BELLEVUE MIDDLE SCHOOL AFTERSCHOOL PROGRAMS
Debate, Fall, Winter, Spring
Speaking-Discussing, Winter
 
note: the person completing this registration must be 13 years old or older. we strongly prefer that parents complete this registration.

Participant Information

Welcome to the Climb Bellevue Afterschool Programs!
 
We ask for this information for registration to assure we have all the information we need to make your participation the most educational, safe, and fun that it can be.
 
It does take time but when you are finished, you are all set to go. : )
 
"The participant" is the student who will participate in our program; the person you are registering for the program.
 
The student's email address is important for providing you with information about the program including accessing a Google Drive with speech and debate documents. Please make sure it is correct.
Parents/guardians with children attending-we prefer to send directly to the student. However, if you wish emails to go to you, just be sure to forward emails from Jim and Climb staff to your participant as soon as possible especially during the program so that your participant does not miss out on important events or choices in their curriculum.
Year that Participant Graduates from 8th Grade. *
Do you need a computer during the Program? Can be a laptop or tablet with wifi access; smartphones will not work. *
MEALS DURING THE PROGRAM: We will provide dinner. Each night, we will provide a meal from one of these locations: Domino's Pizza, Panda express, Chipotle, or Jimmy John's.
Contact Information
Used to email information about the program, pictures, if a safety issue arises.
Typically this is where you provide information for Parents/Guardians.
 
Contact Person 1
Contact Person 2
 
Other Info
 
Are you interested in carpooling to the Climb the Mountain Bellevue Program? (means that Jim may share your email address and location with other carpool interested Climb the Mountain Bellevue Program participants). Answering yes means that you understand that you are making this choice. Climb the Mountain Speech and Debate Foundation makes no representation of the safety of any drivers nor any part of your travel to and from the Climb the Mountain Speech and Debate programs. *

Program the Participant Wants

I am registering the Participant for this program (you can register for 1, 2, 3, 4 or 5 of the programs):
 
* dates with an * will happen using an online video program which we will show students how to use. we are using this because rooms may not be available on those days.
We strongly encourage but do not require debate students to participate in the Seattle U Middle School Debate Tournaments. In the fall, those occur:
Sat Oct 26, 2019 (approx 8:15am to 3:30pm NW MS 3 on 3 Parli Format)
Sat Nov 23, 2019 (approx 8:15am to 3:30pm NW MS 3 on 3 Parli Format)
Sat Feb 1, 2020 (approx 8:15am to 4:30pm NW MS 3 on 3 Parli Format)
Sun Mar 8, 2020 (approx 11am to 7:30pm NW MS Public Forum Format)
Sun May 10, 2020 (approx 11am to 7:30pm NW MS Public Forum Format)
Attending a debate tournament costs $50 and includes food and all registration fees. You will be able to sign up for this during the after school sessions.
What best describes the Participant's experience level in speech and debate? *
 
What best describes the participant's awards in speech and debate? *
 

Hold Harmless Agreement

 

• We understand that the participant in the Climb the Mountain Speech and Debate program does so at the participant's own risk.

We means the person or person's signing their names below. The participant is the person that is being registered to participate in the program typically a student.

• We further understand that Climb the Mountain Speech and Debate Foundation and our host facility do not provide any medical insurance coverage for accidental injuries or illness, nor coverage for personal property damage and agree to release and hold harmless Climb the Mountain Speech and Debate Foundation and our host facility from any and all responsibility or liability for any injuries or damages not directly caused by the sole negligence of Climb the Mountain Speech and Debate Foundation and our host facility, its officers, agents, and employees.

• We understand that Climb the Mountain Speech and Debate Foundation and our host facility holds no responsibility for participants who are off-campus.

• We further understand that Climb the Mountain Speech and Debate Foundation and our host facility holds no responsibility for participants who drive a vehicle and holds no responsibility for participants who ride in cars driven by anyone including Climb the Mountain Speech and Debate Foundation or host facility staff members. Except for emergencies, participants will not be directed to drive or to ride in a car driven by anyone.

• We understand the nature of the speech and debate activities and the participant's experience and capabilities, and believe the participant to be qualified to participate in speech and debate. We will inspect the premises, facilities, and equipment to be used or with which the participant may come in contact to ensure it is safe to our satisfaction. We have spoken with the participant about the dangers of the activities and the fact that the participant could—for a variety of known, unknown, foreseeable and unforeseeable reasons, including negligence of the Climb the Mountain Speech and Debate Foundation and its host facility, their employees and volunteers, officers and agents—be injured. Even understanding these risks, we consent to the participant's participation in the speech and debate program and confirm that the participant is willing to participate in the event.

