Student Participant Agreement Form

I, _________________________________ (student name), understand that my attitude, behavior, and participation are critical to the success of this program.  Therefore, for the good of the event, as well as in consideration of other First Bytes participants, I agree to abide by the following:

1.____ I will be a representative of the First Bytes program throughout my stay, and I will conduct myself in a mature and responsible fashion.

2.____  I agree to my responsibilities as a First Bytes participant such as completion of assignments and attendance at ALL sessions and events.

3.____  I understand that I will be assessed for damages to any property belonging to The University of Texas at Austin or to any property I come in contact with connected with First Bytes.  Furthermore,    I understand that if my dormitory room key or meal ticket is lost, I will be assessed a replacement fee.

4.____  I will, under no circumstances, be disrespectful to guest speakers, volunteers, residential and program advisors, or anyone else associated with First Bytes and The University of Texas.

5.____   I will be responsible for my personal belongings and equipment and will not hold The University of Texas at Austin, the College of Natural Sciences nor the Department of Computer Sciences responsible for any loss or damage.

6.____ I understand that if I am expelled from the event, my parent/guardian will be notified and will be responsible for my immediate retrieval at their own expense.  I further understand that I have been selected to represent my school and as such, my school authorities will be informed of any serious misconduct on my part, which could result in additional violations of my school’s extracurricular policies.

7.____   I will never go anywhere without a residential or program advisor or without her permission since she is responsible for me.

8.____  I will observe safety precautions for all activities within this event including checking in and out with adult counselors/program advisors and taking all other safety precautions that will be discussed upon arrival at The University.

9.____  I will try to be sensitive to the needs of my team members and will respect the places and people with whom I come in contact during the week’s activities.

10.____ I understand that I may not leave the First Bytes premises without my parent/guardian’s signed permission, and I may not have visitors who have not received permission to visit and/or checked in with the First Bytes Program Coordinator.

11.____ I understand that alcoholic beverages, illegal drugs, tobacco products, fireworks, noisemakers, firearms, or weapons of any kind are not permitted on my person or my belongings or for my personal use and are not permitted on buses, on field trip sites, nor on The University of Texas at Austin campus, and that violations of this rule will result in immediate expulsion from the program. I further understand that inspections for rule violations may be conducted throughout the week.

12.____ I will observe the specific wake-up, lights-out, and phone privilege times designated.

13.____ I understand my living arrangements are permanent as are room assignments and phone numbers.

14.____ I further understand that First Bytes may be physically or mentally demanding, but that these demands will be to the benefit of myself as well as my team.

15.  ____ I understand that my parent or guardian must sign me in on Sunday and the same person must sign me out when I leave on Saturday.  If this is not possible, I will make arrangements with the First Bytes staff PRIOR to the day of check-in.

16.____ I understand if any of the above guidelines in the Participant Agreement are not followed, my parent/guardian will be called, and I will be subject to immediate dismissal from the First Bytes program.

17.____ I understand that if my Student Participant Agreement and my Parent Permission Form are not received in the Department of Computer Sciences office by Wednesday, June 3, 2009, an Alternate will be chosen to replace me.

I have read and understand and agree to my responsibilities as listed above:

_______________________________________________________________________________

Participant Signature                                                                                      Date

 

I have read, understand and agree with the above responsibilities of my daughter/ward:

___________________________________________________________________________

Parent/Guardian Signature                                                                             Date

                       

___________________________________________________________________________

Print Parent/Guardian Name                                                Print Participant Name

The Student Participation Agreement and Parent Permission Form must be received in the First Bytes office by Wednesday June 3, 2009, or an Alternate will be chosen to replace you.  If you have any questions, please call the First Bytes office.

First Bytes
Department of Computer Sciences
The University of Texas at Austin
1 University Station, C0500
Austin, Texas 78712-0233
(512) 471-9703
firstbytes@cs.utexas.edu