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We are Christians, we are cancer survivors, we are chaplains and we are educators. We love dedicating our time to serve our community. Pure and undefiled religion before our God and Father is this: to care for orphans and widows in their distress, and to keep oneself from being polluted by the world.
Tutoring Sessions for Children of Parents Affected by Cancer
1. General Information
I, the undersigned parent/guardian, hereby give permission for my child to participate in the tutoring program facilitated by NShelter at the local library chose on the registration form. I understand that this program is offered free of charge to children whose parents or guardians are affected by cancer, and is conducted by university students and retired school teachers volunteering their time to provide academic support.
2. Program Overview
The tutoring sessions will take place in a designated conference room at the local library during after-school hours. The program may cover a variety of academic subjects, and sessions are designed to support students in achieving their educational goals. The specific schedule will be arranged between NShelter and myself, with consideration of my child’s availability.
3. Permission for Participation
I understand that:
4. Consent to Contact and Scheduling
I agree to provide accurate contact information and understand that Nshelter may contact me via phone, email, or other methods to:
I agree that my child will be available for the scheduled tutoring sessions and will notify Nshelter in advance if my child cannot attend a session.
5. Transportation Arrangements
I understand that I am responsible for transporting my child to and from the tutoring sessions, or arranging safe and reliable transportation NShelter and the library are not responsible for any incidents that occur during transportation to and from the sessions.
6. Health Information and Emergency Contact
I agree to provide any relevant health information about my child that may be necessary for the tutors to know, such as allergies, medical conditions, or special needs. In the event of a medical emergency, I authorize NShelter to seek necessary medical treatment for my child.
7. Consent to Use of Photos or Videos
I understand that photos or videos of the tutoring sessions may be taken for promotional purposes (e.g., on the organization’s website or social media). I hereby give my consent for my child to be photographed or recorded during program activities for these purposes. (Please check the appropriate box below.)
8. Code of Conduct
I understand that my child is expected to behave respectfully and adhere to the program’s code of conduct, as well as the rules set by the library. If my child fails to comply with these rules NShelter reserves the right to remove my child from the program.
9. Consent and Acknowledgment
I, the undersigned parent/guardian, acknowledge that I have read and understood the terms outlined in this Consent Form. I agree to allow my child to participate in the tutoring program, and I understand the expectations and responsibilities set forth herein.
Effective Date: [Date of Signature]
Program Name: Tutoring
Location: Oconee County Library / Central Pickens Library
Tutoring Sessions for Children of Parents Affected by Cancer
This Liability Waiver and Release Form is entered into by the undersigned parent/guardian (“Participant”) and Nshelter (“Organization”) as a condition of participation in the tutoring program provided at the library chosen on the registration form and facilitated by NShelter.
1. Acknowledgment of Risks
I, the undersigned parent/guardian, acknowledge and understand that my child’s participation in the tutoring program involves inherent risks, including but not limited to:
2. Assumption of Responsibility
I, on behalf of myself and my child, voluntarily assume all risks associated with my child’s participation in the tutoring program. I understand that these activities are provided free of charge by [Organization Name], and that my child’s participation is purely voluntary.
3. Waiver and Release of Liability
In consideration of NShelter allowing my child to participate in this program, I hereby release, discharge, and hold harmless Nshelter its employees, volunteers, agents, and representatives from any and all claims, actions, demands, or liabilities that may arise in connection with my child’s participation in the tutoring program, including but not limited to:
This waiver and release extend to [Library Name], its employees, agents, and representatives.
4. Medical Emergency Authorization
In the event of a medical emergency, I authorize NShelter and its representatives to take any necessary action to provide emergency medical treatment to my child, including calling emergency services or taking my child to a medical facility. I understand that any medical costs incurred will be my sole responsibility.
5. Agreement to Follow Program Guidelines
I understand that my child is required to adhere to the guidelines and policies of NShelter and the library hosting the tutoring program. Failure to comply with the rules may result in the dismissal of my child from the program.
