Bengal Bridge Summer 2021 - Idaho State University
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Idaho State University Bengal Bridge 2021
Bengal Bridge Summer 2021
Student/Parent Release and Indemnification
Student’s First Name____________________
Last Name____________________ M.I_____
Student’s DOB______________________
Bengal Bridge Student Commitment
Welcome to Bengal Bridge Summer 2021! Please read over all policies and procedures related
to being a program participant. Sign this letter only if you are certain that you will attend the
entire 7-week program from June 14th – July 30th, 2021 and adhere to both Idaho State
University (herein “ISU”) and Bengal Bridge policies/procedures. Check-in will take place
on June 13th. Your class participation and attendance is crucial to your success in Bengal Bridge
and we strongly encourage attendance at every instruction session. Please plan your time for
outside commitments accordingly.
Acknowledgement of Risk
Participants who plan to attend the 2021 Idaho State University Bengal (herein “Bengal
Bridge”): I (meaning an adult participant for him/herself or parent/guardian of a minor
participant on behalf of minor) acknowledge that I voluntarily accept all risks inherent, known or
unanticipated, associated with Bengal Bridge. These risks include, but are not limited to:
physical or emotional injury associated with activities associated with transportation to and from
activities; reactions related to food consumption such as choking or allergic reactions, etc.;
damage to property or third parties, or even death. I certify that the participant (myself or minor
child) has knowledge of the voluntary assumed risks, has no physical or mental limitations that
would preclude safe participation, and will abide by the rules of Bengal Bridge.
Release/Covenant Not to Sue/Indemnification
To the fullest extent permitted by law, and in consideration for being allowed to participate, I, on
behalf of myself or my minor child, my heirs, representatives, executors, and assigns (the
Releasing Parties) hereby agree to hold harmless, release, and covenant not to sue the State of
Idaho, its State Board of Education, Idaho State University, and their respective officers,
employees, volunteers, and agents (Released Parties) for any negligently caused injuries or losses
arising from or related to Bengal Bridge and further agree to defend and indemnify the Released
Parties and each of them from any claims, demands, actions, damages, costs, fees, or expenses
arising out of losses suffered by or caused by me or my minor child that are brought now or in
the future by the Releasing Parties or any of them, or by a third party.
Other
I acknowledge that insurance coverage for bodily and property damage is my personal
responsibility, as is the cost of any necessary emergency medical treatment. I hereby give
permission for emergency medical care, including transportation to and exchange of medical
information with a medical facility. Furthermore, I grant ISU the right to use, for promotional
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Bengal Bridge – Revised 10.1.20Idaho State University Bengal Bridge 2021
purposes, any photographs or video footage taken of me or my minor child while participating in
Bengal Bridge. This contract also covers activities provided by all ISU departments and offices
including, but not limited to, Outdoor Adventure Center, LEAD center, Student Success Center,
Student Involvement Center etc. All participants’ information will be shared within ISU for
educational purposes and follow all FERPA regulations and policies. In case of emergency or
any need for medical treatment, the minor’s parent/guardian will be notified immediately. In the
case a parent/guardian cannot be reached, the following will be in effect:
The undersigned parent/guardian consents to any X-Ray examination, anesthetic, medical or
surgical diagnosis or treatment and hospital services that may be rendered to minor child under
the general or special instructions of the emergency room doctor during the program activities,
whether such diagnosis or treatment is rendered at the office of the physician or at a licensed
hospital. It is understood that this consent is given in advance of any specific diagnosis or
treatment being required, and is given to encourage the staff of ISU’s Bengal Bridge Staff and
said physician to exercise his/her best judgment as to the requirements of such diagnosis or
treatment.
I have read, understand and adhere to the following documents (included below):
Student/Parent/Guardian Release and Indemnification
Medical Information and Release to Treat
Bengal Bridge Student Code of Conduct
This agreement and all claims arising out of or relating to this agreement shall be governed exclusively by
the laws of Idaho. The disputes shall be resolved in the courts of Bannock County, Idaho, and I consent to
the jurisdiction of such courts.
