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I am the parent or legal guardian of ____________________, a minor (“Participant”). I agree that the Participant may participate in the Kilometer Kids program, the Atlanta Track Club’s incentive-based running program. The purpose of the program is to increase the Participant’s activity/fitness level. I understand that during the program, the Participant will be involved in outdoor physical activities. Physical reactions to exercise may include heat-related illness, abnormal heartbeats and blood pressure and, in rare instances, events such as heart attacks.

I acknowledge that Kilometer Kids, the Atlanta Track Club, and their affiliates are not responsible for investigating, selecting, or approving any of the volunteer coaches involved in the activities at any particular site, including determining whether a volunteer coach is (a) experienced or knowledgeable regarding physical fitness or techniques for improving physical fitness of children, or (b) capable of providing a safe environment for the children engaged in the program. It is specifically acknowledged, notwithstanding any information that Atlanta Track Club is able to discover related to any prospective volunteer coach, including but not limited to responses to questions posed to a prospective volunteer coach in connection with a coach completing and executing the Coach Responsibilities and Commitment materials, that the Site Coordinator is responsible for conducting any background check or other proper investigation of any potential volunteer coach.  Recognizing the Site Coordinator’s responsibility, the risks of the program, and in consideration for allowing the Participant to participate in the program, I hereby release, discharge and agree to hold harmless, and to indemnify Kilometer Kids, its owners, directors, officers, contributors, sponsors, employees, contractors, agents and assigns against and from any causes of action, claims, demands, damages, costs, loss of services, expenses, compensation, all consequential damages and attorneys’ fees (regardless whether pursuant to the laws of any county, state or country) claimed by, through or on behalf of me or the Participant related directly or indirectly to the program, and specifically including any and all claims for personal injuries sustained while participating in program activities without regard to negligence or negligent conditions.

 I hereby grant Kilometer Kids, and all assigns, licensees, successors in interest, legal representatives, employees, consultants, and those acting with permission or authority of the aforementioned parties, the absolute, irrevocable and unrestricted right to use photographs, videos likeness and audio (including without limitation all originals, negatives, prints and transparencies or any duplicates or reproductions of the foregoing) that have been or will be taken of the Participant (collectively, “Images”), in which the Participant may be included with others, to copyright the same, in the name of Kilometer Kids or otherwise; to use, re-use, publish and republish the same in whole or in part, individually or in conjunction with other photographs and videos, and in conjunction with any printed matter, in any and all media now and hereafter known, and for any purpose whatsoever; and to use my name in connection herewith. 

 

I hereby release and agree to hold harmless Kilometer Kids and all aforementioned entities, from any damages or liability relating to or arising from any use of or modification, alteration, distortion or other change to any of the Images and/or information gathered, unless it can be proven that such reproduction were maliciously caused, produced and published for the sole purpose of subjecting Participant to conspicuous ridicule, scandal, reproach, scorn and indignity.  I hereby waive any claims I may have based on any usage of the Images, information gathered, or works derived thereof, including but not limited to claims for either invasion of privacy or libel. I represent, warrant and agree that the Participant will not disaffirm or disavow this release on the ground that the Participant was a minor on the date it is executed or any similar grounds whatsoever.  

 

In order to assure that the Kilometer Kids program is of high quality and has a positive impact on your child(ren), the program engages in ongoing evaluation and quality improvement efforts.  Program participants may be invited to fill out an online or paper survey at the beginning and end of each program cycle. These surveys measure the impact of the program on your child’s development and captures your child’s experiences within the program, allowing us to make critical improvements to meet their needs.  Participation is completely voluntary. You and your child have the right to terminate their survey participation at any time or to refuse their participation entirely without jeopardy to their status in the Kilometer Kids program.

 

All information obtained from your child on the survey will be kept confidential and will be used by staff to increase the quality of the program. Program managers, and possibly external evaluators, will also have access to the data so that they can continue to improve the program and support your child’s individual needs.  Data are gathered and analyzed through online platform called Hello Insight and UpMetrics. Your child’s name will not be associated with their data in Hello Insight or UpMetrics. Data within this platform are kept confidential in a secure database. Atlanta Track Club’s data evaluation partners will never use your child’s name for any reason related to this data, and all data displayed through this system will highlight combined or group results. 

 

If you agree that your child can take the survey, nothing needs to be done.  If you choose not to have your child participate, inform the evaluators that your child(ren) are opted out of the data collection process.  If you have questions regarding this process or the surveys themselves, you may contact kilometerkids@atlantatrackclub.org.

