venture academy - residential program agreement bc-1

5/26/2018 Venture Academy - Residential Program Agreement BC-1

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VENTURE ACADEMY

RESIDENTIAL PROGRAM AGREEMENT

THIS AGREEMENT made the 16th day of June, 2010.

AMONG: Venture Academy Inc.

a British Columbia company with a mailing address of:

101-1865 Dilworth Drive, Suite 338 Kelowna, BC V1Y 9T1

(doing business as Venture Academy)AND:

Client (youth) name: __________________________________________

Home Address: ______________________________________________

___________________________________________________________

Phone Number: ______________________________________________(the Client)AND:

Guardian Name: ______________________________________________

Home Address: _______________________________________________

____________________________________________________________

Phone Number: ______________________________________________

(individually or collectively, as the case may be, the Guardian)


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THIS AGREEMENT outlines important issues and obligations pertaining to yourfamily's involvement with Venture Academy, and its programs.

Please read, understand and remain familiar with the agreement throughout your family'sinvolvement with Venture Academy. The Agreement not only serves as the Agreement

itself but is also a useful to become familiar with some of Venture Academys protocolsand operating procedures. Please refer to the Agreement frequently and as necessary.

AGREEMENT sections and numbers may be quoted when responding to applicablequestions you may have.

THIS AGREEMENT contains: PAGE

BACKGROUND FACTS 3

THE PLAN 3

SERVICES 4

PAYMENT in Canadian Dollars 5

COMMUNICATION AND REPORTING 11

GENERAL 13

CANCELLATION 22

EXCLUSION OF LIABILITY 24

HOME VISITS, DISCHARGE DATES 25

AGREEMENT SIGNATURES 26


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BACKGROUND FACTS:

A. The Guardian wishes to enroll the Client in one of Venture Academys residentialprogram (the Residential Program).

B. The Guardian is the parent and/or legal guardian of the Client.C. The Client acknowledges his or her entrance into the Residential Program.D. Venture Academy is in the business of providing residential support services to young

individuals.

THE PARTIES AGREE AS FOLLOWS:

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Guardian Initials

THE PLAN:

1. Venture Academy shall conduct an assessment, and/or prepare a service or treatmentplan and/or provide services based on;

a. the selected program;b. the Clients needs as perceived by Venture Academy,c. and/or the Agency's therapeutic objectives within Venture Academy's

operational framework.

2. Venture Academy shall use its best efforts to implement services according toprogram descriptions.

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Guardian Initials


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SERVICES

3. Venture Academy agrees with the Guardian to provide to the Client the followingclinical and therapeutic services based on program selected and program descriptors:

a. supervision and support from live-in support staff, and access to such othersupport personnel as may be identified;

b. clinical consultation and/or counselling sessions with the consultingpsychologist or clinical counsellor or therapist if identified as per programselected;

c. periodic meetings and/or outings attended by either a Youth Counsellor,Substance Use Counsellor, or Family Therapist or other identified supportperson ;

d. regularly scheduled activities of interest (Activities);e. (where possible, not guaranteed) wilderness or backcountry excursions(Excursions)f. educational support and supervision and teaching of materials as supplied by

and arranged by Guardian and provided to Venture Academy usually by wayof previous school attended or distance learning sources also as arranged byGuardian.

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4. The Guardian agrees that Venture Academy will deliver services according to its bestefforts within the framework of the program offered. The Guardian agrees thatVenture Academy cannot provide an unlimited all-inclusive service to meet the needsof all clients all the time. In some cases augmented services (such as psychiatric nurseconsultation) will be offered at and additional charge.

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5.

Venture Academy shall also provide to the Client the following non-clinical and non-therapeutic services based upon program descriptors:

a. housing, including all residential expenses relating to housing but excludinglong distance telephone calls made by the Client;

b. meals, including all meals and snacks prepared in the home and all mealsordered in, eaten out; (not including significant, pre-identified dietary ormedical considerations);


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c. transportation, which may include specialized transportation services whererequired by the Venture Academy at their sole discretion for a Client,including transportation to and from Venture Academy sponsored activities,recreational outings including but not limited to Meetings, RecreationalActivities, Excursions and identified appointments, and to and from a local

airport or bus depot for home visits or scheduled trips;d. household care, including the provision of housekeeping, laundry access and

other homecare costs but excluding personal care and grooming products suchas toothpaste, shampoo, lotions, etc; and

e. a weekly allowance, (further conditions apply).______________

Guardian Initials

PAYMENT in Canadian Dollars

6. The following is a list of services and fees including GST, which apply to programschosen payable at or before admission and immediately upon the execution of thisagreement.