6. Governing Law
This Liability Waiver and Release shall be governed by the laws of the State of South Carolina. Any disputes arising from this agreement shall be subject to the exclusive jurisdiction of the courts in [City/ Oconee County], South Carolina.
7. Parental/Guardian Consent and Acknowledgement
I certify that I am the parent or legal guardian of the minor named below and that I have the legal authority to execute this Waiver and Release Form on behalf of my child. By signing this document, I acknowledge that I have read and fully understand its contents and agree to its terms.
8. Signature
Effective Date: [Signed Date]
Program Name: Tutoring Program Location: [Library Name and Address as chose on the registration form] Tutoring Sessions for Children of Parents Affected by Cancer
NShelter is committed to providing a safe, respectful, and productive environment for all participants, including students, tutors, and volunteers. The following Code of Conduct outlines the expectations for behavior during the tutoring sessions. By signing this document, all participants agree to abide by these guidelines.
1. General Expectations for Students
As a participant in the tutoring program, I understand that:
Use of Library Space: I will respect the library’s property, follow all library rules, and use the facilities in a responsible manner. I will not damage library property, and I will help keep the space clean.
2. General Expectations for Tutors and Volunteers
As a tutor or volunteer in the tutoring program, I agree to:
3. Discipline and Behavioral Issues
4. Zero-Tolerance Policy
The following behaviors will result in immediate dismissal from the tutoring program:
5. Agreement and Acknowledgement
By signing this document, I acknowledge that I have read and understood the Code of Conduct for NShelter’s tutoring program. I agree to abide by these rules and understand that failure to comply may result in my removal from the program.
Student Acknowledgment
Student Name: __________________________________
Student Signature: __________________________________
Date: __________________________________
Parent/Guardian Acknowledgment
Parent/Guardian Name: __________________________________ Parent/Guardian Signature: __________________________________
Date: __________________________________
Tutor/Volunteer Acknowledgment
Tutor/Volunteer Name: __________________________________ Tutor/Volunteer Signature: __________________________________
Date: __________________________________
NSHELTER (“we,” “our,” or “us”) respects your privacy and is committed to protecting the personal information we collect from parents, guardians, students, and tutors who participate in our free tutoring programs. This Privacy Policy outlines how we collect, use, store, and protect your information.
1. Information We Collect
We collect personal information from parents/guardians, students, and tutors to facilitate the tutoring program. This information may include:
2. How We Use Your Information
We collect and use this information solely for the following purposes:
3. Information Sharing
We do not sell, trade, or otherwise transfer your personal information to outside parties, except:
4. Data Security
We take reasonable precautions to protect your personal information. All data is stored securely, and access is limited to authorized personnel only. Security measures include:
5. Your Rights
Parents and guardians have the following rights concerning the personal information we collect:
6. Children’s Privacy
We comply with the Children’s Online Privacy Protection Act (COPPA) and other applicable laws that protect children’s privacy. We do not knowingly collect personal information from children under 13 without verifiable parental consent. All data provided to us is collected with parental/guardian consent.
7. Changes to This Policy
We may update this Privacy Policy from time to time. Any changes will be posted on our website, and we will notify parents/guardians of significant changes via email. The “Effective Date” at the top of this page will reflect when the latest changes were made.
8. Contact Us
If you have any questions or concerns regarding this Privacy Policy or how your information is handled, please contact us at:
NShelter PO Box 542 contact@nshelter.org 864 502 8660
Legal Protections:
Confidentiality, Privacy and Terms:
1. Hospital Regulations
The requester must share any relevant hospital regulations or requirements with our representative prior to the visit.
2. Escort Requirement
For the safety and privacy of the patient, the requester must arrange for a family member or caregiver to meet our representative at the front office and escort them to the patient’s room.
3. Patient Privacy
The requester must inform us of any specific privacy concerns or restrictions related to the patient’s condition or treatment.
