The document provides guidelines for youth participation and chaperoning at an American Cancer Society Relay For Life event. It requires one chaperone over age 25 for every five youth team members under age 18. Both youth participants and chaperones must complete registration forms and agree to guidelines regarding behavior, safety, respecting others, and not using alcohol or drugs at the event. Disciplinary actions for violations may include being sent home or barred from future activities.
Presentation of Westat\'s study conducted as part of the Department of Defense\'s review of the Don\'t Ask, Don\'t Tell policy. Presented as part of the Rockville Institute\'s Seminar Series on Contemporary Social Issues for 2011.
Child Abuse Molestation Protection Program - AdministratorsJohn M. Sadler
It is strongly recommended that each sports organization should customize its own program to meet its own unique needs. The board of directors should involve both coaches and parents in the planning process, as they will be more likely to promote the program if their input was received.
For more information and advice, kindly visit our Sports Insurance Website at http://sadlersports.com
There are those of us who believe that our children will always reach out when they've been hurt and that they know to do this because that's what we taught them do. Sometimes, the guilt and shame associated with being physically abused takes all of our child's lessons and tosses them to the ground. Not only that, it is simply super difficult to "read" people who don't routinely share their feelings with us...or is it? Please review this presentation and then either get help for yourself or for anyone you even suspect is being abused.
Before it's too late.
Please.
Presentation of Westat\'s study conducted as part of the Department of Defense\'s review of the Don\'t Ask, Don\'t Tell policy. Presented as part of the Rockville Institute\'s Seminar Series on Contemporary Social Issues for 2011.
Child Abuse Molestation Protection Program - AdministratorsJohn M. Sadler
It is strongly recommended that each sports organization should customize its own program to meet its own unique needs. The board of directors should involve both coaches and parents in the planning process, as they will be more likely to promote the program if their input was received.
For more information and advice, kindly visit our Sports Insurance Website at http://sadlersports.com
There are those of us who believe that our children will always reach out when they've been hurt and that they know to do this because that's what we taught them do. Sometimes, the guilt and shame associated with being physically abused takes all of our child's lessons and tosses them to the ground. Not only that, it is simply super difficult to "read" people who don't routinely share their feelings with us...or is it? Please review this presentation and then either get help for yourself or for anyone you even suspect is being abused.
Before it's too late.
Please.
Most studies indicate that between 1,500 to 1,700 women are killed by men each year.
“Violence against women is a key element in this new global war, not only because of the horror it evokes or the messages it sends but because of what women represent in their capacity to keep their communities together and, equally important, to defend noncommercial conceptions of security and wealth.”
As the adult child, family member, or unrelated loved one of an older individual who currently needs long-term care or who you believe will need that care in the near future, these statistics may be frightening. Learn more about elder abuse and neglect in Louisiana in this presentation.
What is domestic violence? What are the signs of domestic abuse? How can you get help for spousal abuse in New Jersey? Find out what are crimes of domestic violence and the legal process in NJ. Learn about temporary restraining orders, who can get them, how to get them. Find out why timing is important in getting a final restraining order for a domestic violence matter. Learn how to help yourself or a loved one in this guide for domestic violence victims and their families, from Weinberger Law Group.
In this slideshare, Acknowledging Male Victims of Domestic Violence: Helping male victims of domestic violence get the help, support and protection they deserve - divorce and family law expert Bari Z. Weinberger, Esq discusses why male domestic violence victims avoid getting help and the fears and perceived barriers to getting the support they need.
Annulment of Marriage Laws in India,Annulment or Nullity of Marriage,deference between annulment and divorce,annulment of marriage under Hindu Marriage Act 1955.
Rubric for grading question sets Each question set is 100 po.docxAASTHA76
Rubric for grading question sets
Each question set is 100 points and ten questions
10 points. All parts of the question must be answered thoroughly and completely
As well as one of the following special touches; excellent writing and insight into your own point of view, Creative or individual perspective, evidence of some research beyond the assigned source, video, reading etc.
9 points. All parts of the question are answered thoroughly and completely with clear sentences and sufficient detail to explain your ideas and opinions.
8 points. Most of the parts of the question are answered thoroughly and completely with clear sentences and sufficient detail to explain your ideas and opinions. In some cases, you may not have enough detail or your writing is unclear. Or a part of the question is not answered.
7 points. All of the questions are answered, but all or some are superficial and perfunctory, you have a few words where a few sentences are needed to make the point. Or some parts of the question are answered well some not so well or some not answered at all.
6 points. All parts of the question are answered inadequately in a few words without demonstrating thought or interest. Or several questions are unanswered in multiple part questions
5 points. Half of the material is poorly done superficial or absent; i.e. just a few words.
