Student Health Information

Student Demographics

Releases & Verification

By clicking "Submit Application", I attest to the following:

I authorize the Alabama Blues Project or its assignees to record or photograph my or my child’s image and/or voice, for use in research, educational or promotional purposes and hereby convey all rights in such recordings, photos, videos, or other media to the Alabama Blues Project or its assignee.  I also recognize that these audio, video and image recordings are the property of the Alabama Blues Project.  I further release the Alabama Blues Project from any and all claims for damages for libel, slander, invasion of the right of privacy, or any other claims based on, arising out of, or connected with the use of such photographs / videos / audio recordings.

I understand that my child (under 19 years of age) and myself, as a parent or guardian, may be required to complete surveys and evaluations that will be used to determine program effectiveness or to promote the program.

I do hereby release and agree to indemnify and hold harmless the Alabama Blues Project and its agents and assignees from any and all liability that may occur, including but not limited to injuries, medical expenses, and damages of whatever kind which may be sustained by my child or said participant on account of any injury resulting from participation in this program.

Code of Conduct

By clicking "Submit Application", I attest to the following for my student:

• I will attend all sessions of planned programs and will exhibit good character and behavior, such as trustworthiness, responsibility, respect, caring, citizenship, and fairness.

• I will be responsive to the reasonable requests of leaders and comply with the need for personal safety.

• I will dress appropriately, use appropriate language, and value the rights of others.

• I will not use alcohol, drugs, or tobacco nor remain in the presence of anyone using them.

• I will not behave recklessly, engage in sexual misconduct, assault, threaten or harm another person nor abuse public or private property.

• I recognize that these guidelines are not “all inclusive” and that the Alabama Blues Project, Inc. may make adjustments to these policies.

• I realize my failure to adhere to these policies could result in a loss of privileges during the event and/or in the future and may result in my being sent home at the expense of my parent(s) or guardian(s).