Policies to Protect Everyone

In order to participate in our summer pre-college program, you must complete all required forms as well as agree to our policies and procedures. When completing your participant record in Campminder you will be asked to review and indicate your agreement and understanding of these via your official signature.

Code of Conduct - to be signed in Campminder

Our Code of Conduct and Disciplinary Guidelines can be found at the link below. Ithaca College follows a strict Minor Protection Policy for any program where minors will be involved. Not only does this mean that all our program staff are background checked and trained in Title IX and Minor Protection but it also means that all participants must adhere to our Code of Conduct. For instance, participants will NOT be allowed to leave the campus/program at anytime by themselves or with another small group. All off-campus trips must be planned and supervised by program staff.


Consent to Treat and Prescription Medicine - to be signed in Campminder

If at all possible, medication should be administered at home. Medications will be allowed at the Youth Program only when failure to take such medicine would jeopardize the health of a child and he/she would not be able to attend the Youth Program if the medicine were not made available.

The parent(s)/legal guardian(s) of College-Sponsored Youth Program participants are required to disclose their intention to bring medications to the Program, especially to treat potentially life-threatening conditions (i.e. inhalers, EPI-pens, insulin injections). Upon arrival to the Program, parent(s)/legal guardian(s) should plan to meet with a member of the Youth Program staff at registration to review medication issues for a Youth Program participant and complete additional required paperwork if not completed prior to arrival. For identification purposes, a current picture of the child is to be provided upon registration.

All medications (prescription and over-the-counter) must be stored in the original product packaging and clearly labeled with the participant's name. Prescription medication(s) must also include a label with the medication's name and dosage instructions, as well as the prescribing physician's name and telephone number.

All medications will be kept in a secure location used exclusively for storage of medications. Medications that require refrigeration will be stored in a refrigerator. Access to all medications will be limited to approved personnel. The need for emergency medication may require that a Youth Program participant carry the medication on his/her person or that it be easily accessed (i.e. inhalers, EPI-pens, insulin injections). Ithaca College Youth Program staff will NOT purchase medications of any type (prescription or over-the-counter) for Youth Program participants of any age.

Ithaca College Youth Program staff will not dispense medications, but may monitor a participant's self-administration of certain medications if necessary, but ONLY upon written consent of the parent(s)/legal guardian(s) and /or physician's orders.

It is NOT permissible for a participant to share any medications with any other participants.

It is the responsibility of the parent(s)/legal guardian(s) to be sure that the participant's medications brought to the Youth Program are not left behind at the end of the Program. Failure to do so will result in the medications being destroyed within three working days after the participant's last day at the Program. Absolutely no medications will be returned via mail regardless of circumstance.

I understand that all Youth Program participants are recommended to have a meningococcal vaccination prior to attending the program, if age appropriate.

I hereby authorize the clinical staff at Ithaca College (College), (e.g., clinical staff at the College Health Center), or other licensed healthcare practitioners (e.g., EMT, hospital, etc.) or the College's Office of Public Safety to provide medical treatment as necessary to my daughter/son/dependent. 

In the event that an illness or injury would require an extensive medical evaluation, I understand that every reasonable attempt will be made to contact me. However, in the event of an emergency and if I cannot be reached, I give my consent for Ithaca College or other licensed health care practitioners to make medical treatment decisions on my behalf for my daughter/son/dependent.

I agree to the release of records necessary for treatment, referral, billing, or insurance purposes to the appropriate medical care provider. If treatment is provided by Ithaca College, I understand that the College charges for services and that it is my responsibility to pay the bill. I understand that I will be responsible to submit any claims to my personal health insurance carrier for reimbursement. 

I understand that Ithaca College does not provide medical insurance to cover any emergency care or medical treatment for my child.

I understand that any medication(s) should be given at home before and/or after the Youth Program. However, when this is not possible and medications are brought to the Youth Program, I agree to the provisions outlined above relating to the management of medications.

Medical and Related Health Information. Ithaca College is committed to protecting the medical and related health information about your daughter/son/dependent. Medical and related health Information provided on this form will only be used as Ithaca College deems necessary to provide medical treatment for your daughter/son/dependent while participating in the Youth Program. Information will be stored, archived, and disposed of according to Ithaca College's Records Retention Policy.  

I understand that by typing my name in the signature box below I am providing my legally binding signature.

Media Release Policy - to be signed in Campminder

I, the undersigned parent/guardian of "the Participant", am the parent/guardian of a minor, who desires to participate in the following activity: Ithaca College Summer Pre-College Program. In the following document, I and the Participant named below are referred to collectively as "the Parties".

The Parties hereby authorize Ithaca College (the College), and those acting pursuant to its authority to:

(a) Record the Participant's likeness and voice on a video, audio, photographic, digital, electronic, or any other medium (recordings).

(b) Use the Participant's name in connection with these recordings.