4 points. Over half of the material is poorly done superficial or absent; i.e. just a few words.
3 points. Two thirds of the material is poorly done superficial or absent; i.e. just a few words.
2 points. Each part of the question only has a word or two as an answer.
1 point. You wrote something down
0 points. You left it blank.
Please check activities you are registering for: Age Control Date for Softball is December 31, 2017
Age Control Date for Baseball is April 30, 2018 Age Control Date for Soccer is July 31, 2018
� Baseball – TBall 4 year olds COED $55 � Softball – 5-6 Girls $60
� Baseball – 5-6 Boys $60 � Softball – 7-8 Girls $70
� Baseball – 7-8 Boys $70 � Softball – 9-10 Girls $70
� Baseball – 9-10 Boys $70 � Softball – 11-12 Girls $70
� Baseball – 11-12 Boys $70 � Soccer – 4-5 COED $50
� Baseball – 13-14 Boys $70 � Soccer – 6-7 COED $65
� Soccer – 8-9 COED $65
� Soccer – 10-13 COED $65
Participants must meet Morgan County residency requirements. A $25 fee will be added for all Non-Morgan County residents. A $10 "late" fee
will be added for registration after the deadline.
Please Print Clearly
Participant’s Name
Parent E-mail address
Address City State Zip
Home Phone Work Phone
Mother’s Name Cell Phone
.
Most studies indicate that between 1,500 to 1,700 women are killed by men each year.
“Violence against women is a key element in this new global war, not only because of the horror it evokes or the messages it sends but because of what women represent in their capacity to keep their communities together and, equally important, to defend noncommercial conceptions of security and wealth.”
As the adult child, family member, or unrelated loved one of an older individual who currently needs long-term care or who you believe will need that care in the near future, these statistics may be frightening. Learn more about elder abuse and neglect in Louisiana in this presentation.
What is domestic violence? What are the signs of domestic abuse? How can you get help for spousal abuse in New Jersey? Find out what are crimes of domestic violence and the legal process in NJ. Learn about temporary restraining orders, who can get them, how to get them. Find out why timing is important in getting a final restraining order for a domestic violence matter. Learn how to help yourself or a loved one in this guide for domestic violence victims and their families, from Weinberger Law Group.
In this slideshare, Acknowledging Male Victims of Domestic Violence: Helping male victims of domestic violence get the help, support and protection they deserve - divorce and family law expert Bari Z. Weinberger, Esq discusses why male domestic violence victims avoid getting help and the fears and perceived barriers to getting the support they need.
Annulment of Marriage Laws in India,Annulment or Nullity of Marriage,deference between annulment and divorce,annulment of marriage under Hindu Marriage Act 1955.
Rubric for grading question sets Each question set is 100 po.docxAASTHA76
Rubric for grading question sets
Each question set is 100 points and ten questions
10 points. All parts of the question must be answered thoroughly and completely
As well as one of the following special touches; excellent writing and insight into your own point of view, Creative or individual perspective, evidence of some research beyond the assigned source, video, reading etc.
9 points. All parts of the question are answered thoroughly and completely with clear sentences and sufficient detail to explain your ideas and opinions.
8 points. Most of the parts of the question are answered thoroughly and completely with clear sentences and sufficient detail to explain your ideas and opinions. In some cases, you may not have enough detail or your writing is unclear. Or a part of the question is not answered.
7 points. All of the questions are answered, but all or some are superficial and perfunctory, you have a few words where a few sentences are needed to make the point. Or some parts of the question are answered well some not so well or some not answered at all.
6 points. All parts of the question are answered inadequately in a few words without demonstrating thought or interest. Or several questions are unanswered in multiple part questions
5 points. Half of the material is poorly done superficial or absent; i.e. just a few words.
4 points. Over half of the material is poorly done superficial or absent; i.e. just a few words.
3 points. Two thirds of the material is poorly done superficial or absent; i.e. just a few words.
2 points. Each part of the question only has a word or two as an answer.
1 point. You wrote something down
0 points. You left it blank.
Please check activities you are registering for: Age Control Date for Softball is December 31, 2017
Age Control Date for Baseball is April 30, 2018 Age Control Date for Soccer is July 31, 2018
� Baseball – TBall 4 year olds COED $55 � Softball – 5-6 Girls $60
� Baseball – 5-6 Boys $60 � Softball – 7-8 Girls $70
� Baseball – 7-8 Boys $70 � Softball – 9-10 Girls $70
� Baseball – 9-10 Boys $70 � Softball – 11-12 Girls $70
� Baseball – 11-12 Boys $70 � Soccer – 4-5 COED $50
� Baseball – 13-14 Boys $70 � Soccer – 6-7 COED $65
� Soccer – 8-9 COED $65
� Soccer – 10-13 COED $65
Participants must meet Morgan County residency requirements. A $25 fee will be added for all Non-Morgan County residents. A $10 "late" fee
will be added for registration after the deadline.
