I am the parent or legal guardian of the Youth named above. The Youth desires to join the Barbershop Harmony Society [Society for the Preservation and Encouragement of Barber Shop Quartet Singing in America, Inc. (SPEBSQSA)], hereby referenced as “Society”. I acknowledge that I have received a copy of the Society Youth Policy Statement and have reviewed and understand the same. I have also carefully reviewed and discussed the Policy Statement(s) with the Youth, particularly their obligations and responsibilities as a member of the Society. I understand that the Youth's participation in the activities of the Society may involve local or long distance travel to and from events, and attendance by the Youth at events or activities which may take place late at night, and/or where alcohol may be consumed by adults. I further understand that my consent and agreements, as set forth below, are conditions to the approval of the Youth's membership.
I hereby consent to the Youth joining and becoming a member, and participating in all activities of the Society. I agree to be responsible for, and promptly to discharge, all financial obligations of the Youth to the Society. I assume and accept full responsibility for the active supervision of the Youth, and for all actions of the Youth, during or arising out of all activities in which the Youth participates. I also hereby release the Barbershop Harmony Society from all liability for any claims arising from Youth’s violation of or deviation from the Youth Policy Statement.
If I am a member of the Society, I will diligently perform such supervision at all times. If I am not a member of the Society (or in my absence, if I am a member), I hereby designate the person(s) named above as Supervisor(s) to supervise the conduct and activities of the Youth as a participant in any or all Society activities, including (but not limited to) participation in meetings, performances, conventions, social events, and any associated travel. I hereby grant to such Supervisor(s) my permission, full authority and responsibility, in my place and stead as a parent, to supervise the Youth, as fully and completely as I might do if I were personally present, as deemed necessary and appropriate in the reasonable judgment of such Supervisor(s). I agree that the Supervisor(s), when providing such supervision, will be performing that function in an individual and personal capacity, and not as an agent or representative of the Society. I have conducted my own satisfactory due diligence and investigation of the Supervisor(s) and am not relying on any independent background checks or oversight that may be performed by the Barbershop Harmony Society under the Youth Policy Statement. I understand and agree that any of the following may result in the Youth being denied the right to participate in Society activities and events, and/or in the suspension of the Youth's membership: (i) my failure and/or the failure of such Supervisor(s) to provide effective supervision of the Youth; (ii) the failure of the Youth to abide by the Bylaws, Code of Ethics, Statements of Policy, or other governing documents of the Society, or (iii) the failure of the Youth to accept and comply with my supervision and/or the supervision of such Supervisor(s).
In the event of any medical emergency involving the Youth, in my absence I further hereby authorize such Supervisor(s) to obtain, provide, give consent, or furnish authorization for, any necessary emergency medical services or treatment to the Youth, including (but not limited to) surgical procedures which may be recommended by a physician, it being my desire that the Youth be provided with such emergency medical services or treatment as soon as reasonably possible, after a need arises.