Welcome to Junior Blue Peaks! You are joining a very special group of kids and teens who want to help other kids like you. We are thrilled to have you as part of our Cook Children’s Health System family and look forward to celebrating your accomplishments. The Junior Blue Peaks (“JBP”) are a group of supporters who have the opportunity to become further engaged with Cook Children’s Health Care System. Junior Blue Peaks offers special recognition and engagement opportunities to friends of Cook Children’s who give or fundraise $1,000 or more annually. Children are encouraged to participate in many facets of Junior Peaks (“Program”), including service and education. As part of their Junior Blue Peaks role, they are given an opportunity to be a representative and fundraiser for Cook Children’s. At the end of the Junior Blue Peaks Term, all who pledge to join Junior Blue Peaks will be honored and thanked as participants. Due to this goal, the Program is suggested for children 12 years of age or older. However, children of all ages are welcome to participate in the Program, and it is up to the parent/guardian to determine their child’s interest.

Wavier and Agreement

You agree to permit your child to participate your child to participate in the regularly scheduled activities of the Program, which will take place on hospital grounds. You understand that participation in the program is completely voluntary and Cook Children’s does not require your child’s participation in the Program. You understand that Cook Children’s may decide not to accept your child into the Program and Cook Children’s may modify or end your child’s participation in the Program at any time at its sole discretion. You understand that you may or may not be permitted to accompany your child during all Program activities, but in each case your child will be accompanied by staff/volunteers of Cook Children’s at all times. You assume all risks and liabilities arising from or related to participation in the Program. You, on behalf of yourself, your child, and your heirs and assigns, release and discharge Cook Children’s and its directors, trustees, employees, staff and volunteers from all claims and liabilities arising from your child’s participation in the Program. You further agree to hold harmless and indemnify Cook Children’s and its directors, trustees, employees, staff and volunteers for all costs, claims and liabilities arising from or related to you or your child’s participation in the Program. You are responsible at all times for monitoring your child’s participation in the Program, and you and your child agree to abide by the terms and conditions set forth in this Consent and Release Form and all Cook Children’s procedures and policies. You certify the following: you are the parent or legal guardian of the child named above; you and your child are not agents or representatives of Cook Children’s; all information that you have provided to Cook Children’s is correct; and your child has permission to engage in all activities of the Program. You have fully read, understand and voluntarily agree to this Consent and Release Form. You acknowledge and accept that this Consent and Waiver Form is intended to be as broad and inclusive as permitted by the laws of the State of Texas and that if any portion of this Consent and Waiver Form is invalid, the remainder will continue in full legal force and effect.

This consent shall be in full force and effect for a period of twelve months unless Cook Children's Medical Center is notified in writing that the consent has been withdrawn by the parent or legal guardian. 

You also agree and acknowledge that you will review and sign Cook Children’s Authorization to Photograph or Record form.