We accept and assume all risks, and assume all responsibility for the losses, costs and/or damages following an injury related to the program, including disability, paralysis or death, even if caused in whole or in part by the negligence of the following releasees: Climb the Mountain Speech and Debate Foundation, Our Host Facility, its employees and volunteers, officers and agents. My acceptance of these risks includes releasing and agreeing not to sue the releasees. I also agree to indemnify and save and hold harmless the releasees and each of them from any and all litigation expenses, attorney fees, loss, liability, damage, or cost they may incur due to a claim made against any of the releasees identified above based on an injury to the participant, whether the claim is based on the negligence of the releasees or otherwise and whether the claim is made by us, is made on behalf of the participant, or is otherwise made.

 

Participant Behavior Agreement

The objective of the Climb the Mountain Speech and Debate program is to provide a safe environment for learning. To that end, we expect participants to agree to the following standards of personal behavior. Participants who violate any of the following standards of conduct may have their parents contacted, participation in the institute terminated, or lesser penalties imposed as deemed appropriate by the Director of the program. In the below, "I" refers to the participant who will participate in the program.

LEARNING ENVIRONMENT

1. I will respect the learning environment by refraining from interrupting lectures, speaking loudly in the library or computer lab rooms, being distractive during lab time, etc. I will respect others learning in classrooms, studying in the library, and working in outdoor areas.

2. I will respect the school’s staff, materials, and building. I will abide by the library rules of circulation and conduct. I will not write in school materials unless given explicit permission to do so.

3. I will treat computers with respect. I will not move, physically alter, or damage computers or any of their parts. I will not use computers nor the network to do damage to others including spam, spyware, hogging bandwidth, engaging in copyright violations, and harassing or threatening others.

4. I will research and speak and debate in an honest and ethical manner. I will not fabricate evidence, plagiarize the work of others, nor purposefully mislabel evidence in a way that dishonestly represents the argument that the author presents.

5. I will respect and support other students, staff, and coaches in the program. I will not demean the efforts of others nor interfere with the effective learning of other students or coaches nor the teaching by the staff.

6. I will be cooperative with staff. I shall abide by staff requests to follow appropriate behavior necessary to the safety and learning of the program.

7. I will attend each session unless I or my parents/guardian/family emails Jim Hanson that I am unable to attend. I will seek to be prepared for each session.

8. I will refrain from harassing other students and staff including unwanted touching, sexualized comments, picking on people with demeaning comments, and derogatory references to a student based on their race, religion, gender, etc.

HEALTH ISSUES

9. I will maintain my health through good diet and rest, and I will notify the staff if I think I have a health problem that could affect others.

10. I will conduct myself in a safe and cautious manner in order to avoid accidents to others and myself.

11. I will refrain from possessing, using, purchasing, or otherwise being involved in any way with alcohol or illegal drugs or the misuse of chemical substances.

12. Smoking under the age of 18 is illegal in the state of Washington. I understand that I can be fined hundreds of dollars for room air cleaning services if I smoke in or near a building. Further, I will not encourage the use of nor share any tobacco with other participants.

LIVING ISSUES

13. I will remain on campus at all times except if I have an emergency, an institute staff member may take me to the emergency clinic or hospital. I understand that when I leave the host campus under any circumstance, Climb the Mountain and the host facility’s liability is removed and I do so at my own risk.

14. I will be at lectures and labs on time. I understand that staff are required to take attendance and that if I am not there, they are required to spend time searching for me and if they cannot find me that they are required to call security who are then forced to spend time searching for me.

15. If I will leave the program to visit family or friends or for an event, I will give the director 24 hours notice and I will tell the director at the time I depart.

16. I will respect fire codes for the school and will not set off false alarms.

17. I will respect the privacy and property of others and not engage in theft or vandalism. I understand that I will be responsible for the cost of any items that I damage.

18. I will not possess or discharge firearms, weapons, ammunition, fireworks, explosives, and highly flammable materials at any time while at our host facility.

19. Participants aged 12 and under will need to have parent/guardian sign-in and sign-out for drop-off and pick-up from the program.

I understand that staff members have the right to ensure that I will adhere to these standards including by excluding me from functions and/or separating me from others. Further, the director of the program has the right to expel me from the program if he concludes that my presence means that these learning, health, and living issues cannot be assured.

Technology Use Agreement

TECHNOLOGY SERVICES AGREEMENT PART I

In order to offer you access to appropriate network and technology resources during your stay, we ask that you read and agree to our below policy that outlines acceptable behavior regarding the use of these resources. The participant, the person being registered to participate in the program, is expected to use our host facility’s technology including its wireless access appropriately and for purposes related to the objectives of the Climb the Mountain Speech and Debate Program.