7. $1,575.00 - the Admission Fee - all programs,8. $1,000.00 - the Emergency Use Deposit - all programs,9. If the 30 Day Assessment and Intervention is chosen,

$11,025.00 - 30 Day Assessment and Intervention Fee

$13,600.00 - Total due upon admission if 30 day program is chosen

10.If the Residential Treatment Program is chosen, beyond the initial 30 DayAssessment and Intervention Program, the fees (daily rate of $323.68 including GST)are as follows:

a. $5,178.88 - payment for the first month's service or part thereof;b. $9,872.24 - a deposit equal to one months total service fee (the Deposit) if

the Residential Program is chosen;

c. $15,051.12 - Sub Total: Due on day 31 after roll out of 30 day program.d. Five post-dated cheques for the first of the month representing payment for

the minimum projected five months of scheduled service provision, each forthe amount of:$9,872.24 (collectively, the Payments).

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Guardian Initials


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11.The Guardian shall make all Payments in Canadian funds ($CDN) to VentureAcademy by cheque delivered prior to the first of the month, of the month thatservices are provided, delivered to:

Venture Academy101-1865 Dilworth Drive, Suite 338Kelowna, BC V1Y 9T1

Venture Academy will provide accounts to the Guardian.

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Guardian Initials

12.The Guardian agrees and acknowledges that except for any non-used portions of theEmergency Use Deposit, all fees are nonrefundable under any circumstances.

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Guardian Initials13.Upon the Client's acceptance into the Residential Program, the Guardian agrees to

pay to Venture Academy a non-refundable Deposit equal to one months total servicefee (Deposit); - The Deposit is retained by Venture Academy and credited andapplied to the last month's service charge whether or not the Client is enrolled in theResidential Program for the entire month if the Residential Program is chosen.

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Guardian Initials

14.In addition, the Guardian agrees to pay to Venture Academy The Emergency UseDeposit to be used by Venture Academy as agreed for any incidental expenditures theClient may incur while enrolled in the Residential Program. Initial third partyrequested (Venture Academy requested) physical examination by medical doctor($90.00), prescription medication and toiletries and $157.00 for school clothing willautomatically be deducted from Emergency Use Deposit.

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Guardian Initials

15.In addition, if the Residential Treatment Program is chosen the Guardian agrees topay to Venture Academy the one month service fee amount inclusive of GST for eachmonth the Client is enrolled in the Residential Program (the Monthly Service Fee),payable as a whole for the entire month, whether or not the Client is in attendance inthe Residential Program for the entire month, by way of post-dated cheques dated forthe first of every month for services provided for the following month, and received


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by Venture Academy in a package of five prior to or upon admission and then prior tothe first of every month, for the next months of service provision. No exceptions.

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16.The Guardian agrees and acknowledges that funding and receipt of timely payment iscritical to the fiscal health of the agency and commits to working cooperatively withVenture Academy as it relates to financial issues. Venture Academy acknowledgesthe significant financial commitment undertaken by the Guardian in order to accessour services.

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Guardian Initials

17.The Guardian agrees and acknowledges that invoices will be sent by email only andagrees to maintain a functional email address capable of receiving email withattachments.

Email address for billing purposes: ________________________________________

Name of person to be billed: _____________________________________________

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Guardian Initials

18.The Guardian agrees that if need arises to divide payment responsibilities amongfamily and/or others, that the Guardian agrees to resolve accounting and paymentmatters amongst themselves and agree that Venture Academy will not be involved inany way, and will only deal with accounting and payment matters with the Guardianas listed above.

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Guardian Initials

19.The Guardian agrees and acknowledges that services will not be implemented (exceptfor the residential placement) if Venture Academy has not received the monthlyservice fee, paid in full by the first of the month of that month's service provision.Services will be reinstated once Venture Academy has received payment for thatmonth's service provision. There will be no attempt to make up for lost services dueto late payment.


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Guardian Initials

20.The Guardian agrees and acknowledges that should full payment, not be received byVenture Academy by the 15

th

of the month of that month's service provision, theClient will be automatically discharged from the Residential Program and will, uponnotice being given in accordance with the terms of this Agreement, be sent home tothe Guardian's place of residence on the next available flight (projected to be within48 hours) of the end of the business day of the 15thof the month in which the regularnon-discounted monthly payment is due. The Guardian agrees and acknowledgesforfeiture of all service payments and deposits held by Venture Academy, and agreesto be responsible for payment of all transportation costs as set out herein.

