B9-YOUTH INITIATIVE VIRTUAL MEETING/EVENT PARTICIPANT AGREEMENT

1YOUTH INITIATIVE VIRTUAL MEETING/EVENT PARTICIPANT AGREEMENT > 2APPENDIX B9.1, Schedule 1 > 3MEDIA AND PUBLICATION RELEASE
Select Youth Group Below
I,__________________ (“Parent/Guardian”), as Parent or legal Guardian of_____________ , give permission for Delta Sigma Theta Sorority, Incorporated (the “Sorority”) and the Chapter of Delta Sigma Theta Sorority, Incorporated (the “Chapter”), to host and facilitate closed virtual meetings/events using Zoom (the “Virtual Meeting Platform”), that my child will attend during participation in the Youth Initiative Program activities, without payment or any consideration and without notifying me in advance and hereby acknowledge, understand, and agree to the terms enumerated below, including the terms set forth on any Schedules attached hereto and incorporated by reference (the "Participant Agreement").

I also understand that the Virtual Meeting Platform may collect information about its users and has its own privacy terms and conditions to which users must adhere. I will be responsible for reviewing the Virtual Meeting Platform’s privacy terms and conditions before registering for virtual meetings/events.

I also understand that my child will need the following to participate in a Virtual Meeting Platform.
• A computer, mobile, or tablet device with access to the Internet
• A quiet space in which participants can participate in the virtual meeting/event under the supervision of an adult
• Registration for the virtual meeting/event platform and provide some customer data (including but not limited to an email address, first and last name, etc.)

I also understand, acknowledge and agree to indemnify, defend, protect and hold harmless the Chapter and any of its officers and members; and the Sorority and any of its officers; National Executive Board; employees; members; representatives; agents; and assigns from and against any and all liability, whether in law or in equity, should there a breach of security of the Virtual Meeting Platform and any subsequent injury, malice, or harm that might occur as a result, and waive and release any and all rights with respect to the same.

I hereby hold harmless and release and forever discharge the Chapter and any of its officers and members; and the Sorority; its officers; National Executive Board, employees; members; representatives; agents; and assigns from any and all claims, costs, suits, actions, judgments, and expenses which my child, his/her heirs, representatives, executors, administrators, or any other persons acting on his/her behalf have or may have by reason of the use of the virtual meeting platform as a venue for meetings or events. This release specifically includes, without limitation, a complete release and discharge of any liability by virtue of any editing, distortion, alteration, or optical illusion, whether intentional or otherwise, that may occur or be produced in the taking of or editing of said images and content of the virtual meeting/event, unless it can be shown that such was maliciously caused, produced and published solely for the purpose of subjecting my child to conspicuous ridicule, scandal, reproach, scorn, and indignity.

I hereby certify that I am the Parent/Guardian and is authorized legally to give this consent, and do hereby give my consent without reservation to the foregoing behalf of my child.

I have fully read and understand the Code of Conduct (attached hereto as Schedule 1). I understand that my child’s compliance with the Code of Conduct is a condition of her/his participation in the program. I further acknowledge, understand, and agree that the sanctions for violating the Code of Conduct are reasonable and should my child be non-compliant, they will be subject to the prescribed disciplinary action.

I also give permission for the Chapter and the Sorority to highlight my child’s achievements and activities in efforts to promote the youth initiative program through the virtual meeting platform that will include the use of still photographs, moving images or live images, and chats including, if applicable any sound recordings accompanying the images (“Images”) taken of my child or provided by my child during participation in Youth Initiative Program in accordance with the terms set forth in the Media and Publication Releases (attached hereto as Schedule 2).
Participant Acknowledgement (Student Participant)

With my Parent/Guardian, I have fully read and understand the Participant Agreement. I
acknowledge that should I fail to abide to the Code of Conduct that my actions will be subject to
disciplinary action as defined. I hereby acknowledge, understand, and agree to comply with the
terms set forth in the Participant Agreement
Participant Signature: Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Participant Name Participant Name First Last
Date Date / MM / DD YYYY
Parent/Guardian Acknowledgment

I have fully read and understand the Participant Agreement. I also understand that my child’s
compliance with the Code of Conduct is a condition of her/his participation in the program. I hereby
acknowledge, understand, and agree to comply with the terms set forth in the Participant
Agreement.
Parent Signature: Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Parent/Guardian Name Parent/Guardian Name First Last
Date Date / MM / DD YYYY