THE PARTICIPANT AGREES TO NOT ENGAGE IN THE FOLLOWING:

a. Using a computer account that does not rightfully belong to you.

b. Violating copyright laws and their fair use provisions through inappropriate reproduction or distribution of copyrighted files (including movies, music, computer software, text, and images).

c. Using the Campus Information Technology (IT) infrastructure to gain unauthorized access to other computer systems.

d. Unauthorized connecting of equipment to the campus network (this includes that you may NOT create personal hubs, wireless access points and/or routers).

e. Attempting to break into the system by circumventing data protection schemes or uncovering security loopholes. This includes the wrongful use of programs that are designed to identify security loopholes and/or decrypt intentionally secure data.

f. Knowingly or negligently performing an act that will interfere with the normal operation of computers, terminals, peripherals, or networks.

g. Attempting to damage or to place excessive load on a computer system or network by using programs, such as (but not limited to) computer viruses, Trojan Horses, spyware, and worms.

h. Deliberately wasting or overloading computing or printing resources, or deliberately using excessive bandwidth on the network.

i. Violating terms of software licensing agreements.

j. Using host facility resources for non-academic commercial activity such as creating products or services for sale, without express host facility approval.

k. Using electronic mail or other Information Technology resources to abuse, harass, or intimidate members of the community on any basis including race, ethnic origin, creed, gender or sexual orientation. Users are reminded that sexually suggestive materials displayed in public places, the classroom, or the workplace may constitute sexual harassment.

l. Propagating mass mailings with the intent of flooding (“spamming or bombing”) the accounts of others.

m. Forging the identity of a user or machine in an electronic communication.

n. Transmitting or reproducing materials that are slanderous or defamatory, or that otherwise violate existing laws or host facility regulations.

o. Setting up a domain on a computer located on the host facility network without express authorization from the host facility.

p. Attempting to wrongfully monitor or tamper with another user’s use of the host facility’s Information Technology infrastructure (such as reading, copying, changing, or deleting another user’s files or software) without the knowledge and agreement of the owner.

q. Video or audio recording and sharing those recordings of other debaters or instructors without their written consent.

TECHNOLOGY SERVICES AGREEMENT PART II

Specifically for the Climb the Mountain Speech and Debate Program, the participant is expected to:

• Use any server/Google docs/etc. for sharing speech and debate materials and not for mp3’s, videos, large graphic files, etc.

• Use the server/google documents to regularly backup the participant's documents.

• Use the participant's hard drive or the server to store documents. 

• Save documents at least every 5 minutes so that they don’t get lost.

• Use other people’s documents and folders ONLY if you have their permission.

• Do not add multiple folders, unneeded files, or otherwise substantially alter the folder structure on Google documents/the server. The participant may make a few sub-folders in your folder but beyond that, the participant will need a lab leader's permission to make further changes.

• Assure that the participant's personal computer has the latest Windows/Mac/Chrome/Linux updates. If you do not have these, the participant should contact the program director for help in updating these files.

• Assure that the participant's personal computer has updated Anti-virus, Anti-spyware, etc. protection. See the program director for more information.

• Use the latest version of Internet Explorer, Edge, Chrome, Firefox, or Safari. Contact the Internet Assistant if the participant needs help downloading/installing the latest version.

• Assure the participant's operating system’s firewall is turned on.

• Do NOT Share personal username or password except in an emergency or if it is necessary for the Internet Assistant to help.

• As a whole, use the computer access as a responsible user who does not interfere with nor damage the computer system nor other participants' computer access and who does not harass others through the computer system.

Violations of these policies are addressed subject to the discretion of the Director of the Program but if serious could be grounds for expulsion.

Photography Agreement

Click the Photo Option you prefer: ("We" refers to those signing below; The participant is the person being registered to participate in the program) *

Medical Care Information

The following information is kept confidential. It is seen exclusively by the Director of the Program and select Head Staff members for addressing a medical emergency. We ask for this information because it is what medical care facilities ask for when participants are taken there. Having this information allows the participant to receive the quickest care possible. Note: We will as quickly as possible contact Parents/Guardians/Family about emergency situations.

The information below is the participant's health insurance information. The participant is the person being registered to participate in the program.

With our typed signatures below, we ("we" means the participant and the parent/guardian who has legal custody of the participant) grant authorization and consent for the staff of Climb the Mountain Speech and Debate Program to administer general first aid treatment for any minor injuries or illnesses including but not limited to reduction in pain experienced by the participant. If the injury or illness is life threatening or in need of emergency treatment, we authorize the staff of the Program to summon any and all professional emergency personnel to attend, transport, and treat the minor or incapacitated adult and to issue consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur.

We consent to the release of medical report(s) to any doctor or agency and consent to the admission of the above-named minor person to the hospital. We understand that Climb the Mountain Speech and Debate Foundation and our host facility assume no financial obligation or liability in case of the participant's accident or illness.

We agree to assume financial responsibility for all expenses of such care.

It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and power on the part of the Climb the Mountain Speech and Debate Staff.

NOTE: Agreeing to medical treatment per the above paragraphs is required for attending the program.

Finishing Up

That was the last item to fill out for the online registration. Click "submit" below. It will confirm that your registration information has been received.

You will return to the Afterschool Programs Info page.