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Guardian Initials

21.The Guardian agrees and acknowledges that therapeutic relationships will be formedwith Venture Academy staff while the Client is enrolled in the Venture AcademyResidential Program and that there may be a desire to continue to maintain theserelationships upon the Client's transition or discharge from the Residential Program.The Guardian or Client may wish that the Client return to the Host home for anovernight visit or short-term stay with the perception that the overnight visit or short-term stay is not related to Venture Academy support services or treatmentprogramming. The Guardian agrees and acknowledges that Venture Academyinsurers may not distinguish the relationship and that Venture Academy staff areresponsible for conducting themselves in a manner to what they would while theClient was enrolled in the Residential Program. These considerations constitute awork environment which includes liability which in turn demands Venture Academytreat the overnight visit or short-term stay with positive therapeutic regard and treatresulting interactions as a service provider/client relationship. Therefore all applicableresidential per diem rates apply with a two day minimum charge, to be paid in fullprior to the client returning to the Host Home.

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Guardian Initials

22.The Guardian agrees to be financially responsible for, and will pay the costs ofrepairing or replacing any property, personal or real, damaged, defaced or destroyedby the Client while enrolled or participating in Venture Academy programs.

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Guardian Initials


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23.While an AWOL may occur, the Guardian agrees to be financially responsible for andwill pay the full amount of such extra expenses such as staff time, on-call staffingcosts, travel expenses etc., incurred by Venture Academy in those instances where theClient runs away (AWOL) prior to arrival or during the designated enrollment periodof the Venture Academy Residential Program. The response to AWOL fee and

related recovery efforts is at $400.00 per occurrence plus GST and will beimmediately deducted from the Emergency Use Deposit. AWOL is defined as theClient being away from Venture Academy support and supervision and whereaboutsunknown, for a period of a minimum of 30 minutes.

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Guardian Initials

24.The Guardian agrees and acknowledges that expenditures may vary from day to dayand even month to month based on the needs of the client at that particular time andbased on the projected length of stay for the Client with the goal of having servicehours balanced at the end of the client's enrollment period of the Venture AcademyResidential Program. The Guardian further agrees that all Venture Academyappointments required for the Client or anyone other than the Client, (such as theGuardian or other family members) shall be coordinated by and approved through theVenture Academy Program Director or designate.

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Guardian Initials

25.The Guardian agrees and acknowledges that the Venture Academy ResidentialProgram incurs expenses (such as staff salaries, operating expenses, etc.) on primarilya monthly basis from the first day of the calendar month to the last day of thecalendar month. Guardian further agrees that except for the month of initialplacement, the Client is enrolled in the Residential Program on a month to monthbasis from the first day of the calendar month to the last day of the calendar monthand that all fees apply accordingly.

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Guardian Initials

26.The Guardian agrees that the full amount of the Monthly Service Fee is payablemonthly whether the Client is in the Host Home or absent from the program for anyreason, including recommended and non-recommended home visits or being AWOLfrom the Venture Academy Residential Program.


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Guardian Initials

27.Any accrued costs, or any other outstanding monies owing hereunder and not paidwhen due shall be deducted from the Emergency Use Deposit or other deposits asapplicable upon the Client's discharge from the Venture Academy ResidentialProgram, in addition to and not in substitution for the Venture Academy being able toseek further payment from the Guardian or to pursue any available remedy in law towhich it is entitled.

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Guardian Initials

COMMUNICATION AND REPORTING

28.Venture Academy shall maintain regular (one time weekly) communications viatelephone or email with the Guardian or agreed upon designate regarding the Clientby the Venture Academy Program Director or designate with communicationstotaling not more than 30 minutes in length per week.

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Guardian Initials

29.The Guardian agrees and acknowledges that communication over and above what isoutlined above may be provided to the Guardian if requested in writing and billed athourly rates as identified by Venture Academy, from time to time, with invoicespayable by the Guardian upon receipt or in default of such payment deducted fromthe Emergency Use Deposit.

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Guardian Initials

30.The Guardian agrees and acknowledges that the only exceptions to communicating asoutlined above are as follows: 1. during the initial week of placement of which up tothree hours of communication (not including the initial admissions meetings) mayoccur, or 2. communication resulting because of a critical incident or AWOL.

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Guardian Initials


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31.The Guardian agrees to be available during weekdays, during the day between thehours of 9:00 AM and 4:00 PM local time, for personal meetings, teleconference callsand other communications with Venture Academy.

