Media Release
I hereby authorize South Dakota State University to photograph me and/or my property or use my submitted media, and authorize South Dakota State University, its legal representatives, or successors and assigns the absolute right and unrestricted permission to copyright, publish and/or use such photographs or recordings in whole or part, or composite form made for art, advertising, trade or any lawful purpose.
I hereby waive any right that I may have to inspect and approve the finished product or the advertising copy that may be used in connection therewith, or the use to which it is applied. I understand no payment or compensation will be provided to use my photograph or recordings.
I hereby release, discharge and agree to hold harmless South Dakota State University from any liability by virtue of any use whatsoever, where intentional or otherwise, that may occur or be produced in the taking of said picture, or in any processing tending toward the completion of the finished product.
Medical Release
I understand that first aid will be available at many 4-H activities and events and that 4-H members are supervised closely, and that if a serious illness or injury occurs, medical and/or hospital care will be given; however; the adult staff members and/or volunteers will not be held responsible for outcomes. I further understand that in cases of serious illness or injury, parents/guardians and/or emergency contacts will be notified. If it is impossible to make contact, I give permission for emergency medical treatment or surgery as recommended by the attending medical physician. I understand that health and accident insurance is the responsibility of the 4-H member’s family according to the 4-H policies and procedures of SDSU Extension.
I give permission for this 4-H member to receive emergency medical treatment or surgery, as recommended by an attending medical physician, if a serious illness or injury occurs during any 4-H activity or event.
Minor Assumption of Risk, Waiver of Liability, Indemnification and Release Agreement, and Consent to Medical Treatment
In consideration of allowing the registered minor to participate in any way in the activities and/or being permitted to enter any related premises, each of the undersigned, on behalf of themselves, their executors, administrators, heirs, next of kin, successors, personal representatives and assigns, hereby voluntarily agree that:
A) The minor and parent or guardian agree that if at any time they believe something to be unsafe, it will be brought to the attention of a University representative.
B) The minor and parent assume full responsibility for the risk of bodily injury, death or property damage due to the actions or negligence of the State of South Dakota, the South Dakota Board of Regents, and South Dakota State University, their officers, employees, representatives, agents (hereinafter, “Releasees”) or otherwise, while in or upon the premises, use of equipment or participating in activities. The minor and parent or guardian recognize and understand that there are risks and dangers associated with participating in the activities. Further the risks and dangers may be caused by the actions or negligent failure to act of the Releasees and others. All of the risks and dangers associated with participating in the activities, entry into the premises, or use of equipment are assumed and notwithstanding.
C) The minor and parent or guardian waive, release and discharge the Releasees from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to the minor, parent or guardian and their estates.
D) The minor and parent or guardian indemnify, save and hold harmless the Releasees and each of them personally from and against any and all liabilities, loss, damage, causes of actions and claims arising from the minor’s participation in the activities identified herein or presence in premises, whether caused by the Releasees, the minor, or otherwise.
The minor and parent or guardian hereby consent to receive any medical treatment that may be deemed advisable in the event of injury, accident or illness during this activity.
The parent or guardian has read and voluntarily signs this Minor – Assumption of Risk, Waiver of Liability, Indemnification and Release Agreement, and Consent to Medical Treatment and related transportation, fully understand its terms and that I/we have given up substantial rights by signing it, sign it freely and voluntarily without any inducement, assurance, or guarantee being made and intend their signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. I/we further acknowledge that failure to witness or notarize this Agreement shall not affect its validity.
Adult Assumption of Risk, Waiver of Liability, Indemnification and Release Agreement, and Consent to Medical Treatment
In consideration of allowing the participant to participate in any way in the activities and/or being permitted to enter any related premises, each of the undersigned, on behalf of themselves, their executors, administrators, heirs, next of kin, successors, personal representatives and assigns, hereby voluntarily agree that:
A) The participant agrees that if at any time they believe something to be unsafe, it will be brought to the attention of a University representative.
B) The participant voluntarily assume full responsibility for the risk of participating at camp, bodily injury, death or property damage due to the actions or negligence of the State of South Dakota, the South Dakota Board of Regents, and South Dakota State University, their officers, employees, representatives, agents, the Exercise Science Club, and the City of Brookings (hereinafter, “Releasees”) or otherwise, while in or upon the premises, use of equipment or participating in activities. The participant recognizes and understands that there are risks and dangers associated with participating in the activities. Further the risks and dangers may be caused by the actions or negligent failure to act of the Releasees and others. All of the risks and dangers associated with participating in the activities, entry into the premises, or use of equipment are assumed and notwithstanding.
C) The participant waives, releases and discharges the Releasees from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to the participant and their estates.
D) The participant indemnifies, saves and holds harmless the Releasees and each of them personally from and against any and all liabilities, loss, damage, causes of actions and claims arising from the participant’s participation in the activities identified herein or presence in premises, whether caused by the Releasees, the participant, or otherwise.
