Consent and Release Form - Applicants and Parents

In exchange for the intangible value Participant (as defined below) will gain by participating in the Aspirations in Computing Program, the Award for Aspirations in Computing, the Aspirations in Computing Community, and/or the NCWIT Collegiate Award (collectively and individually, the “Program”) and other good and valuable consideration, Participant hereby gives the National Center for Women & Information Technology, a Colorado nonprofit corporation with offices located at UCB 417, Boulder, CO 80309 ("NCWIT”) permission for the uses (“Authorized Uses”) set forth in this Consent and Release ("Agreement"). NCWIT takes Participant’s privacy very seriously. All Authorized Uses, as defined herein, will comply with NCWIT’s Privacy Policy found at www.ncwit.org/privacy.

Consent to Authorized Uses

Right of Publicity: NCWIT may, and is approved to, use certain personal characteristics of the individual named below ("Participant") for purposes of advancing the Program and mission of NCWIT, including without limitation for advertising, promotion, research and other commercial and business purposes. Additionally, NCWIT desires to use and publicize the works developed and created by Participant within the scope of Participant’s application to and participation in the Program for such purposes.

Participant hereby irrevocably permits, authorizes, and licenses NCWIT and its affiliates to display, publicly perform, exhibit, transmit, broadcast, reproduce, record, photograph, digitize, modify, alter, edit, adapt, create derivative works, exploit, sell, rent, license, or otherwise use and permit others to use Participant’s name, image, likeness, appearance, voice, and other personal characteristics and all materials created by or on behalf of NCWIT that incorporate any of the foregoing ("Materials") on a perpetual basis throughout the world and in any medium or format whatsoever now existing or hereafter created for advertising, public relations, publicity,  and promotion of NCWIT and its affiliates for purposes of advancing the Program or NCWIT’s mission, without further consent from, or royalty, payment or other compensation to Participant.


Participant acknowledges and agrees that Participant has no right to review or approve Materials before they are used by NCWIT, and that NCWIT has no liability to Participant for any editing or alteration of the Materials or for any distortion or other effects resulting from NCWIT's editing, alteration or use of the Materials. NCWIT has no obligation to use the Materials or to exercise any rights given by this Agreement.


License to Works Created Within the Scope of the Program or in Application to the Program: Participant and NCWIT acknowledge that Participant may create certain work product during Participant’s participation in the Program or in Participant’s application to the Program (collectively, the “Works”).

Participant hereby grants NCWIT and its directors, agents, employees and affiliates, a perpetual, irrevocable non-exclusive license to use Participant’s Works to NCWIT and affiliates to promote their businesses, products and services, without further consent from or royalty, payment or other compensation to Participant.

Consent for Program Partner to Provide Participant Information to NCWIT: Participant acknowledges that the Program may not be hosted by NCWIT and may be hosted by an independent entity (the “Program Partner”). Participant hereby irrevocably grants NCWIT and the Program Partner the permission and right to share any information that Participant discloses to NCWIT or the Program Partner in the scope of the Program with each other. NCWIT and the Program Partner shall only use such information for purposes consistent with the spirit and intent of the Program.

Additionally, in connection with certain aspects of the Program, Participant may designate a teacher, coach or other educator (the “Endorser”) to endorse or recommend Participant for awards, accolades, or application to other items related to the Program. Participant hereby voluntarily consents to allow Participant’s Endorser to review their application submission, provide any necessary information, including personally identifiable information, to NCWIT. NCWIT shall only use such information for purposes consistent with the spirit and intent of the Program.

Participant acknowledges and agrees that any event hosted by a Program Partner is not affiliated with NCWIT, and NCWIT makes no representations or assurances about any Program Partner or any event hosted by a Program Partner. Participant disclaims any claim for damages or redress of any sort whatsoever arising from participation in any Program Partner event or any interaction with any Program Partner.

Consent for NCWIT to Contact Participant: Participant grants NCWIT the permission and right to contact Participant using contact information provided either directly to NCWIT or to NCWIT through the Program Partner. NCWIT shall only contact Participant for purposes consistent with the spirit and intent of the Program.

Release from Liability

PARTICIPANT HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE NCWIT, ITS DIRECTORS, OFFICERS, AGENTS, EMPLOYEES, SUCCESSORS AND ASSIGNS (COLLECTIVELY, THE "RELEASEES") FROM ALL LIABILITY TO PARTICIPANT, PARTICIPANT’S PERSONAL REPRESENTATIVES, ASSIGNS, HEIRS, AND GUARDIANS FOR ALL LOSSES OR DAMAGES AND ALL CLAIMS OR DEMANDS THEREFOR ON ACCOUNT OF INJURY TO PROPERTY OR PERSON, INCLUDING DEATH, ARISING OUT OF OR RELATED TO MY PARTICIPATION IN THE PROGRAM, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

I HAVE CAREFULLY READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

PARTICIPANT’S REPRESENTATIONS AND WARRANTIES

Participant represents and warrants that any materials Participant conveys to NCWIT (“Conveyed Materials”) during the Program or in its application thereto do not infringe the rights of any third party. Additionally, Participant represents and warrants that Participant has full right and title to any of the Conveyed Materials and/or has acquired all permissions necessary regarding the Conveyed Materials for the uses contemplated under this Agreement.

Participant further warrants and represents that Participant has met the criteria contained in the applicable website(s) located at:

respectively, and has been truthful and forthright in all Conveyed Materials, and, to the best of Participant’s knowledge, there is no reason why Participant should be denied entry into the Program.

IF PARTICIPANT IS UNDER 18 YEARS OF AGE, PARTICIPANT’S LEGAL GUARDIAN MUST CERTIFY THE BELOW. A MINOR’S APPLICATION WILL NOT BE REVIEWED UNTIL PARENTAL CONSENT IS RECEIVED.


PARTICIPANT: ____________________________________________________________
                                                            (Printed Name) 


                     ____________________________________________________________
                                                            (Signature)                                                        

​

Legal Guardian Certification

I am the parent or legal guardian of the minor named above. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Consent and Release on behalf of Participant.



LEGAL GUARDIAN: __________________________________________________________________                                                           
                                                               (Printed Name) 

                              ________________________________________________________
                                                           (Signature)  


DIRECTIONS FOR PARENT’S CONSENT AND RELEASE
for Participation in the Aspirations in Computing Program

The easiest way to approve your child’s participation in the

NCWIT Aspirations in Computing Program is to have your child provide us your email address so you can complete our online form.


Your child can do that by logging in to their account at www.aspirations.org and using their Dashboard to “Request Parent or Guardian Approval”.



If you cannot receive an email or complete our online form, please complete the above form.

You can return your signed form in one of several ways:

  1. Scan and Upload - Your child can upload a scan of your signed document, through their account at www.aspirations.org or
  2. Fax to: “ATTN: AiC Award” at 303-735-6606 or
  3. Scan / photograph your signed document and email the file to us at [email protected]


Questions?

Contact [email protected] or call 303-735-6671