities from any cause (including, but not limited to, bodily injury or property damage, directly or indirectly arising in connection with my child s participation in the Program, whether or not foreseeable or contributed to by the negligent acts or omissions of Rice University or others. This agreement constitutes the entire agreement, and takes the place of any prior agreements or understandings regarding this Program. This agreement may not be changed, and it may not be assigned or transferred. This Agreement shall be interpreted and enforced in accordance with the laws of the State of Texas, without regard to any conflicts or choice of law principles, and shall be as broad and inclusive as permitted by such laws. If any provision of this Agreement is held unenforceable, such unenforceability shall not affect any other provision, and this Agreement shall be construed as if such provision, to the extent of such unenforceability, had not been incorporated. Signature of Parents or Legal Guardians: (Firma de padres o tutores legales) Printed Name of Parents or Guardians: (Nombre en imprenta de padres o tutores legales) Parents Address: (Dirección de los padres) Telephone: (Teléfono de la casa) Cell Phone: (Teléfono celular) Date: (Fecha)
3 Este documento se le suministra para su conveniencia y debe usarse solamente para propósitos informativos. Si existe alguna discrepancia entre este documento y la versión en inglés, la versión en inglés tendrá el control. Firme la versión en inglés, que es el documento que gobierna. AVISO ESPECIAL PARA PADRES Y TUTORES:TENGA EN CUENTA QUE LA PARTE DE ESTE PROGRAMA CORRESPONDIENTE A LA UNIVERSIDAD DE RICE FINALIZARÁ A LAS 3:30 PM. A PARTIR DE LAS 3:30 PM, SE SOLICITARÁ A LOS ESTUDIANTES QUE SE RETIREN DEL TOYOTA CENTER UNA (1) HORA ANTES DEL COMIENZO DE LAS ACTIVIDADES DE LOS ROCKETS. USTED DEBERÁ PLANIFICAR LA SUPERVISACIÓN DE SU HIJO(A) DESDE LAS 3:30 PM HASTA LAS 4:30 PM. LAS ACTIVIDADES DE LOS ROCKETS COMENZARÁN A LAS 4:30 PM Y SU HIJO PUEDE REGRESAR AL TOYOTA CENTER A LAS 4:30 PM PARA LAS ACTIVIDADES PATROCINADAS POR LOS ROCKETS DE HOUSTON. HOUSTON ROCKETS REVISIÓN DE EXAMEN DE INGRESO A LA UNIVERSIDAD DE RICE ESCUELA GLASSCOCK DE CONTINUACIÓN DE ESTUDIOS DE LA UNIVERSIDAD DE RICE ACUERDO DE PARTICIPACIÓN Y LIBERACIÓN DE RESPONSABILIDAD Yo, padre, madre o tutor legal de, deseo que mi hijo participe en la Revisión del examen AP (colocación avanzada) de la Universidad de Rice - Houston Rockets (el "Programa") en el Toyota Center en Houston, Texas y, en consideración de que se permita a mi hijo participar en el Programa, acepto y estoy de acuerdo con lo siguiente: El programa tendrá lugar el domingo 1º de abril de 2012, de 11:30 am a 3:30 pm, en el Toyota Center, en Houston, Texas. Entiendo que la Universidad de Rice no será responsable del transporte de mi hijo hasta el Toyota Center. Durante la participación de mi hijo en el programa, él se centrará en una revisión del examen AP, incluyendo las actividades para ayudar a mi hijo durante el proceso de admisión y de ingreso a la universidad. Entiendo que a las 3:30 pm terminará la sesión de revisión del examen AP. Comprendo que se solicitará a todos los estudiantes que se retiren de las instalaciones del Toyota Center a las 3:30 p.m. y que soy responsable por la supervisación de mi hijo hasta que puedan volver a entrar al edificio del Toyota Center a las 4:30 p.m. para las actividades de los Rockets de Houston. Entiendo que Rice no proporcionará ningún seguro para mi hijo(a) en relación con su participación en el Programa. Entiendo que si mi hijo(a) necesita un tratamiento médico durante su participación en el Programa, intentarán notificarme al respecto. En el caso de que no me puedan ubicar, doy mi consentimiento para que se brinde tratamiento a mi hijo, el que se considere necesario en virtud de las circunstancias, por parte del personal médico de emergencia. Si la participación de mi hijo en el Programa, en algún momento se considerara perjudicial para el Programa o para los otros participantes, según lo determinen los organizadores del Programa a su única discreción, entiendo que mi hijo(a) puede ser expulsado(a) del Programa sin que Rice o los organizadores conlleven ninguna responsabilidad. YO LIBERO, EXIMO Y ME COMPROMETO A NO DEMANDAR a la Universidad Rice, sus estudiantes, fideicomisarios, empleados y todos sus otros representantes por cualquier y todo reclamo, causas de acción, daños y responsabilidades de cualquier causa (incluyendo, pero no limitado a, lesión corporal o daño de propiedades, que surja directa o indirectamente en relación a la participación de mi hijo en el Programa, ya sea que ésta sea previsible o no o haya sido provocada por actos