(c) Use, reproduce, display, and exhibit in any medium these recordings for the purposes directly related to the administration of the program and maintenance of supervision over the program by the College and those acting pursuant to its authority. Such use shall not include any promotional or advertising efforts.

The Parties release the College and those acting pursuant to its authority from liability for any violation of any personal or proprietary right I may have in connection with such use. The Parties irrevocably grant permission for the above use. The Parties hereby waive any right or interest they may have to restrict or control any use consistent with the permissions described herein and agree that any such use may be made without compensation or additional consideration eighter of the Parties. The Parties understand that all such recordings, in whatever medium, shall remain the property of the College.

By signing below, the Parties express that they agree to, and have read and fully understand, the terms of this Release. I understand that by typing my name below I am providing my legally binding signature.

Parental Consent and Liability Waiver - to be signed in Campminder

This is a release of legal rights. Read and be sure you understand it before signing.

I confirm that I am the parent/guardian of the participant indicated below (each a minor and hereinafter collectively referred to interchangeably as "my child" or "the Participant"), who desires to participate in the following activity (hereinafter "the Program"):

Ithaca College Summer Pre-College Program (hereafter referred to as "the Program"), beginning July 14, 2024, and ending on August 02, 2024.

I hereby consent to my child's participation in the Activity identified above and as described in materials I have received from Ithaca College. I understand that the College will provide accommodations in on-campus housing and that the Activity will take place on the Ithaca College campus in Ithaca, New York. I further understand that, during the Program, my child will be chaperoned by eligible Ithaca College employees.

I and my child (hereinafter, I and my child are collectively referred to as "the Parties") further understand, acknowledge, and agree to the following:

(1) Participation. The Parties understand that Ithaca College does not require the Participant's participation in the Program for admission purposes and that my child's participation in the Program is totally voluntary. The Parties affirm that they have received and reviewed the program description/website provided to me by Ithaca College and understand that they may request additional information, as needed.

(2) Adherence to Policies. The Parties understand that alcohol, drugs (any use of intoxicants or illegal/controlled substances) and weapons are strictly prohibited during the Program and that all applicable Ithaca College policies, procedures, rules, laws, and regulations must be adhered to at all times during my child's participation in the Program, including any rules provided by the organizers of the Program. The Parties understand that if the Participant engages in any conduct in violation of College rules or instructions, or other excursions or activities which are not included or part of the scheduled Program, that Ithaca College is not responsible for the Participant's actions. 

(3) Dangers Known and Unknown. The Parties fully understand and appreciate the damages, hazards, and risks inherent in planned activities associated with the Program, and in any activities the Participant may undertake that are not an authorized part of the Activity, which dangers include but are not limited to property damage, bodily injury, and serious or even mortal injuries, including death, as well as any associated financial burden. Additional risks include those resulting from travel delays, sickness, acts of terrorism, government intervention, and acts of God. 

(4) Assumption of Risk:  Knowing the potential dangers and risks, and being permitted to participate in the Program, on behalf of the Parties, and the Parties' family, heirs, and personal representatives or administrators, the Parties agree to assume all risks and responsibilities surrounding the Participant's participation in the Program and their transportation to and from the Program or portions thereof.

The Parties understand that College is not responsible in any manner for any risks related to COVID-19 in connection with the Program. The Parties are fully aware that participation in the Program (including any related travel) carries with it certain inherent risks related to COVID-19 transmission (Inherent Risks) that cannot be eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) or contracting COVID-19, directly or indirectly, to or from other individuals; (2) quarantine or isolation requirements; and (3) injuries and complications ranging in severity from minor to catastrophic, including death. The Parties hereby voluntarily accept and assume full responsibility for all risk of expense, personal injury, sickness, death, or other loss or damage arising from such Inherent Risks.

(5) Release of Claims: The Parties hereby release, waive, forever discharge, and covenant not to sue Ithaca College, its governing board, officers, agents, employees, and students acting as employees (hereafter called "Releasees"), from and against any and all liability for harm, injury, damage, delays, claims, demands, actions, causes of action, costs, and expenses of any nature that I may have or that may accrue to me, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustained by my child or any property belonging to my child, whether caused by negligence or carelessness of Releasees or otherwise, during the Participant's participation in the Program.

(6) Medical History. The Parties affirm that the Participant has no health-related reasons or problems which preclude or restrict their participation in the Program, that the Participant is covered by adequate health insurance necessary to pay any medical costs that may arise during participation in the Program. The Parties grant program staff permission to authorize emergency medical or dental treatment, if necessary and that such action will be subject to the Assumption of Risk above.


In signing this Parental Consent and Assumption of Risk agreement, the Parties acknowledge and represent that they have read and fully understand its terms before signing and attest that they sign this document as their own free act and deed. The Parties affirm they execute this agreement fully intending to be bound by its terms.

I understand that by typing my name in the signature box below I am providing my legally binding signature.