PARTICIPANT NAME: ___
Detection of a violation will result in immediate dismissal from the program.
Do not improperly use prescription or non-prescription drugs.
• Follow the Medication Administration Procedure for the camp or program (as applicable).
Do not possess, distribute, or consume alcohol, illegal drugs/controlled substances
Do not display a alcohol-related or drug paraphernalia.
Do not use tobacco products.
- Listen attentively to safety guidelines as instructed by staff, facilities, and offsite partnering organizations.
Do not engage in behavior that has the potential or is intended to harass, intimidate, or deter another person from participating or benefiting from the camp activities.
No bullying and hazing are strictly prohibited. Do not engage in reckless or intentional act toward another person that may cause humiliation, embarrassment, or ridicule, or physical, mental, or emotional discomfort
Do not cause or assist in misuse, vandalization, defacement, disfiguration, or destruction of property belonging to others, the University, or a partnering organization.
Participants and parents/guardians should be aware that all program/camp activities conducted on the campus of Kentucky State University are subject to applicable University policies and procedures.
For additional information, please visit the Kentucky State University Policy Library or scan the QR code below:
Participant Signature _____ Date _____
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Parent/Guardian Signature ___ Date ___
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