BASD MiniTHON 2015 Registration Packet Return to Lunch BASD MiniTHON 2015 Registration Information THON is a fundraiser for pediatric cancer. It is modeled after Penn State’s 46 hour THON, which started in 1977 as a dance marathon to raise money for children with cancer. The THON event at Penn State is a spectacle to behold, filling the BryceJordan Center with thousands of people, booming music, and a charged up student body. THON is the single largest studentrun philanthropy in the world. To date THON has raised over 100 million dollars for pediatric cancer. FHS & LHS are planning BASD’s third annual MiniTHON. Students from both high schools have been working together year round to raise money for the cure of childhood cancer. MiniTHON is an event that will allow the entire community to “be a kid again” and become inspired. MiniTHON will be filled with incredible entertainment and diverse activities for 12 hours straight while “dancers” stay on their feet for the entire event. The money we raise goes to Penn State’s main THON charity, the Four Diamonds Fund at Hershey Medical Center. The Fund directly assists families who have children with cancer, helping to ease their worries about the cost of treatment & medical bills. Date: April 11, 2015 Time: 10am10pm Location: Liberty High School 1115 Linden Street, Bethlehem, PA 18018 Dancer Fee: $25 per person *Registration Time: 9:30am* *Open door to the public all day donations welcomed.* Twitter: @BASD_MiniThon Instagram: @BASDMiniTHON Facebook: BASD THON Website: http://minithon.beth.k12.pa.us/home.html Donations are greatly appreciated & can be given directly to the Four Diamonds through BASD MiniTHON DonorDrive: http://fourdiamonds.donordrive.com/event/bsd15 BASD MiniTHON 2015 Registration Packet Return to Lunch Frequently Asked Questions What is a Dancer? A dancer is a high school student, wearing a miniTHON tshirt, abiding by the standing policy. These students will participate in the 12 hour dance marathon and will remain standing within the facility for 12 hours straight. What should I expect as a Dancer at MiniTHON? There will be hours designated to themes such as Fitness, Decade/90’s, Western, School Spirit, Community/Disney, Carnival, Hawaiian, Talent, Game, Family, Glow. What do I bring to MiniTHON? There is no need for outside food or drinks because beverages and food will be provided throughout the entire day. Wear your MiniTHON tshirt (your tshirt is your ticket into the event). Make sure to have an active pair of shoes! NO outside food or drink allowed past bag check because beverages and food will be provided throughout the entire day. Large bags are not suggested. There will be a bag check to store your small items. Am I allowed to come late/leave early to MiniTHON if I am a dancer? ALL dancers MUST stay the entire duration of MiniTHON unless permission has been granted before the event through an Advisor. Where do I park? The lot located next to the Klein Center will be designated parking for dancers. Additional parking can be found on Grenadier Boulevard. Parking in the Athletic Office Parking Lot will be reserved for MiniTHON families ONLY. Can guests outside of those who attend Freedom and Liberty High School visit during miniTHON hours? The event will be open to the public throughout the whole day free of charge; however, donations to add to our total are greatly appreciated. Will there be trained officials to accommodate any needs? Yes. At the event there will be trainers and nurses to take care of any medical needs. There will also be police officers and staff members to assure safety and contain all participants. How can I tell a guest from a miniTHON participant? Anyone involved in the 2015 BASD MiniTHON will be wearing a tshirt with the logo on it. Dancers will be wearing multi colored shirts, members of committees will wear dark green, captains will be in light purple, families will wear light blue and the staff will be wearing dark grey. How do I address the Four Diamonds Families? The four diamonds families will be wearing light blue tshirts. The kids within the families are there to have the time of their lives, so make sure you put the effort into making their day as special as possible. Remember: We dance FOR THE KIDS! Am I allowed to make my MiniTHON shirt my own? Yes. Please make sure your attire follows the rules of the BASD Code of Conduct. You will be asked to leave the event if you do not abide by them. BASD MiniTHON 2015 Registration Packet Return to Lunch BASD MiniTHON 2015 Dancer Registration Form Please fill out the following information. First and Last name of Dancer: ________________________ Email address of Dancer (this will be used to give updates prior to the day of the event): _________________________ ___ Freedom High School ___ Liberty High School Age: ____ Grade: ____ Parent/ guardian info: Name: ____________________ Phone number: ____________________ Email: ____________________ Emergency contact info: Name: ________________________ Phone number: _____________________ Relation: ___________________ Tshirt size: S___ M___ L___ XL___ Please specify any specific health or personal concerns: ______________________________________________________________________ ______________________________________________________________________ Check off your affiliation below: ___ MiniThon Dancer ___ MiniThon Committee Member ___ MiniThon Committee Captain BASD MiniTHON 2015 Registration Packet Return to Lunch BASD MiniTHON 2015: Assumption of Risk and Warning of Risk Waiver and Release of Claims ("Assumption & Release") Please sign to indicate your agreement to each of the following: 1. I agree not to participate unless I am medically and physically able, which I am solely responsible to determine. 2. I agree to abide by any decision of a dance official relative to my ability to safely complete the danceathon, which decision is at the sole discretion of the dance official and I agree lack of a decision does not create any liability whatsoever. 