If I am executing this document as a parent/guardian of a minor child, I represent and warrant that I have
read the terms and agree to them, and have the legal right to execute this document on behalf of the
minor, and that this document, once executed by me, is fully enforceable in accordance with its terms. I
agree to indemnify the Released Parties in the event the representation is not accurate.
Participant Name and age if a minor (printed) Participant Signature Date
Parent/Guardian Signature Emergency Contact Name and Phone
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Bengal Bridge – Revised 10.1.20Idaho State University Bengal Bridge 2021
Bengal Bridge Summer 2021
Medical Information and Release to Treat
Student Information
Student’s Last Name:_______________________
Student’s First Name:_______________________ M.I.:___________
Date of Birth (MM/DD/YYYY):________________
Home Mailing Address:_________________________ City______________ State_____ Zip _________
Contact information
Student Cell Phone/Contact Number: ( ) ____-________
Parent(s)/Guardian Name: __________________________ -________________________
Parent(s)/Guardian Contact Number/Work Phone Number ( )____-_________ or ( )____-
________
Additional Emergency Name & Phone Number __________________ & ( ) ____-___________
Medical Information
Primary Care Physicians:____________________ & Phone ( )____-___________
Allergies to Medications (Yes) / (No), if yes please specify:
_____________________________________
Current Medications: ____________________________________________________________
Can Bengal Bridge Staff dispense medications (if under 18) such as, but not limited to Tylenol,
Dramamine, Ibuprofen, Benadryl, etc. Please circle: (YES) (NO)
Dietary Restrictions (Yes) / (No), If yes please specify:________________________________________
Private Insurance Coverage/Medicaid information (Policy Number, ID Number,
etc.):_________________________________________________________________________________
_____________________________________________________________________________________
Additional medical information for
Participant:___________________________________________________________________________
_____________________________________________________________________________________
*Attached another sheet if needed.
The undersigned parent/guardian(s) gives Idaho State University’s Bengal Bridge the ability to authorize
emergency medical treatment if they are unable to contact me. Consent shall remain in effect from June
14th - July 30th, 2021.
Student/Parent/Guardian Signature_________________________ Date________________
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Bengal Bridge – Revised 10.1.20Idaho State University Bengal Bridge 2021
Bengal Bridge Summer 2021
Student Code of Conduct
Student’s First Name____________________
Last Name____________________ M.I_____
Students DOB________________________
We are pleased that you have decided to attend the Idaho State University Bengal Bridge Summer Program. The
seven-week program begins June 14th, and ends July 30th 2021. The following information will help you understand
the guidelines and consequences that govern our summer program. Please review this information and keep it for
future reference.
Residence Hall Guidelines
1. No members of the opposite gender in your dorm room or designated male/female floors after 9:30
pm – NO EXCEPTIONS! Students may socialize in the lounges available on the 1st floor. Any
students who violate this rule or who know about a violation, and do not report it will be held
accountable and will be held accountable and will be required to meet with the Bengal Bridge Director.
2. Room assignments cannot be traded without permission of the staff. Please notify Bengal Bridge
staff if you are having problems with your roommates early on so that mediation can take place. Only
under emergency situations will room changes be made.
3. Room Inspections – Idaho State University respects the student’s right to privacy; however, Bengal
Bridge staff reserves the right to enter a student’s room, or inspect belongings at any time for health,
safety, and student’s welfare or maintenance purposes. Advance notice will be given when possible.
4. Stolen Property - ISU and Bengal Bridge will not be responsible for student property which is lost,
stolen, or damaged. Take care of your own personal property. Secure all your valuables when you
leave your room and know that you are responsible for them, no one else! Please lock your door, even
when just going to the restroom.
5. Housekeeping – Hall staff will occasionally inspect rooms to assure cleanliness. Bengal Bridge
students are expected to keep their rooms and bathrooms clean, and to set a good example for all
students.
6. Residence Hall Policies - Absolutely no alcohol, drugs, candles, incense, open-faced grills, pets, etc.
Possession of these items will result in dismissal from the Bengal Bridge Summer Program.