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Guardian Initials

32.The Guardian acknowledges that Venture Academy staff will not be accessible formeetings, consultation or other communication beyond the times described abovewhich includes not being available to the Guardian evenings and weekends. Anycommunication initiated by the Guardian under any circumstances outside the hoursdescribed above will be billed separately at an overtime rate set by the VentureAcademy and deducted from the Emergency Use Deposit.

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Guardian Initials

33.The Guardian agrees to not make any unscheduled or unauthorized calls or personalvisits to the Host Home without prior approval from the Venture Academy ProgramDirector or designate except in the case of a health related or other similar familyemergency.

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Guardian Initials

34.The Guardian agrees to immediately report to Venture Academy any calls orcommunications received from the Client which are unauthorized, unscheduled or

suspected to be unauthorized, or unscheduled.

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Guardian Initials

35.The Guardian acknowledges that emails will generally be responded to by theVenture Academy within 48 hours or two business days on a best-efforts basis.

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Guardian Initials

36.The Guardian agrees and acknowledges that communication between VentureAcademy and the Guardian not only results in the allotted time spent with the VentureAcademy Program Director or designate, but requires significant time invested intoinformation gathering and disbursing prior to and subsequent to the call or emailcommunication. The Guardian agrees and acknowledges that communication betweenVenture Academy and the Guardian exceeding the agreed upon time during the


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weekly phone updates directs resources away from the Client which are not replacedfor the Client by the Venture Academy.

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Guardian Initials

37.Venture Academy shall provide to the Guardian regularly scheduled verbal updatesregarding the Client which may or may not cover all issues that the Guardian maywish to have addressed. If there are specific issues that the Guardian wishesaddressed, it must provide prior written notice of those issues to the VentureAcademy. The Venture Academy does not guarantee that any of those issues will bepart of any subsequent update.

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Guardian Initials

38.The Guardian acknowledges that admissions or crisis admissions may occur suddenlyand may have an impact on scheduled calls from time to time. Venture Academy willput forth its best efforts to make up for and reschedule such calls.

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Guardian Initials

39.If identified as appropriate by Venture Academy, Venture Academy shall attempt toprovide to the Guardian a Transition Planning Report or develop a transition planprior to the Clients completion of the Residential Program. The Guardian agrees and

acknowledges that a Transition Planning Report will be provided only if VentureAcademy is suggesting client readiness to graduate in a projected 60 day or more timeframe (in order to provide time needed to all involved develop the plan and preparethe report). Alternately a brief discharge summary and recommendations will beprovided.

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Guardian Initials

GENERAL

40.The Guardian agrees that Venture Academy is not responsible for the following:a. providing to the Client any medical treatment or services, including but not

limited to the payment of hospital fees, physician fees (including a requiredinitial physical exam), optometrist fees, dental fees or any costs associated


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with prescription medication, other than any specific counselling by acounsellor as agreed to by Venture Academy. Venture Academy will use itsbest efforts to facilitate medical treatment and services in emergencysituations;

b.

the payment of any of the costs of the Clients extracurricular activities,including without limiting the foregoing, membership fees and the cost oflessons or equipment outside of Sponsored Outings, Activities or Excursions;

c. clothing and capital recreation equipment such as skis or snowboards etc.;d. any other goods and services not provided for in this Agreement.______________

Guardian Initials

41.Responsibility for loss or damage of Client's property - Guardian(s) agree(s) to holdharmless and release Venture Academy and its staff from all liability associated withloss or damage of any of the Client's property.

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Guardian Initials

42.The Guardian agrees on its and the Clients behalf, and as the Clients legal guardian,(unless the Client is 19 years of age or older, in which case the Client on its ownbehalf), as follows:

a. To waive any and all claims that I, or the Client or anyone claiming through oron the Clients behalf have or may in the future have against VentureAcademy Inc. and its directors, officers, employees, agents andrepresentatives (collectively, the Releasees);

b. To release the Releasees from any and all liability for any loss, damage, injuryor expense I or the Client may suffer or that our next of kin may suffer as aresult of my or the Client, including the negligence, breach of contract, orbreach of statutory duty of care on the part of the Venture Academy Inc., itsdirectors, officers, employees, agents and representatives;

c. To hold harmless and indemnify the Venture Academy, its directors, officers,employees, agents and representatives from any and all liability for anyproperty damage or personal injury to any of myself, the Client or third party,resulting from my conducting or taking part in any Venture Academy programor activity;


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d. That this Agreement shall be effective and is intended to be and is bindingupon my and the Clients heirs, next of kin, executors, administrators andassigns, in the event of my or the Clients death.

