Please answer the following questions. (This data will not be publicly shared)

Please Read The Following Regarding Our Terms of Service Agreement & Privacy Policy:

All activities associated with Albany State University will follow the guidelines and policies of Albany State University and the University System of Georgia.

All Participants (Participants at the age of 18 or Guardians for participants under the age of 18) are required to review and the following:

ALBANY STATE UNIVERSITY POLICY WEBSITE

https://www.asurams.edu/legal-affairs/university-policies.php

ALBANY STATE UNIVERSITY INFORMATION RESOURCE POLICY

https://www.asurams.edu/technology/forms-policies/its-appropriate-use-policy.php

USG POLICIES REGARDING INTERNET USAGE

https://www.usg.edu/information_technology_services/it_handbook/

USG POLICIES REGARDING CYBERSECURITY

https://www.usg.edu/cybersecurity/policies_and_reports

PLEASE NOTE THE FOLLOWING:

Social Security Number Protection Law Georgia Law O.C.G.A 10-1-393.8 forbids “publicly posting” or “publicly displaying” individual’s social security numbers (SSNs). It also forbids transferring SSNs over an unsecured connection, as well as using SSNs to access web sites, unless also requiring a PIN or password.

Security Breach Notification Law Georgia’s breach notification law was amended in 2007 to include public universities and other state and local agencies. Personal information protected by the Georgia Personal Identity Protection Act of 2007, a.k.a GPIPA, (O.C.G.A. 10-1-910, 10-1-911, and 10-1-912), includes the combination of an individual’s full name, or first initial and last name with one of the following, when not encrypted or redacted:

1. Social Security Number

2. Driver’s license number or state ID card number

3. Account, credit card, or debit card number

4. Account passwords, personal identification numbers, or

other access codes

Any of these types of information are included without a name if a compromise would be sufficient to attempt to perform identity theft using that information. GPIPA does not include any publicly available information, including Open Records data, which includes most institution records and communications.

Breach notification laws from other states, notably California, may still apply if residents from other states are affected.

Point of Contact:

Contact USG Cybersecurity via the ITS Helpdesk 706-583-2001, or 1-888-875-3697 (Toll-free within Georgia). The ITS Helpdesk is available 24 hours a day, seven days a week.

The undersigned hereby acknowledges that participation in collegiate athletic programs and recreational activities involve an inherent risk of physical injury and assumes all such risks. The undersigned hereby agrees that for the sole consideration of Albany State University (the Institution) allowing the undersigned to participate in voluntary recreational programs or collegiate athletic activities and, in connection therewith, making available to the undersigned for his/her use while participating in such programs or activities, certain equipment, facilities, grounds, or personnel of the institution, the undersigned participant does hereby waive liability, release forever discharge the Institution and the Board of Regents of the University System of Georgia (the Board of Regents), its members individually, and its officers, agents and employees of and from any and all claims, demands, rights and causes of action of whatever kind or nature, arising out of all known and unknown, foreseen and unforeseen bodily and personal injuries, damage to property, and the consequences thereof, including death, resulting from my voluntary participation in or in any way connected with such recreational programs and collegiate athletic activities. He/she will not sue the Institution, the Board of Regents, its members individually, its officers, agents or employees for any claim for damages arising or growing out of his/her voluntary participation in recreational programs or collegiate athletic activities. The undersigned understands that the acceptance of this release, waiver of liability and covenant not to sue the Institution or the Board of Regents or any agent or employee thereof, shall not constitute a waiver, in whole or in part, of sovereign or official immunity by said Board; its members, officers, agents, and employees. In signing this release, the undersigned acknowledges and represents that he/she has read the foregoing waiver, release and covenant not to sue, understands it, and has signed it voluntarily of his/her own free act and deed. He/she further acknowledges that no oral representation, statements or inducements, apart from the foregoing written agreement, have been made and that he/she is at least eighteen (18) years of age and fully competent. If he/she is under the age of eighteen (18), a parent shall sign as his/her legal representative, accepting fully each and every covenant, release, discharge and waiver of liability contained herein. The undersigned fully executes this Release for full, adequate and complete consideration, fully intending to be bound by same. The undersigned understands that he/she is required to provide his/her own Accident and Medical Insurance. The undersigned hereby agrees that he/she is financially responsible for all such accident and medical expenses that he/she may incur as a result of his/her participation in the program or activity. Accident and Medical insurance is not provided by the Institution or the Board of Regents. The undersigned understands that any injury sustained while voluntarily participating in Albany State University collegiate and recreational programs/activities will not be covered by the school’s secondary insurance policy. The undersigned understands that while participating in the program or activity sanctioned by the Institution and/or Board of Regents, he/she is subject to the Institution’s and/or Board of Regents’ regulations, guidelines and procedures, the laws of the United States and the laws and regulations of the State of Georgia. The undersigned understands that in the event he/she violates any of these rules or regulations or becomes disruptive such that he/she is a threat to other participants, the designated agent of the Institution and/or Board of Regents shall have the right to dismiss him/her from the program or activity. Further, the undersigned understands that this release, waiver or liability and covenant not to sue shall be effective for the activity as indicated above and occurring from 15th of May 2024 to 1st of August 2024.