7. Adhere to all Residence Life Policies at Idaho State University. Housing Policies can be located at
http://www2.isu.edu/housing/manual.shtml
Cafeteria Guidelines
1. Shoes and shirt must be worn in the dining hall.
2. Students must be on time for meals.
3. Any change in scheduled times for meals will be posted.
4. Please be courteous. Many groups visiting the ISU campus share this facility. Idaho State University is
allowing us to eat in their facilities and may ask us to leave at any time based on bad behavior such as
swearing, leaving food and garbage behind, and overall rowdy behavior within the cafeteria. If your
behavior is consistently disruptive within the cafeteria, you will be dismissed from the summer
program.
Classroom Guidelines
1. Classroom Management Policy – Students are expected to be attentive, courteous, and cooperative
during all classes. The Bengal Bridge Summer Instructors have complete authority in their classroom.
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Bengal Bridge – Revised 10.1.20Idaho State University Bengal Bridge 2021
If students do not agree with decisions, they may address their concerns to the Bengal Bridge Director
for review.
2. Academic Policy – Students are expected to complete all assignments and participate in class and other
program activities. Students who do not participate fully will receive a consequence from their
teacher, which will be reported to the Bengal Bridge Coordinator.
3. Academic Dishonesty – Cheating or plagiarism in any form is unacceptable. All work submitted by a
student must represent his/her own ideas, concepts, and current understanding. The list of possible
offenses is not exhaustive but here are a few examples: a.) copying from another exam paper before,
after or during the exam, b.) using notes or retrieving notes from a computer, c.) having someone else
take your test, etc. The Bengal Bridge instructor is responsible for handling each case of dishonesty in
the classroom unless it is a repeat offense, in which case, the offense will be referred to the Bengal
Bridge Director.
4. Absence Policy – Students are expected to attend the full seven weeks of Bengal Bridge Summer
Program. If you cannot attend a portion of summer school due to an emergency and/or unavoidable
conflict, you and your parent/guardian must contact the Bengal Bridge Director. Unexcused absences
result in significant grade deductions and, potentially, failure of the course(s)
5. Class Schedules - Students are assigned to classes according to academic need, interest and
availability of a specific course. Students may not change Bengal Bridge summer courses. Students
who add/drop their own courses are responsible financially for any changes in fees/tuition. Class
selection will be completed for a student base on the information provided. All students are required to
enroll in ACAD 1104.
General Behavioral Guidelines
1. Guest Policy – Due to time and financial restrictions, guests and visitors will not be allowed. Family
members, including parents, siblings, grandparents, etc. are welcome to visit, but must make
arrangements by calling our office at (208) 282-3662. No guest(s) are allowed to stay overnight with
students living in the halls.
2. Alcohol and Drug Policy - The possession and/or use of alcoholic beverages, tobacco, unauthorized
prescription drugs, illegal drugs, vaping/cigarettes or other controlled substances are prohibited. Each
incident will be handled on a case-by-case basis, but expulsion from summer program is a possibility.
The parent/guardian will be notified immediately if the student is under 18 years of age.
3. Dangerous Possessions - Firecrackers, gunpowder and/or other forms of explosives, guns, knives, etc.
are prohibited. Each incident will be handled on a case-by-case basis, but expulsion from summer
program is a possibility. The parent/guardian will be notified immediately if the student is under 18
years of age.
4. Harassment – Conduct towards another person or identifiable group of persons including, but not
limited to, unwelcome comments or other conduct that unreasonably interferes with an individual’s
work or academic performance, or creates an intimidating, hostile, or offensive environment for that
individual’s work, education, or participation in an Bengal Bridge activity is prohibited. Retaliation
against any person filing a judicial complaint or against any person cooperating as a witness will be
considered harassment.
5. Sexual Harassment and/or Sexual Assault – Any actions or statements of a sexual harassing or
embarrassing manner along with implied or stated threats are prohibited. This policy includes
unwanted touching or comments, retaliation, or threats of violence. Students are expected to be
responsive to requests from staff, teachers, residential mentors, assistant directors, project director or
other students regarding behavior which is inconsistent with respect for the rights of others. Respect
each other by the way you speak (no vulgarity, profanity, gossip), act (no hitting, and no public
displays of affection, pushing, obscene gestures), and dress (no revealing clothing, clothing
inappropriate for the situation).
6. Adhere to all student policies under the student handbook which is located at
https://www.isu.edu/media/libraries/student-affairs/Student-Handbook-1.pdf
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