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43.The Guardian acknowledges a varying level of skills sets and qualifications ofVenture Academy employees or contractors.

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Guardian Initials

44.Venture Academy values and relies upon the continuation of its establishedrelationships with its employees and contractors and the parties to this Agreementrecognize and understand that the cessation or interruption of such relationships maycause substantial and irreparable harm to Venture Academys business.

a. The Guardian agrees to not solicit, obtain, or request services with or fromany present or past Venture Academy employee or contractor for purposes orservices which are substantially similar to those for which this Agreement hasbeen created and for which the Guardian has contracted with VentureAcademy, except within the terms of this Agreement or with the express priorpermission of Venture Academy.

b. In particular, the Guardian agrees not to, directly or indirectly, cause or allowthe Client to reside in a Host Home residence, except in accordance with theterms of this Agreement and otherwise with the prior, express permission ofVenture Academy, regardless of whether or not the Host parent receivespayment of any kind from the Guardian or from the Client or any otherperson, directly or indirectly, as compensation

c. For the purposes of this part, Venture Academy employees and contractorsinclude those persons or organizations which have been actively employed orengaged by Venture Academy within a 2 year period of the date on whichtheir services are solicited, obtained, or requested by the Guardian asidentified in paragraph 45(b) of this Agreement.

d. The parties agree that a genuine and reasonable pre-estimate of the monetarydamages payable to Venture Academy by the Guardian, forthwith upon abreach by the Guardian of this clause shall be:

i. upon the initial breach of this part, Venture Academys retention andthe Guardians forfeiture of the Deposit; and


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ii. for each subsequent month in which the breach continues or isrepeated by the Guardian, an amount equal to the Deposit.

e. Any amounts owing to Venture Academy pursuant to this part shall constitutea debt duly owing and to be paid by the Guardian, in full, within 10 business

days of Venture Academys notification to the Guardian of circumstancesamounting to a breach, or continuing or repeating breach, of this part.

f. Any amounts owing to Venture Academy pursuant to this part which are notpaid in full within 10 business days shall accrue compound interest at the rateof 2% per month for the duration of the period during which the amountsowing have not been paid to Venture Academy in full.

g. Venture Academy may, in part or full satisfaction of the entitlement topayment pursuant to this clause, withhold the amounts owing to it from anymonetary amounts otherwise owed by Venture Academy to the Guardian.

h. In the event the amounts owing to Venture Academy pursuant to this part arenot paid, in full, by the Guardian within 10 business days of VentureAcademys notification to the Guardian of circumstances amounting to abreach of this part, Venture Academy may otherwise pursue payment of themonetary damages by the Guardian in the civil courts of British Columbiaand, in that event, the Guardian hereby indemnifies Venture Academy for alllegal fees, disbursements, and taxes paid out by Venture Academy in thecourse of obtaining a courts order compelling payment by the Guardian andin the course of enforcement of any such order.

IN PLAIN LANGUAGE, PLEASE DO NOT TRY TO ARRANGE FOR YOUR CHILD

TO LIVE OR STAY AT THE HOME IN WHICH HE OR SHE HAS STAYED WHILEAT VENTURE ACADEMY. THIS WILL CAUSE SIGNIFICANTORGANIZATIONAL, FINANCIAL AND RELTIONSHIP PROBLEMS FOR ALLINVOLVED. PLEASE DO NOT TRY TO HIRE THE HOST PARENTS.

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Guardian Initials

45.The Guardian agrees and acknowledges that the Client may be placed in a VentureAcademy Host Home with other youth or that other youth may be placed in a Venture

Academy Host Home with the Client on a temporary or long-term basis.

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Guardian Initials

46.The Guardian agrees and acknowledges that the Client may be placed in an initialVenture Academy Host Home on a temporary basis in order that Venture Academy


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may evaluate the appropriateness and suitability of the placement, or that the Clientmay be placed in an initial Venture Academy Host Home on a temporary basis forother identified or non-identified reasons (such as assessment, crisis admission,detoxification purposes etc.). Guardian agrees and acknowledges that the Client maybe placed in another Venture Academy Host Home as a result of unsuitability of the

original placement or possible improved suitability of another Host Home or forother identified or non-identified reasons.

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Guardian Initials

47.The Guardian agrees and acknowledges that Venture Academy regularly implementstemporary stays which incorporate moving the client to another Host Home forregularly scheduled or periodic therapeutic purposes, behaviour managementstrategies, additional safety measures, and other identified or non-identified reasons.

The Guardian additionally agrees and acknowledges that the temporary stays areimplemented solely at Venture Academy's discretion and may be implementedwithout notification to the Guardian and without notification to the Guardian of thenames or location of the Host Home.