negligentes u omisiones de la Universidad Rice u otros. Este acuerdo constituye el contrato completo y prevalece frente a todos los anteriores acuerdos o entendimientos con respecto a este Programa. Este contrato no se debe modificar y no se puede asignar ni transferir. Este contrato será interpretado y ejecutado de acuerdo con las leyes del estado de Texas, sin consideración de cualquier conflicto o elección de principios de ley y deberá ser tan amplio y abarcativo como lo permitan dichas leyes. Si alguna disposición de este Contrato resulta inejecutable, dicha inejecutabilidad no afectará ninguna otra disposición y este Contrato se interpretará como si dicha disposición, en la medida de dicha inejecutabilidad, no haya sido incorporada.
4 Houston Rockets Toyota Center RELEASE AND INDEMNITY AGREEMENT I, the undersigned, wish to participate or have my child or ward participate (any such participant referred to herein as the Participant ) oncourt activities, which shall be held at Toyota Center, on April 1, 2012, and which could involve physical activity before, during and after the activity (the Activity ). I understand that there is a risk that the Participant will be injured before, during or after, or as a result of, or in connection with the Activity (including transportation to and from the Activity), and I wish for the Participant to participate in the Activity despite the risk involved. As consideration for the Participant being allowed to participate in the Activity, I, for myself, the Participant (if not myself), and each of our respective successors, administrators, heirs and assigns, hereby RELEASE, ACQUIT, AND FOREVER DISCHARGE Rocket Ball, Ltd., a Texas limited partnership d/b/a the Houston Rockets; LLA Sports, Inc., a Delaware corporation; Clutch City Sports & Entertainment, L.P., a Texas limited partnership; Roughy Corp., a Delaware corporation; Alexander Tara, L.L.C., a Texas limited liability company; the National Basketball Association and all of its member teams and operators; NBA Properties, Inc.; the owner(s) and operator(s) of the venue(s) where the Activity is to be held; the other participants in the Activity; and all of the respective past, present and future officers, directors, attorneys, insurers, agents, servants, suppliers, dealers, representatives, employees (including, but not limited to, the employee who acts as the mascot of the Rockets), coaches, trainers, affiliates, subsidiaries, partners, predecessors and successors in interest, and assigns of the foregoing (collectively referred to herein as the Released Parties ) from all past, present and future claims arising out of and accruing to the Participant for or in any way connected with any damages sustained by the Participant before, during or after, or as a result of, or in any way connected with, the Activity, including actual or punitive damages for personal injury, dismemberment or death sustained in the Participant s participation in the Activity, and all results thereof, past, present and future, known and to become known, accrued and to accrue, and INCLUDING ANY CLAIMS OF THE RELEASED PARTIES NEGLIGENCE, GROSS NEGLIGENCE, STRICT LIABILITY OR WILLFUL CONDUCT (REGARDLESS OF WHETHER THE RELEASED PARTIES ARE SOLELY, JOINTLY, OR CONCURRENTLY NEGLIGENT OR OTHERWISE AT FAULT). As a further inducement to the Released Parties, I, for myself, the Participant (if not myself), and each of our respective successors, administrators, heirs and assigns, have agreed to and do hereby INDEMNIFY, DEFEND AND HOLD HARMLESS each and all of the Released Parties from any and all past, present and future claims, demands, actions and causes of action, of whatsoever nature or character, INCLUDING CLAIMS OF THE RELEASED PARTIES NEGLIGENCE, GROSS NEGLIGENCE, STRICT LIABILITY OR WILLFUL CONDUCT (REGARDLESS OF WHETHER THE RELEASED PARTIES ARE SOLELY, JOINTLY, OR CONCURRENTLY NEGLIGENT OR OTHERWISE AT FAULT), which may hereafter be asserted by any person, firm or entity whomsoever, arising out of and accruing to the Participant for or in any way connected with any damages sustained by the Participant before, during or after, or as a result of, or in any way connected with, the Activity, including actual or punitive damages for personal injury, dismemberment or death sustained in the Participant s participation in the Activity, and all results thereof, past, present and future, known and to become known, accrued and to accrue. This obligation to indemnify and hold harmless specifically includes, but is not limited to, any claims for medical bills, doctors bills, hospitalization, nurses bills, drugs, therapy, administration, and other expenses, including judgment liens, hospitalization