Please Print Clearly
Participant’s Name
Parent E-mail address
Address City State Zip
Home Phone Work Phone
Mother’s Name Cell Phone
.
Geneseo hazing prevention advisors for slideshare sprg 2015SUNY Geneseo
Advisors are College representatives to the organization and its activities. As such, advisors are expected to give reasonable and sound guidance to the organizations about programs, events, procedures, etc. All student organizations advisors should be well informed about the SUNY Geneseo Hazing Policy and take active steps to prevent hazing.
The Fundamentals of Applying for and Obtaining a Security ClearanceFedEmployeeLaw
There are two truths in applying for a security clearance. First, a security clearance is a privilege and not a right. Second, questions about granting or revoking a clearance will always be resolved in favor of national security. Knowing whether your background raises any questions about granting or revoking a clearance can make or break your career in the Federal government.
Life Stages Living With Teenagers In The USSue Carveth
Living with teenagers can be a challenge for many parents. Browse through our tips that may be very helpful especially in these challenging times.
Learn More about our app and services that can protect you and your family for less than a dollar a day.
www.suecarveth.wearelegalshield.com
Child Abuse Reporting Guidelines: Ethical and Legal IssuesJohn Gavazzi
In 2013 and 2014 Pennsylvania enacted numerous changes to the Child Protective Services Law. This training is designed to review legal, ethical, risk management, and clinical decisions related to the changes in the law. The training will review the signs leading to the recognition of child abuse and also the reporting requirements for suspected child abuse in Pennsylvania. The topics to be covered include a description of child welfare services in Pennsylvania, important definitions related to the child abuse reporting law, responsibilities of mandated reporters, ways to recognize child abuse and other topics. We will review clinical scenarios that challenge ethical issues, legal requirements, risk management concerns, and clinical choices.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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2 Case Reports of Gastric Ultrasound
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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Youth Agreement & Chaperone Form
1. Youth Participation Agreement
The American Cancer Society Relay For Life requires one chaperone older than 25 for every
five youth team members. For this event, a youth is considered anyone younger than 18.
In addition to completing and turning in this agreement, the youth participant must also
complete an event registration form (either online or a scannable form).
Name Birthdate
Address
City State ZIP
Home Phone ( ) Email
Cell Phone ( )
Team Name Team Captain’s Name
Chaperone’s Name
Chaperone’s Phone Number ( ) Chaperone’s Cell Phone ( )
In the event of an emergency, it might be necessary to reach a parent or guardian. Please print his or her name and
phone number on the line below.
Parent’s Name Parent’s Home Phone ( )
Parent’s Cell Phone ( )
Welcome to the American Cancer Society Relay For Life! We hope you’ll have a great time as you raise money
and help fight cancer. The American Cancer Society goal is to provide a safe, fun, and positive experience for all
Relay participants. As a youth participant, you play a valuable role in attaining this goal. Please read through
this participation agreement.
While participating, Relay For Life participants shall: • Pay any costs related to damage or destruction of property
• Respect the individual rights, safety, and property of others that he or she incurs, including any property damage to other
• Avoid displays of overly affectionate behavior Relay For Life participants or to third parties. Such costs will
• Not participate in obscene and/or discriminatory language be charged to the youth participant and/or their parent(s)
or roughhousing
Disciplinary action
• Not be insubordinate to chaperones or the leader in charge of
the event Penalties and/or disciplinary action for infractions of this code
of conduct may include any or all of the following:
• Not possess or use weapons, alcoholic beverages, tobacco and/
• Sending youth home
or illegal drugs at any event, activity, or meeting, or remain in the
presence of individuals who possess or use these items • Barring that member from future American Cancer Society
activities
• Abide by all rules of the attended event, activity, or meeting
• Participate in activities to the best of his or her ability • Being held responsible for the cost of damages and repairs in
the event of damage/destruction of property
• Notify a chaperone or staff person if he or she has concerns
• Releasing the member to the nearest law enforcement agency
or medical needs during the Relay For Life
and/or the proper authorities for significant violations of
• Not engage in conversations or activities that are sexual in nature state law
• Not leave the event site(s) without permission from the
chaperone, parent/guardian, and Event Chair Team chaperones will notify parents of any actions taken.