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Guardian Initials

48.The Guardian agrees and acknowledges that should the Client AWOL and contact theGuardian, or if the Client returns to the family home, that the Guardian will act as

directed by the Venture Academy and follow these steps, including but not limited tothe following; confirming Client location, informing the Client that the family iscommitted to having the Client participate and follow through with the ResidentialProgram, informing the client that they cannot return to or remain at the family homeand must return to the Residential Program immediately. The Guardian also agreesand acknowledges that they will exhaust all efforts to return the Client to theResidential program at the Guardian's sole expense. The Guardian acknowledges thatthe previously engaged Host Home placement may or may not be accessible shouldthe Client be AWOL from the Residential Program for an extended period with theunderstanding that an alternate Host Home will be provided.

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49.The Guardian agrees and acknowledges that the Residential Program is implementedin a community based setting and that the Host Home is a typical family home settingand the Guardian acknowledges and voluntarily, on its and the Clients behalf,assumes all the inherent dangers and risks of the Client residing in a typical family


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home setting including but not limited to such things as exposure to sharp householdobjects such as knives and scissors, sleeping or remaining in a bedroom behind closeddoors for eight hours or more without staff contact, and being out in the communitywithout supervision.


50.The Guardian agrees and acknowledges that it will not provide any promise orsuggestion, and that it is in their best interest not to provide any promise orsuggestion, to the Client of a pending move or move date, conditional orunconditional, from the Venture Academy placement in the Residential Program backhome or to any other location, as any promise or suggestion of a pending move ormove date, or perception by the Client that there may be a pending move or movedate, can have a detrimental effect in terms of Venture Academy's ability to continueto apply therapeutic intervention methods. The Guardian agrees and acknowledges

that upon the Client understanding or misunderstanding that a move out of theResidential Program is inevitable; the Client may perceive that he or she may nolonger have a reason to continue to comply with program expectations thereforeundermining any previous or future work to be completed by Venture Academy.Venture Academy reserves the right to discharge the Client back to the Guardian atthe Guardians sole expense, which the Guardian agrees to be responsible for andpay, if Venture Academy determines our therapeutic ability has been undermined bythe any promise or suggestion of a return home by the Guardian.

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Guardian Initials

51.The Guardian agrees, understands and acknowledges that the Client will be exposedto emotional discomfort, strain, stress or anxiety as a result of displacement from theirown home or community, or as a result of progressing through the intervention andcounselling process and generally being in an environment that is beyond the Client's"comfort zone". The Guardian agrees and acknowledges that the resulting emotionaldiscomfort, strain, stress or anxiety may manifest itself in heightened or new "actingout" behaviors that may not have been demonstrated or observed prior to admission.The Guardian agrees and acknowledges, and assumes on its and the Clients behalf,any and all risks that these heightened or new "acting out" behaviors may result in,

including the Client placing himself or herself in an elevated state of risk tothemselves which may include intentional or non-intentional self harming behavioursand other "heightened" behaviors not previously demonstrated by the Client.

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52.The Guardian agrees, acknowledges and is aware that the Client's emotional,developmental and behavioral presentation developed over considerable time to reachthe point of the Guardian needing to access the Residential Program. The Guardianagrees and acknowledges that positive changes, even in a treatment setting take timeas well. The Guardian agrees and acknowledges that the Client or program may not

identify weekly or regular life changing experiences but rather may experience theoccurrence of subtle behavioral differences with moments of identified andtherapeutic insight. The Guardian agrees and acknowledges that periodic setbacks orrelapses may occur and are also a part of the therapeutic process._____________

Guardian Initials

53.The Guardian agrees and acknowledges that while it is unlikely, it is possible that,due to the Client's diagnosed or undiagnosed psychological or physiologicaldisorders, the Client's genetic make-up or personality traits, family patterns of

interaction, other outside influences, and other unknown contributing factors, theResidential Program may have no short-term or long-term, positive impact on theClient whatsoever, and the Guardian assumes that risk.

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Guardian Initials

54.Satisfaction Assurance: Venture Academy implements various protocols andprocedures for consumer satisfaction and quality assurance purposes. Parental and

Guardian consumer satisfaction is of the utmost importance to Venture Academy. TheGuardian agrees and acknowledges satisfaction with Venture Academy servicesdelivered for the previous month and all months prior to the previous month throughcontinued and regular monthly payment for services. The Guardian agrees andacknowledges that regular payment for Venture Academy services and continuedengagement of Venture Academy services confirms Guardian satisfaction of servicesdelivered and confirms that the Guardian believes that continuation of VentureAcademy services is in their son or daughters best interest even if a third party ispaying for Venture Academy services.

