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CONSENT to PARTICIPATE in REBOUND NORTH FACEBOOK GROUP I, ___________________________, am a client of Algoma Family Services and the Rebound North Program. I understand that Rebound North has developed a Facebook group site for members of Rebound North. I understand that, by joining the Rebound North Facebook Group, I may connect with current and past members of the Rebound North Group. I understand that I do not have to join the Facebook group in order to participate in the Rebound North Program. I understand that, if I do not choose to participate in the Facebook group, nothing about my involvement with Rebound North will change. I also understand that, if I join the Rebound North Facebook Group, I may choose to leave the group at any time. I understand that Rebound North staff will monitor the Rebound North Facebook Group site and participate in the Facebook Group, but that this Facebook group is not part of the Rebound North Program. I am not already a Facebook user / I am already a Facebook user (check one only). I have discussed with my parents the fact that I use Facebook. I agree to discuss with my parents the fact that I will be using Facebook, or I am unable to discuss with my parents or guardian the fact that I am using Facebook and have discussed this fact with _______________________________ at at Rebound North or Algoma Family Services. I have had the opportunity to ask questions about joining the Rebound North Facebook Group and I have had all of my questions answered. I, ________________________________ agree to join the Rebound North Facebook Group. Date Signature Date Witness CHECK HERE to confirm that you have read the Information about Rebound North Facebook Group (see page 2 of this Consent form) Rebound North Facebook Group (Dec 8/09) Page 1 of 2 INFORMATION ABOUT REBOUND NORTH FACEBOOK GROUP Rebound North has developed this Facebook group site to help recruit youth to attend Rebound social skill groups, and to keep in touch with the youth who are current and past Rebound participants. Before participating in this group, you must confirm your agreement with, and understanding of, the following: NETIQUETTE You agree to keep posts respectful and to avoid any discussions about individual Rebound North participants on the Rebound North Facebook group site, to avoid jeopardizing the program’s purpose. You agree not to make posts that are vulgar, defamatory, inaccurate, harassing, hateful, threatening, invasive of the privacy of others, sexually explicit, or illegal. Such posts will be removed from the Rebound North Facebook group site. Posts containing inappropriate content can be flagged for removal by any member of the group. If you are not already a Facebook user, we ask that you get your parent’s or guardian’s permission before registering for a Facebook account in order to join the Rebound North Facebook group. GENERAL DISCLAIMER You understand that you do not have to join the Facebook group in order to participate in the Rebound Program. It is entirely up to group members whether they wish to join the Facebook group, and you can change your mind at any time. Although Rebound North will monitor this group site, Rebound North and Algoma Family Services are not responsible for ANY and ALL of the material on this group site, including advice or information listed, linked, and/or documented, unless explicitly noted otherwise. Rebound North and Algoma Family Services are also not responsible or liable for damages of any kind to persons or property resulting from any idea, product, service or organization referred to in information posted through this forum or links to other sites. DISCUSSION FORUMS Rebound North is not responsible or liable for any content posted on the Facebook group message board. Messages or comments posted are not official Rebound North content and should NOT be considered to be part of any treatment or therapy, or your personal health information. We will not keep copies of comments of information posted to this group. You understand that you may be held responsible for any damages resulting from anything you post, including but not limited to: infringement of copyrights, proprietary rights, or any other harm resulting from any uploading, posting or submission. CONTENT The original content of this Facebook group site is the property of Rebound North and should not be reproduced in any form without the prior consent of Algoma Family Services management. USER AGREEMENT As a member of this Facebook group site, you agree to the above terms of the Information Statement. Rebound North reserves the right to update this Information Statement at any time. CONTACT INFORMATION If you have any question or concerns about this Facebook group site or the disclaimer, please contact the Rebound North staff at Algoma Family Services, (705) 945-5050. CHECK HERE CONTACT US at in care of [email protected]: Attention: Rebound North if you have any questions or concerns about this Information Statement. if you agree to all of the terms of this information statement. Rebound North Facebook Group (Dec 8/09) Page 2 of 2