Guitars Over Guns - Registration



So you want to join the GOGO Haven Studio?
Haven Crew
Read these instructions carefully so you can complete your registration and save your seat. HOW DO I REGISTER? Step 1: Your parent/guardian will need to complete this full registration form on the computer or on their phone as soon as possible! We cannot save your spot in the program until we have permission from a parent or guardian. If you are 18+, you will be responsible for filling out the same form for yourself. Step 2: When we receive your completed registration form, your mentor will call your home to introduce themselves and confirm your spot.
Welcome!
Gogo Image

Haga clic aquí para la versión en español

So you want to join Guitars Over Guns? Awesome!

HOW DO I REGISTER?


Step 1: Your parent or guardian must complete this registration form. You should do it together so you can share which instrument you want to play. We cannot save your spot in the program if we do not have your parent or guardian’s permission. 


Step 2: When we receive your completed registration form, your new mentor will call your parent/guardian to introduce themselves and confirm your spot.


Step 3: Get ready to ROCK!

Welcome to the Papa Keith Music & Media Studio Powered by Guitars Over Guns
Gogo Image

Haga clic aquí para la versión en español

So you want to join Guitars Over Guns? Awesome!

HOW DO I REGISTER?


Step 1: Your parent or guardian must complete this registration form. You should do it together so you can share which instrument you want to play. We cannot save your spot in the program if we do not have your parent or guardian’s permission. 


Step 2: When we receive your completed registration form, your new mentor will call your parent/guardian to introduce themselves and confirm your spot.


Step 3: Get ready to ROCK!

City


School Info




Student Info













Parent/Guardian Info










Emergency Contact


More Information
(If you are 18+, please answer these questions for yourself)







Please tell us more about your child
We want to get to know your child better so that we can provide the best possible experience in our programs. 
(If you are 18+, please answer these questions for yourself)








If you are interested in other services funded by The Children’s Trust, please call 211 or visit www.thechildrenstrust.org. For special needs resources for your child, visit www.advocacynetwork.org or www.thechildrenstrust.org/cwd  I give my permission for this information to be submitted to The Children's Trust for program quality and evaluation purposes. The Children’s Trust provides funding for the program.
Where will you attend GOGO?
School Selected: Papa Keith Music and Media Studio



Where will you attend GOGO?
Please note: In order to register for a GOGO program, you must be a current student of the selected school.  However, if you do not see your school listed, you are welcome to attend our program at Haven Studios.










School - Haven
You selected Haven as your school - you may click next to move to the next page of the Registration
Student/Parent Behavior and Instrument Contract



Cost: Free


Program Goals

  • Increase academic success in school

  • Work closely with parents/guardians and children to develop social emotional and leadership skills

  • Provide high quality music instruction, field trips and performance experiences to broaden students’ perspectives

  • Set and achieve individual and group goals

  • Help students express themselves and learn to be creative

Student Expectations

  • Students are expected to attend every session, sign in and be in their designated group on time, prepared for the session and in possession of the materials they need for the day.

  • Students are expected to exhibit good behavior, a good attitude, respect for themselves and their peers, and a desire to learn.

  • Students are expected to take care of the instrument they are provided with and return it at the end of the year in the condition it was received.

  • Student cell phones are NOT to be used or out during GOGO time.

  • Students are expected to participate in in wellness coaching with wellness mentors and/or Social Work Interns, with oversight and support from the M-Power Mental Director (Social Worker).

Attendance and Behavior

All students are expected to attend each session. Guitars Over Guns will notify parents after the second absence. Students whose behavior or attendance adversely affects the group will be asked to leave and may lose the opportunity to participate in performances and activities.

Parent Expectations

I agree to support my child’s involvement in the Guitars Over Guns Program. I will make sure that my child attends all sessions, exhibits good behavior and a good attitude for learning. I give GOGO my permission to access my child’s demographic and student achievement data in order to provide meaningful academic support and mentorship. I assume responsibility for any damage or loss of the instrument while in my child’s possession.

I agree that Guitars Over Guns Mentors may contact my child after school hours to support their leadership development


Pickup, Dismissal, Late Pickup, and No Show Procedure
All children are dismissed at the dismissal time listed above when programming ends. Parents and guardians, if a child is not picked up by the dismissal time, all late pick up procedures will be followed (please see procedures below). Parents who are consistently late may be asked to withdraw their child from the program (at the discretion of the Site Coordinator).