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Guardian Initials

55.The Guardian agrees and acknowledges that should the Guardian not be satisfied withservices delivered, that the Guardian will immediately notify Venture Academy inattempts to resolve the situation (citing this number of the Residential ProgramAgreement). The Guardian agrees that if an agreement is not reached to the


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satisfaction of both parties within two weeks of the original notification the Guardianagrees to give 30-days further written notice to withdraw the Client from theResidential Program. The Guardian further agrees that failure to give 30-days writtennotice to withdraw the Client from the Residential Program confirms Guardiansatisfaction of services delivered and confirms that the Guardian believes that

continuation of Venture Academy services is in their son or daughters best interest.

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Guardian Initials

56.The Guardian agrees and acknowledges that Venture Academy services are intendedto be engaged as a private alternative to government funded services. The Guardianagrees and acknowledges that government services or government service workersmay sometimes permeate our infrastructure or that government services may becomeinvolved through the medical system, judicial system, social service system or some

other government system through necessity, governing law or some other due orundue circumstance that may or may not be forseen. Identified government agenciesmay include but may not be limited to emergency response services, medical service,police services, social services etc. The Guardian agrees and acknowledges thatVenture Academy will attempt to work cooperatively with identified governmentworkers, agencies etc. and the Guardian agrees and acknowledges that response fromsuch workers and agencies may be unpredictable and incongruent with the values andphilosophy of Venture Academy resulting in differing opinions and subsequentactions implemented by government organizations that is beyond the control ofVenture Academy.


57.The Guardian agrees and acknowledges that Venture Academy may contact identifiedcommunity professionals referred to in the submitted Program Application packageand/or other supporting documentation for clinical liaison purposes as it pertains tothe Client or for other professional or promotional matters.


58.The Guardian agrees that Venture Academy may use written comments ortestimonials and photographic images of my son or daughter as he or she hasparticipated in the program or has commented about their experience in the programfor promotional and/or commercial use without compensation, with the intent ofconveying a positive message to other professionals or families in order to assist


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youth to overcome their struggles and develop more healthy lifestyles andrelationships.

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Guardian Initials

59.Authorization for medical examination - Guardian(s) hereby give(s) consent andauthorizes Venture Academy to administer or alternatively agrees to obtain a physicalexamination (as needed and by a qualified physician) to the Client.

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Guardian Initials

60.Authorization for medical care - Guardian(s) hereby give(s) consent and authorizeson its behalf and on behalf of the Client, Venture Academy to provide for medicaland hospital care and to authorize a physician to perform any procedure or test thatmay be medically necessary for the well-being of the Client in the event of any injury,accident, illness, or other necessity.

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Guardian Initials

61.Authorization for medication dispensing - Guardian(s) hereby give(s) consent andauthorizes Venture Academy to dispense over-the-counter medication as required and

as directed by a physician and/or as directed by the Guardian themselves.

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Guardian Initials

62.Authorization for search - Guardian(s) hereby give(s) consent and authorizes VentureAcademy to search the personal effects and person of the Client. Venture Academy ishereby authorized to confiscate any and all items deemed by Venture Academy ascontraband. Searches may be conducted upon arrival and at other times as VentureAcademy staff may or may not suspect the Client be in possession of contraband

items. The disposition of all contraband items shall be the sole responsibility of theGuardian(s) who will receive same at appropriate times chosen by Venture Academy.Contraband items are those items which the Venture Academy so determines at itssole discretion from time to time but usually involves items relating to health, safetyand well being of the Client and others.. Venture Academy will provide notice of anyconfiscation to the Guardian(s).

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Guardian Initials

63.The Guardian agrees and acknowledges that Venture Academy implements a workethic strategy as part of personal responsibility, Venture Academy communityresponsibility, self esteem building, and the establishment of values based on themoral virtues of hard work and diligence. The Guardian agrees and acknowledgesthat the Client may be exposed to physical discomfort and emotional strain wheninvolved in work duties mainly revolving around household chores and outdoor homemaintenance, yard care and landscaping duties.

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Guardian Initials

64.Authorization for transport - Guardian(s) hereby give(s) consent and authorizesVenture Academy to transport the Client in any company owned or leased vehiclesand/or vehicles owned or leased by Venture Academy employees or contractors.Guardian(s) hereby give(s) consent and authorizes the Client to access transportationprovided by non-Venture Academy means such as public transit where deemedappropriate by the Venture Academy.