4. Health Precautions
While we strive to maintain a safe environment, we are not responsible for any damage to medical equipment or the spread of infections. Our representatives will wear masks during visitations to minimize any potential risks.
5. Emergency Contact Information
The requester must provide at least two emergency contact persons, including their full names, relationship to the patient, phone numbers, and any relevant medical information.
6. Visitor Conduct
Visitors are expected to behave respectfully and responsibly during the visitation. This includes following all hospital rules and regulations, maintaining a quiet and calm demeanor, and refraining from disruptive behavior such as loud conversations or arguments.
Any behavior that disturbs the peace or compromises the safety and comfort of the patient, other visitors, or hospital staff may result in the immediate termination of the visitation.
7. Visitor Identification
All visitors must present valid photo identification upon arrival at the healthcare facility. This identification will be verified by hospital staff or security personnel before granting access to the patient’s room.
Visitors should also be prepared to provide the name of the patient they are visiting and any other relevant information requested by hospital staff.
8. Visitor Limitations
The number of visitors allowed during a single visitation may be limited based on the patient’s condition, the size of the patient’s room, and the hospital’s visitation policies.
In cases where visitor limitations apply, priority may be given to immediate family members or caregivers.
9. Visitor Health Screening
Visitors may be required to undergo health screenings before being allowed to enter the healthcare facility. This may include temperature checks, symptom assessments, or other screening measures deemed necessary by hospital staff.
Visitors who exhibit symptoms of illness or who have been exposed to contagious diseases may be asked to postpone their visitation until they are no longer at risk of spreading infection.
10. Visitor Age Restrictions
Visitors under the age of [insert age limit] must be accompanied by an adult at all times during the visitation.
Children should be supervised closely to ensure their safety and to minimize disruptions to the patient and other visitors.
11. Photography and Recording
Photography and recording devices, including smartphones, cameras, and audio recorders, may not be permitted during the visitation without prior authorization from the healthcare facility and the patient or their legal representative.
Any requests to take photographs or record audio or video during the visitation must be approved by hospital staff and the patient’s attending physician.
12. Cancellation Policy
If the requester needs to cancel or reschedule a visitation, they must notify Nutifafa Shelter as soon as possible to make appropriate arrangements.
Failure to provide sufficient notice of cancellation may result in delays or difficulties in scheduling future visitations.
13. Liability Waiver
By signing this agreement, the requester agrees to release Nutifafa Shelter, its officers, directors, employees, volunteers, and agents from any liability for injuries, damages, or losses that may occur during the visitation, except in cases of gross negligence or willful misconduct.
This waiver of liability extends to any claims arising from accidents, injuries, illnesses, property damage, or other incidents that occur during the visitation, whether caused by the actions or omissions of Nutifafa Shelter or any third parties involved.
14. Feedback and Evaluation
We welcome feedback from patients and their families regarding their experience with our visitation services. Feedback can be submitted via email to cancercare@nshelter.org or through our website.
Feedback may include suggestions for improvement, compliments for exceptional service, or concerns about any aspect of the visitation process. All feedback will be reviewed and considered by Nutifafa Shelter’s management team to inform future decisions and improvements.
15. Termination of Agreement
Nutifafa Shelter reserves the right to terminate this agreement at any time if the terms and conditions outlined herein are violated or if deemed necessary for the safety and well-being of the patient, our representatives, or others involved.
In the event of termination, Nutifafa Shelter will notify the requester or their designated representative as soon as possible and provide an explanation for the termination, if feasible.
Any outstanding visitation requests or scheduled appointments may be cancelled or rescheduled at the discretion of Nutifafa Shelter.
16. Governing Law
This agreement shall be governed by and construed in accordance with the laws of the State of South Carolina, without regard to its conflict of law provisions.
Any disputes arising out of or related to this agreement shall be resolved exclusively through the courts of the State of South Carolina, and the parties hereby consent to the jurisdiction and venue of such courts.
Contact Information: For any queries related to visitation or to report any issues or concerns, please contact us at cancercare@nshelter.org.