I expressly agree that this consent is intended to be as broad and inclusive a release of liability as permitted by applicable law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I hereby warrant and represent that I am 18 years old or older; I have carefully read this consent and agree to its terms and conditions, that before signing this agreement I had the chance to ask questions; and I am aware that by signing this consent, I assume all risks and waive and release certain substantial rights that I and participant may have or possess against Kilometer Kids. To the extent permitted by applicable law, I hereby irrevocably and unconditionally waive trial by jury in any legal action or proceeding related to this agreement.

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{{'AGE' | translate}}: {{'AGE-ANY' | translate}} {{'AGE-OR-OLDER' | translate:tbr}} {{'AGE-OR-YOUNGER' | translate:tbr}} {{'AGE-RANGE' | translate:tbr}}
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*Select a youth size if appropriate.

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It looks like you accidentally registered as an unattached participant. If your child is participating with a team, please go back to the first page and select the School/Team/Community registration choice so that you can join the appropriate team.

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There are two Kilometer Kids seasons per year (1 Spring season & 1 Fall season).

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There are two Kilometer Kids seasons per year (1 Spring season & 1 Fall season).

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Parents registering their children need to register as "Kilometer Kids Participant" instead of coach or assistant coach.

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{{'VALUE_SHORTER_THAN' | translate:'{char: "50"}' }}
Our mission is to inspire youth to achieve health and fitness through a fun and supportive running program, empowering children with the knowledge they need to make smart lifestyle choices.

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I will deliver the instructional guidance in the order and manner in which it was intended.

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By listening attentively, having a positive demeanor and outlook, and leading a healthy lifestyle.

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Atlanta Track Club will not provide incentive prizes to participants for whom we do not have signed waivers on file.

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This record is so that Atlanta Track Club can accurately gauge prize distribution & research.

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Do not send them to meet carpool or anywhere else without supervision.

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Either once every 24 months or consistent with Atlanta Track Club and Site Facility's policy and practice for conducting periodic background checks.

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Contact Atlanta Track Club for information on available free trainings.

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However, ultimately it is the responsibility of the program site to arrange pick-up of these materials.
I understand that it is my responsibility to inform the guardians of all Kilometer Kids participants at the site where I serve if I am convicted of a crime.

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I have fully read the permissions and releases within this waiver and registration form, understand them, and I expressly agree to them.

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Check all that apply

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This is not valid integer. Value needs to be between '10000' and '99999' Value needs to be between '10000' and '99999'

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{{'VALUE_SHORTER_THAN' | translate:'{char: "50"}' }}

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If there is a fee included, I affirm that I will notify Atlanta Track Club and comply with their official recommendations.

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I understand that providing Atlanta Track Club with registrations and signed waivers is necessary in order to participate and be eligible for prizes.

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The Site Organizer agrees to host Kilometer Kids in accordance with program's rules and stipulations and agrees to the meeting times and dates I put forth.

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This is not valid integer. Value needs to be between '0' and '600' Value needs to be between '0' and '600'

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This is not valid integer. Value needs to be between '0' and '50' Value needs to be between '0' and '50'

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This data should be entered in the excel template for offline entries and copies of the signed waivers should also be submitted.

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required to recognize the Atlanta Track Club's Kilometer Kids in communications about the program to co-brand any collateral that is produced following the brand licensing agreement.

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You can save/download the terms from the images below and also find the document in your confirmation email.

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or agents will investigate my background, by conducting a search, and may use information learned as a result of that search to make a decision related to my participation as a Kilometer Kids Coach.

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and I release Atlanta Track Club and/or any of its officers, employees, or agents from any and all liability in relation to the information obtained.

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Teachers, may email proof of their school background check in lieu of this additional check. However, we strongly encourage teams to take advantage of this free resource to have other Kilometer Kids volunteers complete a background check (up to two checks per team per season & $25 per check for additional volunteers).

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This includes but is not limited to "victimless" crimes of a sexual nature such as prostitution, pornography, indecent exposure; and crimes in which sexual relations is an element.

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harm to a minor, threat of force against a person, or cruelty to animals.

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There are two Kilometer Kids seasons (Spring & Fall) per year. Type "0" if this is your first season, 1 if you have completed 1 season, etc.
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{{'VALUE_SHORTER_THAN' | translate:'{char: "1000"}' }}

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Atlanta Track Club supports a team of elite runners focused on qualifying for the Olympics (or focused on qualifying again) and using the sport to build a fitness minded community. If you would like, an athlete can come come to one of your practices, run with the kids, tell them a little about what it's like to be a professional runner, encourage them to make healthy choices, and give them tips on how to become a better runner.

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{{'VALUE_SHORTER_THAN' | translate:'{char: "50"}' }}

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