Late pickup procedures when a child is not picked up by the dismissal time:
  1. Mentors will attempt to make contact with the parent/guardian on his/her cell phone or work number listed in the student file.
  2. If parent is not reached, staff will contact other authorized persons listed on the emergency contact form.
  3. In instances when attempted contacts have all failed and 1 hour has transpired since the close of the program, the authorities will be contacted.
Records Release
Records to be released:
  • Test Scores
  • Attendance Information
  • Grades
The record(s) indicated above is/are to be released to:
Agency: Guitars Over Guns Organization
Contact Person: Walker Moseley
Address: 169 E Flagler St, Suite 1134, Miami FL 33131 
The purpose for this release is: to track outcomes for program participants. 
I hereby grant permission for the release of the above record(s) and this release is to be in effect until:


Miami-Dade County Public Schools is subject to the Family Educational Rights and Privacy Act of 1974 Codified at 20 U.S.C. §1232 g. Therefore, all documents contained in a student's educational records, except those specifically waived, are accessible to the parents or eligible student. Personally identifiable information may be transferred to a third party only on the condition that it will not be released to any other parties without obtaining the consent of the parent or eligible student.
Media Release Parental Consent

The staff of GOGO to take/use still photographs, digital photographs, motion pictures, television transmission, and/or videotaped recordings (hereinafter “Recordings”) of me, my children, or my wards for educational, research, documentary, and public relations purposes.  

Any such Recordings may reveal your identity through the image itself without any compensation to you, your children or wards.  

 Any and all Recordings taken of you, your children or wards shall be the sole property of Guitars Over Guns.  

 With regard to the use of any Recordings taken of you, your children or wards, you hereby waive any and all present and future claims you may have against Guitars Over Guns, their staff, service providers, employees, agents, affiliates and Board members. 

Please be advised that during the year your child may be photographed, videotaped, or interviewed at various school sponsored events. With your consent, the photograph, video or interview may be reproduced and released for use in the media, i.e., newspapers, brochures, videos, television, the internet, and Miami-Dade County Public Schools websites and social media platforms such as Facebook, Twitter, etc.

As the parent or guardian of my student, I hereby authorize and give consent to service providers and the staff of Guitars Over Guns Organization (hereinafter “GOGO”) as follows:  (If you are 18+, please answer these questions for yourself)

Media Release Parental Consent

The staff of GOGO to take/use still photographs, digital photographs, motion pictures, television transmission, and/or videotaped recordings (hereinafter “Recordings”) of me, my children, or my wards for educational, research, documentary, and public relations purposes.


Any such Recordings may reveal your identity through the image itself without any compensation to you, your children or wards.


Any and all Recordings taken of you, your children or wards shall be the sole property of Guitars Over Guns.


With regard to the use of any Recordings taken of you, your children or wards, you hereby waive any and all present and future claims you may have against Guitars Over Guns, their staff, service providers, employees, agents, affiliates and Board members.


As the parent or guardian of my student, I hereby authorize and give consent to service providers and the staff of Guitars Over Guns Organization (hereinafter “GOGO”) as follows:


(If you are 18+, please answer these questions for yourself)


Consent for Mutual Exchange of Information
I hereby authorize the mutual exchange of records pertaining to my child or myself between the MIAMI-DADE COUNTY PUBLIC SCHOOLS and the following agencies (include all schools, physicians, psychologists, hospitals, clinics, etc., that have had significant contact with your child):

Name & Address
Guitars Over Guns Organization
169 E Flagler St, Suite 1134
Miami, FL 33131

Specific Records
Grades, Test Scores, Attendance Information

Purpose
To track outcomes for program participants and support their academic, artistic, and social emotional growth. 

The receiving party will not disclose the information to any other party without signed consent.