liens, attorneys fees, and any other form of intervention or lien, or any other expenses incurred by the Participant which are in any way related to the Activity. As a further inducement to the Released Parties, I hereby represent and warrant to the Released Parties that: (1) I thoroughly and completely understand that this is a complete and final release and indemnity agreement concerning any claim, demand, or cause of action which I or the Participant (if not myself) may have against the Released Parties related to or in any way arising out of the Activity; (2) I am entering into this Release and Indemnity Agreement (the Agreement ) freely and voluntarily; (3) no representations, promises or statements made by any agent, attorney or other representative of the Released Parties have influenced me in causing me to sign this Agreement; (4) the Participant has adequate medical insurance provided by parties other than the Released Parties covering the possible injuries to the Participant that may occur as a result of his or her participation in the Activity; and (5) the Participant does not have any physical condition or illness that would be aggravated by participation in the Activity or that would make participation in the Activity medically inadvisable. I grant to the Released Parties, with no obligation to compensate me, the Participant (if not myself), or any other person in any way, the right at any time to publish, reproduce, modify, display, distribute, or otherwise use, commercially or otherwise, in any media now existing or later developed, any photographs, videotapes, motion pictures, recordings, or other record of the Participant s performance(s) during the Activity. I agree that any dispute ( Dispute ) arising out of or related to this Agreement, the relationship of me, the Participant and the Released Parties under this Agreement and/or the Participant s participation in the Activity will be settled by binding arbitration conducted in Houston, Texas in accordance with the then current Commercial Arbitration Rules of the American Arbitration Association and the 1 of 2
5 procedures set forth in this paragraph. I agree that if I seek arbitration due to a Dispute, I shall request such arbitration in writing by delivering a clear statement of the Dispute in writing to the opposing party, and if another party seeks arbitration, such party shall deliver a written request for arbitration to me. The arbitration shall be conducted by a single arbitrator to be appointed upon the mutual consent of me and the opposing party. In the event that the opposing party and I are unable to agree on a single arbitrator within twenty (20) days after the written request for arbitration was delivered, then either party may request the appointment of an arbitrator by the Administrative Judge of the Harris County, Texas District Court (the Administrative Judge ). In the event of the failure, refusal or inability of the Administrative Judge to appoint an arbitrator in the next ten (10)-day period, the party seeking the arbitration shall make the parties request for appointment of an arbitrator, and furnish a copy of the description of the Dispute and any response, to the American Arbitration Association in Houston, Texas. Any arbitrator shall be unaffiliated with me and the opposing party and shall be a resident of Houston, Texas. No arbitrator shall be employed by me or the opposing party, have any financial dependence upon me or the opposing party or have any financial interest in the Dispute. The arbitrator shall not have the authority, power or right to alter, change, amend, modify, waive, add to or delete from the provisions of this Agreement. The prevailing party in such arbitration shall be entitled to recover such party s costs and attorneys fees related to the arbitration from the non-prevailing party, and the costs and expenses of the arbitrator shall be paid for by the non-prevailing party in the arbitration. I understand that in allowing the Participant to participate in the Activity the Released Parties are relying on the representations and warranties I have made herein. This Agreement shall be governed by the laws of the State of Texas (without regard to conflict-of-laws principles). If any provision of this Agreement is held to be invalid or unenforceable, that holding shall be without effect upon the validity or enforceability of any other provision of this Agreement. Participant s Printed Name: Participant s Signature: Date: Parent/Guardian Printed Name (if Participant under 18): Parent/Guardian Signature (if Participant under 18): Telephone Number (Home): Telephone Number (Work): 2 of 2
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