By my signature below, I acknowledge receipt of this document and acknowledge that I have read and agree to abide by the guidelines in
this document. I am aware that if I violate the agreement, the staff may, at their sole discretion, terminate my participation, and my parent/
guardian will be contacted and required to provide me with transportation home at my own expense. Additionally, I understand that the
American Cancer Society works with partner organizations and at its discretion may report any disciplinary action to partner organizations.
Youth Participant’s Signature Date
o I give permission for my son/daughter to participate in the American Cancer Society Relay For Life and my son/daughter has
completed and turned in the event registration form.
o I give permission for my son/daughter to serve on the Relay For Life planning committee.
Parent’s Signature (required) Date
2. Chaperone Agreement
The American Cancer Society Relay For Life requires one chaperone older than 25 for every
five youth team members. (For this event, a youth is considered anyone younger than 18.)
Please return completed form at Bank Night or prior.
Name
Address
City, State, ZIP
Phone ( )
Email
Cell Phone ( )
Team Name
Team Captain’s Name
Number of students on your team age 18 and younger (must be five or fewer students)
Do you have completed youth forms for all youth on your team?
The following guidelines are designed to help volunteers 8. Represent the American Cancer Society to youth
understand their responsibilities while performing within and adults by conducting themselves courteously in
the scope of an American Cancer Society chaperone position. manner and language, exhibiting good sportsmanship,
Chaperones are expected to abide by all American Cancer serving as a positive role model, and demonstrating
Society policies. As an adult participant, you play a valuable reasonable conflict resolution skills
role in providing a safe, fun, and positive experience. Please 9. Abide by all applicable laws plus American Cancer
read through this agreement and sign below. Society policies and guidelines. This includes, but
is not limited to, child abuse, fiscal management
Adult chaperone is required to:
procedures, and substance abuse
1. Respect the individual rights, safety, and property of
others and not use obscene or discriminatory language 10. Accept supervision and support from salaried staff or
designated management volunteers
2. Not discriminate in any policies, procedures, or
practices on the basis of race, religion, color, national 11. Accept the responsibility to promote and support the
origin, sex, gender, marital status, sexual orientation, vision, mission, and values of the American Cancer
age, veteran status, medical condition, or disability Society
3. Have a valid driver’s license and carry proof of 12. Ensure that youth team members follow ground rules
automobile liability insurance if the volunteer leader is and participate in Relay For Life activities
to use a motor vehicle to transport self or others. Also, 13. Participate in activities to the best of his or her ability,
ensure that all passengers use seatbelts as well as attend at least one Relay For Life team
4. Not possess or use alcohol and/or illegal drugs (or be captain meeting or chaperone meeting
under the influence thereof) while involved in any 14. Appreciate the valuable role that youth play in the
American Cancer Society event, meeting, or activity American Cancer Society
5. Make all reasonable efforts to supervise the team,
account for members’ whereabouts, and not leave the site Chaperones will be notified of any violations of the ground
rules itemized on the Youth Participation Agreement. If
6. Not allow any youth to leave the event premises
the problem persists, the youth team member will be asked
unless authorized by the youth’s parent/guardian and
to leave the premises for the remainder of the event. In
notifying the Society staff partner and Event Chair
some cases, this may necessitate the chaperone calling the
7. Complete and keep on person the Youth Emergency emergency contact person.
Contact List
I have read this document, I understand its contents, and I agree to its terms. I also understand that if I do not
follow the above guidelines, my participation in this American Cancer Society activity will be terminated.
Chaperone’s Signature Date
3. Youth Emergency Contact List for Chaperone
1.) Youth Name
Cell Phone Number ( )
Parent/Guardian Home Phone ( ) Parent/Guardian Cell Phone ( )
Student turned in Registration Form?
Student turned in Youth Agreement Form?
2.) Youth Name
Cell Phone Number ( )
Parent/Guardian Home Phone ( ) Parent/Guardian Cell Phone ( )
Student turned in Registration Form?
Student turned in Youth Agreement Form?
3.) Youth Name
Cell Phone Number ( )
Parent/Guardian Home Phone ( ) Parent/Guardian Cell Phone ( )
Student turned in Registration Form?
Student turned in Youth Agreement Form?
4.) Youth Name
Cell Phone Number ( )
Parent/Guardian Home Phone ( ) Parent/Guardian Cell Phone ( )
Student turned in Registration Form?
Student turned in Youth Agreement Form?
5.) Youth Name
Cell Phone Number ( )
Parent/Guardian Home Phone ( ) Parent/Guardian Cell Phone ( )
Student turned in Registration Form?
Student turned in Youth Agreement Form?