I certify that I am the parent or legal guardian of the child named above or that I am a student of majority age and have the authority to sign this release.
COVID-19 and Voluntary Third-Party Extracurricular Activities
Obligations of Activity Participants
Waiver, Release & Hold Harmless

COVID-19 and Voluntary Extracurricular Activities


Summer 2023 and School Year 2023-24

Extra-Curricular Activity: Guitars Over Guns

I desire to participate or allow my child(ren) (“Activity Participant”) to participate in one or more voluntary extracurricular activities conducted by the School Board of Miami-Dade County, Florida (“School Board”). I acknowledge that the novel coronavirus known as COVID-19 has been declared as a worldwide pandemic and is believed to be contagious and spread by person-to-person contact, including in Miami-Dade County. I further acknowledge that federal, state, and local agencies recommend social distancing and other measures to prevent the spread of COVID-19.


The School Board will conduct certain extracurricular activities, including summer camps, in the Summer of 2023 and continuing into the 2023-24 school year. I understand that these activities, (hereinafter “Activity”) will be conducted with safety protocols appropriate under the circumstances at the time, which may be subject to change. For the safety of all people involved, Activity Participants will be required to adhere to all safety protocols and are subject to immediate removal from the Activity if they do not comply. Extracurricular activities are a privilege, and not a right, of public school students. It is solely my responsibility, as well as the Activity Participant’s, to adhere to all state, federal, and local safety protocols, including those the School Board provides.


In an effort to ensure the safety and wellness of our school community, I understand the importance of Activity Participants, including my child(ren), being healthy and safe when they participate in the Activity. By signing below, I agree that I will:

  • Perform daily temperature checks on my child(ren) to screen for fever before arrival to the Activity. Fever is defined as a temperature over 100.4 F or 38.0 C. If my child(ren) has a fever, I will not permit my child(ren) to participate in the Activity until he/she has been without a fever for at least 72 hours.

  • Make a visual inspection of my child(ren) for signs of illness which could include: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea, flushed cheeks, rapid breathing or difficulty breathing (without recent physical activity), fatigue, or extreme fussiness. If my child(ren) has exhibited any of these signs or symptoms, I will not permit my child(ren) to participate in the Activity until he/she has been without signs or symptoms for at least 72 hours. 

  • Confirm that my child(ren), before and while participating in the Activity, has not tested positive for COVID-19 in the past 14 days, is not waiting for test results based on a diagnosed or suspected case of COVID-19, and has not within 14 days returned from an area subject to CDC Level 3 Travel Health Notice.

  • Confirm that my child(ren), before and while participating in the Activity, has not been in contact with someone who has either tested positive for COVID-19 in the past 14 days, is waiting for test results based on a diagnosed or suspected case of COVID-19, or has returned from a highly impacted area subject to a CDC Level 3 Travel Health Notice. If my child(ren) has been in contact with such a person, including from the same household, I will not permit my child(ren) to participate in the Activity until 14 days have elapsed since the time of contact.

  • Promptly pick up my child(ren), or arrange for pickup, if signs or symptoms of illness are present. I understand that children are to remain home until illness-free for at least 72 hours without the use of medicine.


    By signing this document, I acknowledge and affirm all of the statements above. I also understand that I and/or my child(ren) may unavoidably be exposed to or infected by COVID-19 as a result of participation in the Activity, and that such exposure or infection may result in personal injury, illness, sickness, and/or death. I understand that the risk of exposure or infection may result from the actions, omissions, or negligence of myself, my child(ren), School Board staff, volunteers, or agents, other Activity participants, or others not listed, and I acknowledge that all such risks are known to me.


    In consideration of my and/or my child(ren) being able to participate in the Activity, I, on behalf of myself and my child(ren), as well as anyone entitled to act on my behalf, hereby knowingly and voluntarily forever waive, release, and hold the School Board and its employees and agents harmless from any and all claims, suits, liability, actions, judgments, attorneys' fees, costs, and  any expenses of any kind resulting from injuries or damages, grounded in tort or otherwise, that I and/or my child(ren), or my or our representatives, sustain during or related to my child(ren)'s participation or involvement in the Activity.


    If this Waiver, Release and Hold Harmless or any portion thereof is determined to be invalid or unenforceable for any reason, the remaining provisions of this Waiver, Release, and Hold Harmless, as well as any other agreement(s) concerning my or my child(ren)’s participation in this Activity, shall be unaffected and remain in full force and effect.

https://www.guitarsoverguns.org/