3. I assume all risks associated with participating in BASD MiniTHON 2015, including, but not limited to, slips, falls, contact with other participants, negligent or wanton acts of other participants, any defects or condition of premises, the effects of the weather including high heat, cold temperatures, storms and/or humidity, all entertainment equipment. All such risks being known, assumed and appreciated by me. 4. I agree that BASD MiniTHON and the Bethlehem Area School District is not responsible for any personal items or property that are lost, stolen, stained or damaged at or during the event. 5. I consent to emergency medical care and transportation in order to obtain treatment in the event of injury to me as medical professionals may deem appropriate. This Assumption and Release extends to any liability arising out of, or in any way connected with, the medical treatment and transportation provided in the event of an emergency. 6. I understand and agree that pets are not permitted to accompany me at the event, and children under the age of 12 are not permitted to participate as a dancer or accompany any dancers except during community hour from 34pm. 7. I grant permission to BASD MiniTHON and its affiliates and sponsors to take photographs during the event. 8. The official event directors reserve the right in any event of emergency or local or national disaster to cancel the event and in the event of cancellation or change there is no refund of entry fees. 9. Participants are expected to exhibit appropriate behavior at all times, including obeying all laws and obeying the Bethlehem Area school district code of conduct . This includes respect for all people, equipment and facilities and cooperative, positive participation. BASD MiniTHON may dismiss, without refund, anyone whose behavior endangers safety or negatively affects a race, a person, a facility or property of any type or kind. 10. I agree to indemnify BASD MiniTHON and the Bethlehem Area School district affiliates and assigns, from any and all third party claims caused in whole or in part by my actions. 11. I agree to follow all of the rules of the BASD code of conduct, including, but not limited to rules regarding the dress code. 12. (Please Check One) ____ I am at least 18 years old, OR ___ I am under the age of 18 and in addition to me my Parent/Guardian has reviewed this waiver and consented to its terms. All Participants Waiver & Release of all claims and assumption of risk I recognize and acknowledge that there are certain risks of physical injury to participants in BASD MiniTHON 2015, and I voluntarily and knowingly agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I may sustain as a result of said participation. I further agree to waive and relinquish all claims I may have (or which may accrue to me) as a result of participating in these activities against BASD MiniTHON 2014 and the Bethlehem Area School District including its directors, members, employees, agents, volunteers, sponsors, and the owners and operators of the venue (hereinafter collectively referred to as "Administrators"). Participants registering for the event, programs/activities must recognize that BASD MiniTHON 2015 Registration Packet Return to Lunch there is an inherent risk of injury when choosing to participate in recreational activities/programs. I agree that I am solely responsible for determining if I am physically fit and/or skilled for the event and its activities contemplated by this Assumption and Release. It is always advisable, especially if the participant is pregnant or disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity. I, for myself and my heirs, do hereby fully release and forever discharge the Administrators from any and all claims for injuries, including death or incapacity, illnesses, damages, expenses or loss that I may suffer arising out of, connected with, or in any way associated with the program or activities including injuries caused or associated with transportation to and from the event. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. PARTICIPATION WILL BE DENIED, if I have not signed this waiver before the start of the event. _______ I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. _______________________ _________________________ Full name (Printed) Full Name (Signed) ________ _______________ Date Age on Date of Event __________________________________________________________________________________________________ Only complete below if you are a parent or guardian of a participant under the age of 18: I, the parent or guardian of the above named participant, have read through this waiver and all its terms, and I hereby give my approval to this child's participation in BASD MiniTHON 2015. I assume all risks and hazards incidental to my child's participation in BASD MiniTHON 2015, and I hereby waive, release, absolve, indemnify and agree to hold harmless the Administrators, as defined above, for any injury to my child and from any and all claims, causes of actions, obligations, lawsuits, charges, complaints, controversies, covenants, agreements, promises, damages, costs, expenses, responsibilities, of whatsoever kind, nature or description, whether, direct or indirect, in law or in equity, in contract or in tort, or otherwise, whether known or unknown, from all claims or liabilities of any kind arising out of or connected with my child's participation in BASD MiniTHON 2015. I consent to the foregoing and grant permission for him/her to participate in BASD MiniTHON 2015. I acknowledge I have carefully read, accepted and agreed to the terms on this Assumption and Release and Liability waiver, and know and understand their contents and I sign the same on my own free act and deed. ______________________________ _____________ Child Name (Printed) Age on Date of Event ______________________________ ______________________________ ____________ Parent or Guardian Name (Printed) Parent or Guardian Name (Signature) Date
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