The participant hereby consents to receive any medical treatment that may be deemed advisable in the event of injury, accident or illness during this activity.
I stating that I am 18 years of age or older and competent to execute this Agreement, have read and voluntarily sign this Assumption of Risk, Waiver of Liability, Indemnification and Release Agreement, and Consent to Medical Treatment, fully understand its terms and that I have given up substantial rights by signing it, sign it freely and voluntarily without any inducement, assurance, or guarantee being made and intend their signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. I further acknowledge that failure to witness or notarize this Agreement shall not affect its validity.
Code of Conduct and Behavior Expectations
The South Dakota 4-H Program expects youth members and participants to behave in an acceptable manner at all events and activities in accordance with the South Dakota 4-H Behavioral Expectations and the Code of Conduct Policy.
Behavioral Expectations
The South Dakota (SD) 4-H Program is designed to provide youth of all ages with a positive environment in which to learn and grow. It also provides opportunities for children and youth to build positive traits of character. The SD 4-H Program supports the CHARACTER COUNTS! program and the six pillars of character: Trustworthiness, Respect, Responsibility, Fairness, Caring and Citizenship. To ensure that all youth have equal access to positive learning environments, SD 4-H members, staff, and volunteers agree to abide by these expectations of behavior:
• I will be trustworthy.
I will be worthy of trust, honor, and confidence. I will be a good role model by doing the right thing at all times. I will be honest in all of my activities. I will be on time for all scheduled events and will attend all of the planned activities. If I am not feeling well or have a schedule conflict, I will inform my chaperone or a person in charge of the event before the activity starts. I will be in the assigned area (club meeting room, building, dorm, etc.) at all times. The SD 4-H Program will not permit dishonesty such as lying or cheating.
• I will be respectful.
I will show respect, courtesy, and consideration to everyone, including myself, other participants, and those in authority. I will act and speak respectfully. I will treat meeting rooms, lodging areas, personal property, and transportation vehicles with respect. I will follow all published dress code guidelines for the event and/or activity. I will respect the personal space and choices of other participants and will not participate in inappropriate displays of affection or physical contact. I will not use vulgar or abusive language, cause physical or emotional harm, or create a feeling of fear amongst other participants.
• I will be responsible.
I will be responsible and accountable for my choices and my actions towards myself and other people. I will follow all rules and guidelines established for the activity or event. I will follow the verbal instructions issued by SDSU Extension staff, chaperones, and/or adult volunteers. I will abide by the established program curfew. I will be responsible for any damage, theft, or misconduct that I am involved in or cause.
• I will be fair.
I will participate in events fairly by following the rules, not taking advantage of others, and not asking for special help or favors.
• I will be caring.
I will be caring in my relationship with others. I will be kind and show compassion for others. I will treat others the way I want to be treated. I will show appreciation for the efforts of others. I will include all participants in activities and will try to help everyone be involved in the scheduled activities.
• I will be a good citizen.
I will be a contributing and law-abiding citizen. I will be respectful to the environment. I will not use illegal substances such as tobacco, alcohol, or drugs or be involved in the use or possession of weapons or fireworks. If I am found to have any of these items with me or if I have taken any illegal substances, adult staff/volunteers will notify law enforcement.
Code of Conduct Policy
If I do not abide by the items in the Behavioral Expectations above, I will experience the following consequences in the order listed:
- The loss of rights and privileges at the event or activity.
- Being dismissed from the activity or event with an adult staff member or chaperone/volunteer notifying my parents/guardians and that I must go home at my family's expense before the activity or event ends.
- The possible forfeiture of future participation in statewide and out-of-state events and activities as well as the forfeiture of future awards and premiums at the County level for a period of time up to one year. If this step is considered necessary, event staff, county staff, state staff will make the decision with input from the parents/guardians of the involved 4-H member(s).
We certify that we have read the South Dakota 4-H Code of Conduct and Behavioral Expectations. We promise to support the individuals at all 4-H activities and events who are in charge of maintaining appropriate behavior. We also agree to accept the appropriate and logical consequences of this 4-H member's actions according to this policy as determined by the South Dakota 4-H Program.
4-H Covid-19 Policies
The SDSU Extension 4-H Youth Development Program is committed to providing a safe experience to our youth participants. Therefore, proper COVID-19 mitigation practices will be incorporated throughout the duration of conference. Masks will be required for all sessions occurring indoors and social distancing will be practiced. If prior to the conference a delegate begins to experience COVID-19 symptoms, they should immediately contact a conference organizer to arrange for a refund. Similarly, if a delegate experiences symptoms during the conference, they should immediately inform an adult chaperone. Based on the recommendation of the medically responsible adult provided by the conference temporary care will be provided, conference organizers will arrange for a parent/guardian to pick up the delegate, a quarantine space will be provided in the interim.
