Please list the (1) name (as it appears on their driver’s license), (2) relationship to the Junior Docent, and (3) phone number of each individual you authorize to pick up your Junior Docent. We cannot release students to anyone who is not on this list. If you need to make changes to this list, please submit an email with updates 48 hours prior to the next pick up.
Please list all medication that the Junior Docent is currently taking on a regular basis. Note that staff will not administer medications to Junior Docents. Junior Docents should plan to take all necessary medication before or after their shift. Junior Docents needing medication during a shift must speak with Meg Yevara at 719-385-5631 prior to the first day of the program to discuss a plan. Please note that over the counter medications (such as Ibuprofen or Tylenol) are not to be sent to the Museum. Museum Staff will not administer any medications. Families must provide any daily medications.
Junior Docents will be permitted to carry their Epi Pen and/or Inhaler with a Permission for Medication form signed by both the Junior Docent’s physician and parent indicating that they are capable/trained to administer their own medication. Junior Docents needing emergency medication during camp hours must speak with Meg Yevara at 719-385-5631 prior to the start of camp to discuss a plan. If parents do not provide an Epi Pen/ Inhaler Care Plan Museum staff will call 911 in the event of an emergency. If there is any deviation from the Care Plan (i.e., medication cannot be found) Museum staff will call 911 in the event of an emergency.
In addition to the Permission for Medication form, Junior Docents who use an Epi Pen must have an Epi Pen Care Plan and Colorado Allergy and Anaphylaxis Emergency Care Plan on file with camp staff. In addition to the Permission for Medication form, Junior Docents who use an inhaler must have an Asthma Care Plan on file with Museum staff. Museum staff will not administer any medications. Families must provide any emergency medications.
The undersigned (“Participant”), in attending Colorado Springs Parks, Recreation and Cultural Services (PRCS) programs and using the facilities and equipment associated with them, does so at Participant’s own risk. PRCS shall not be liable for any damages arising from personal injuries sustained by Participant while participating in PRCS programs or about the premises associated with the programs. Participant assumes full responsibility for any injuries or damages that may occur to Participant in or about the premises used in conjunction with the programs, and fully and forever releases and discharges the Colorado Springs Parks, Recreation and Cultural Services Department, the City of Colorado Springs and all associated employees and agents, from any and all claims, demands, damages, rights of action or causes of action, present or future, whether the same be known, anticipated or unanticipated, resulting from or arising out of the Participant’s use or intended use of the facilities and equipment associated with PRCS programs.
Participant also acknowledges that programs are open to the public and that the City of Colorado Springs is not responsible for screening other Participants or members of the public for any infectious disease. Participant voluntarily assumes the risk of exposure to infectious diseases by attending City Facilities and understands that such exposure or infection may result in personal injury, illness, permanent disability, and death. Participant understands that the risk of becoming exposed to or infected any infectious disease may result from the actions, omissions, or negligence of Participant and others, including, but not limited to, City employees, volunteers, and program Participants and their families.
Participant voluntarily agrees to assume all of the foregoing risks and accept sole responsibility for any injury to Participant including, but not limited to, personal injury, disability, death, illness, damage, loss, claim, liability, or expense, of any kind, that Participant may experience or incur in connection with Participant’s attendance at City Facilities or participation in City programming (“Claims”). Participant hereby releases, covenants not to sue, discharges, and holds harmless the City, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. Participant understands and agrees that this release includes any Claims based on the actions, omissions, or negligence of the City, its employees, agents, and representatives, whether before, during, or after Participant’s participation in any City program.