I give permission for my child’s name, likeness, image, or voice to be used in photographic, video, digital, or other recording forms. I give my permission for the program to use those recordings or works produced by my child (e.g., artwork) for promotional, commercial, information and educational purposes in any and all media (including the internet) now existing or hereafter devised, for any purpose whatsoever, as deemed appropriate by Albany State University (ASU). This consent includes the unrestricted right and permission to copyright and use, reuse, publish, republish, edit, alter, and exhibit and/or distribute any images of my child or in which my child may be included intact or in part, composite or distorted in character or form, without restriction as to changes or transformations. I understand that the image may be readily accessible by the general public. I further acknowledge and agree that ASU and the Board of Regents of the University System of Georgia, its members, officers, agents, and employees shall not be responsible for any use of the image by any third party accessing the image through the internet or any other manner. I understand that I will not have an opportunity to review or approve uses of the recording or works, and I hereby waive any right to inspect or approve the same. I understand that neither my child nor I will receive payment or any other compensation for the taking or use of any recordings or works created as a result of my child’s participation in the program. To the extent the image or media of my child is an educational record and may contain personally identifiable information about my child as defined by the Family Educational Rights and Privacy Act of 1974 (“FERPA”), I hereby consent to the release of the image or media. I understand that I have the right not to consent to my child being videotaped, photographed, or recorded during the program, and the right not to consent to the release or use of the image or media and any personally identifiable information about my child contained in the media, and that this consent shall remain in effect until revoked by me in writing and delivered to ASU, though any such revocation shall not affect disclosures previously made prior to its receipt. I further release, discharge, indemnify, and hold harmless Albany State University and the Board of Regents, its members, officers, agents, and employees from and again all liability, actions, debits, claims, demands, rights, injuries, damages, or causes of action of every kind whatsoever, arising from and by reason of any known or unknown, foreseen and unforeseen, relating to the taking or use of the recordings or works of my child, including, without limitation, any and all claims for invasion of privacy, rights or publicity, libel, and slander. I understand that the acceptance of this release and waiver of liability by ASU and the Board of regents of the University System of Georgia shall not constitute a waiver, in whole or in part, of sovereign immunity by the Board, its members, officers, agents, and employees. This authorization and release shall inure to the benefit of the heirs, legal representatives, licensees, and assigns of ASU, and the Board of Regents. If any provision of this Media, Photo and video Release shall be held invalid or unenforceable, such provision will be deemed severable without affecting the validity or enforceability of the remaining provisions.

The Program has established rules and standards of conduct for all Participants. It is the responsibility of the Parent/Legal Guardian and the Participant to review the Program rules and standards of conduct. Dismissed Participants are not eligible for a refund of any fees or expenses. The Parent/Legal Guardian is responsible for all costs associated with removing the Participant from the Program due to his/her misconduct, including but not limited to transportation costs to return the Participant home.