Newark City Schools Media Technology Equipment Liability Waiver

Newark City Schools Media Technology Equipment Liability Waiver and
Confirmation of Syllabus, Rules, and Procedures
The following list summarizes approximate replacement costs for some of the television production
equipment commonly used in our program. This list may not be inclusive of all equipment your
student may use.
By signing below, you are accepting financial responsibility for the repair and/or replacement costs
of the equipment should it be determined that such damage was due to your student’s misuse, abuse,
or mishandling of the damaged equipment.
You are not responsible for repairs that are necessary due to normal “wear and tear”.
Professional Camcorders $1300 - $5000
Tripod Systems $250 - $350
Apple Mac Pro Computer $4500
Apple iMac Computer $2050
Apple MacBook Pro $3000
Handheld Microphones $100 - $200
Boom Microphone Kits $500
Wireless Mic Kits $700
Portable Light Kits $250 - $500
Your signature below indicates you have received and/or reviewed this document, the course
syllabus, class & lab rules, and equipment check-out procedures.
I understand and accept the expectations and responsibilities associated with this course as
described in this letter, the syllabus, and other enclosed documentation. I will use the utmost care
when using the television production equipment provided by Newark City Schools for completion of
my projects within the Media Technology program. I will handle the equipment with the proper
attention and follow established rules for obtaining and using the equipment. I understand that any
piece of equipment that is damaged as a result of my neglect, misuse, or abuse, may result in
disciplinary action, dismissal from the class, and financial liability for the repair or replacement of
the equipment. By signing below, I agree to this standard for the duration of this class.
Student Name (Printed) __________________________________________________
Student Signature__________________________________________________ Date___________________
As the parent, I have been provided with a copy of the above mentioned materials and understand
the expectations and responsibilities my student will be accountable for associated with this class. I
understand and agree that any equipment damaged as a result of any neglect, misuse, or abuse by my
student will result in financial liability for the repair or replacement of the equipment and may result
in disciplinary action or dismissal from the class. By signing below, I agree to this standard for the
duration of this class.
Parent Name (Printed) ____________________________________________________
Parent Signature___________________________________________________ Date____________________