LEAD Girls of NC 2025 Girls Rising EXPO

DISCLAIMER:

By signing this form, the Parent/ Guardian consents to LEAD Girls of NC sharing the information contained in this form with Winston-Salem State University.

IMPORTANT :

Girls Rising EXPO Day:

• Location: Winston-Salem State University
• Time: 10:00 A.M. to 2:00 P.M.

The EXPO will offer an Opening Session and Parent/ Guardian sessions from 10 a.m. to 12:30 p.m. at WSSU. Parents/guardians are invited to attend and will be provided (2) complimentary admissions per application.

A separate application must be completed for each girl you want to register. 

Informed Consent: Program Expectations and Parental Permission

The Program has established standards of conduct for all Participants. It is the responsibility of the Parent/Legal Guardian and the Participant to review the Program rules and standards of
conduct. Dismissed Participants may not be eligible for a refund of any fees or expenses.

The Program agrees to: 

• Provide an agenda outlining the activities of the Program including the times, days, and how to access content.
• Collect registration information such as participant name, address, phone number, parents/guardian(s) name(s), phone number(s) and email(s).
• Provide a supply list and recommendations for setting up the home workspace to help participants fully engage in the program.
• Take attendance and only allow registered participants to participate.
• Only communicate with participants through official Program platforms.
• Ensure that two or more Program staff are present for the duration of the program.
• Keep conversations and interactions focused on the Program goals and objectives.
• Create an environment where everyone is welcomed and given the opportunity to succeed.
• Ensure that all participants are treated with dignity, fairness, and respect. Harassment will not be tolerated. Hazing of any kind is prohibited. Cyberbullying is prohibited.
• Address problems that are brought to their attention.
• Will not share personal information, email, or social media accounts with minor participants.

The Participant agrees to:

• Participate in the digital environment to the same standard as a physical environment, including participating when called on, listening attentively, and minimizing distractions to others.
• Not share links or passwords for Program meetings or content.
• Challenge themselves to engage, be present, and learn.
• Complete assigned projects on time.
• Request help if needed.
• Mute when not talking.
• Dress appropriately when on video.
• Not take inappropriate screenshots or images.
• Assume good intentions and have fun!

The Parent/Legal Guardian(s) agrees to:

• Assist the participant in setting up the home environment to meet the goals of the Program.
• Ensure the participant logs in on time and is prepared for the Program.
• Limit distractions and keep the participant safe throughout the duration of the Program.
• Allow time for the participant to complete required assignments.
• Communicate with staff prior to the Program start time if the participant must be absent.
• Work with Program staff to resolve issues that may arise.
• Report illegal or inappropriate online behavior by staff or program participants:
  
  • Office of Conferences and Institutes Incident Report -
  • Contact protectionofminors@ncsu.edu or call 336.750.2121-
  • For emergencies, contact WSSU Police at 336.750.2900

The following may result in being dismissed from the program:

• Bullying, harassing or using derogatory language towards another person or group ofpeople.
• Being under the influence of alcohol or drugs.
• Repeated absences or failure to meet agreed upon program work requirements.
• Violation of a University code, policy, or regulation.

What are the consequences if the participant does not meet Program expectations?

• Staff will give a verbal or written warning regarding behaviors and actions that are not allowed and in most cases give the participant an opportunity to correct the behavior.
• Depending on the behavior, they may also contact the parent or legal guardian.
• In some cases, staff may require a corrective action plan in order to stay in the program.
• Some behaviors may result in immediate suspension or termination.

Informed Consent:Permission for Photography of Participant to LEAD Girls of NC

For valuable consideration received, I hereby grant LEAD Girls of NC (LEAD), its agents and/or assigns the absolute and irrevocable right and unrestricted permission concerning any photographs or other images (hereafter called "media") taken or to be taken of my minor child/participant in LEAD activities in which the participant may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use the minor child’s name in connection with any use if LEAD so chooses.

I release and discharge LEAD, its agents and assigns, from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy.

This authorization and release shall also inure to the benefit of the Board of Directors, legal representatives, and licensees of LEAD. I am a legally competent adult and have the right to contract on behalf of the minor child/participant. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.

Informed Consent: Liability of Waiver of Participant to LEAD Girls of NC

In consideration of inclusion as a participant in the 2025 Girls Rising Expo, participant
agrees to indemnify and hold harmless LEAD Girls of NC, Inc. Board of Trustees, members, agents, employees and assigns from and against any liability, loss, costs, demand, claims, fines, debts, or judgments that participant or participants members, performers, employees, agents, independent contractors, or volunteers may sustain or incur as a result of or arising from participant’s involvement in the conference. Such indemnification will include all reasonable attorney and legal fees. In addition, LEAD Girls of NC, Inc. has made no representations, promises or guarantees regarding condition, safety or suitability of any location or equipment provided for any purpose or use of any kind. Participant will participate at own risk. By signing this waiver of liability, I the undersigned, agree that I have read and understand all of the foregoing.

Informed Consent: LEAD Girls of NC Assessment and Evaluation

To evaluate the effectiveness of our programs, LEAD Girls of NC (LEAD) is conducting research on girls who participate in LEAD programs.

LEAD requests parental/guardian consent for the girls to participate in data collection
at various times throughout the program. Surveys completed by participants are important because they help provide information about the needs of girls when they begin LEAD, and how the girls are doing after they finish LEAD. In addition to surveys, girls may also be selected for additional research activities, such as participating in a telephone or in-person interview. Parents/Guardians will be notified if their daughter is selected.

There are no foreseeable risks or inconveniences associated with participation in LEAD surveys or interviews. Girls are free to decline to answer any question they do not wish to answer without providing an explanation. There are no direct benefits from participating aside from improving LEAD and helping girls avoid risky behaviors.

Survey and interview participation is confidential. Responses will not be documented using girls’ names or other identifying information. Girls’ contact information and notes will remain in the possession of the researcher and stored using a password-protected computer.

If parents/guardians or girls have any questions or concerns about surveys and interviews, or desire to offer additional feedback after the surveys and interviews are completed, please contact LEAD Girls of NC at info@leadgirls.org