65.The Guardian agrees and acknowledges that on occasion Venture Academy mayaccommodate pre-admission visits where prospective parents contemplatingengagement in Venture Academy services may be given a supervised tour of thefacilities and may engage in conversations with staff and or Clients about theprogram.

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Guardian Initials

CANCELLATION

66.The Guardian may cancel the Agreement at anytime and for any reason, uponproviding Venture Academy with a minimum 30-days written notice prior to the firstof the month of the last month of service provision.

a. If the Guardian fails or neglects to provide Venture Academy with 30-dayswritten notice of its intention to terminate this Agreement prior to the first of


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the month of the last month of service provision, Venture Academy shall beentitled to retain, and the Guardian shall forfeit, the Deposit.

b. The parties agree that Venture Academys retention of the Deposit is notconsidered by either party to the Agreement as a penalty for early withdrawal,

without timely notice, of the Client. Because the resulting cost to VentureAcademy of such items as contracted staff, staff salaries, incurred debtreduction, staff schedules, inventories, operating expenses, and others, aredifficult or impossible to estimate with accuracy in the event timely notice isnot given by the Guardian, the Guardians forfeiture of the Deposit is acceptedby the parties as a genuine and reasonable pre-estimate of Venture Academyslosses resulting from the Guardians failure to provide timely notice of itsearly withdrawal of the Client.

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Guardian Initials

67.The cancellation process as outlined above applies in all instances including but notlimited to the following;

a. the Client leaves the Residential Program on his or her own volition (AWOL)without authorization from the Guardian or Venture Academy;

b. the Guardian voluntarily withdraws the Client from the Venture AcademyResidential Program for any reason;

c. the Client or Guardian relocates residence or moves away from the area ofservice delivery;

d. the Client or Guardian becomes ill and is unable to continue with the VentureAcademy Residential Program;

e. the Public Trustee of British Columbia requires termination of the VentureAcademy Residential Program;

f. the RCMP requires that the Client be relocated for any reason.

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Guardian Initials

68.Venture Academy may cancel the Agreement at anytime for any reason uponproviding the Guardian with 24 hours verbal notice. If the Client leaves theResidential Program of his or her own volition (AWOL) then Venture Academy shallimmediately (within 30 minutes) use its best efforts to notify the Guardian and willmake initial efforts to locate the Client but will not take further action unless so


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requested by the Guardian and agreed by Venture Academy. There shall be noreduction in service fees while the Client is absent from the program.

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Guardian Initials

69.If the Client leaves the Residential Program of his or her own volition (AWOL) anddoes not return within 30 days, the Client shall be considered discharged from theResidential Program as of the date the Client left the Residential program (AWOL).

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Guardian Initials

70.Any transportation costs incurred in order to immediately transport the client homewill be utilized from the Deposit or Emergency Use Deposit, and if such funds areinsufficient, the Guardian agrees to immediately pay any such shortfall upon demand.

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Guardian Initials

71.The Guardian agrees and acknowledges that Venture Academy is not responsible forany possessions left behind by the Client or Guardian when the Client has left theresidential program under any circumstances. The Guardian agrees and acknowledgesthat Venture Academy will use its best efforts to return possessions left behind and

costs of return will be deducted from any remaining deposits. The Guardian agreesand acknowledges that items that cannot be returned due to size or complicatedlogistics will be donated to a local charity within 30 days if the Client or Guardian hasnot picked up the possessions during regular business hours within 30 days of theClient leaving the residential program.

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Guardian Initials

72.Venture Academy recognizes the Public Trustee of British Columbias jurisdiction toprotect childrens legal rights and will attorn to any order made in respect of anyClient by the Trustee.

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Guardian Initials

EXCLUSION OF LIABILITY


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73.The Guardian shall and hereby assumes all risks to the Client of personal injury,death or property loss resulting from any cause whatsoever including but not limitedto: the risks, dangers and hazards of any and all activity of any kind whatsoever,including high-risk indoor and outdoor recreational activities, during the course of the

Residential Program, or negligence (but not including gross negligence), breach ofcontract, or breach of statutory duty of care on the part of Venture Academy, theiraffiliated companies and subsidiaries, and their directors, officers, shareholders,trustees, beneficiaries, employees, agents, representatives, Guardians, successors andassigns.

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Guardian Initials

74.The Guardian covenants and agrees to indemnify and hold harmless VentureAcademy and its heirs, executors, administrators, successors, and assigns, from anyand all manners of action and actions, causes and causes of action, suits, debts, sumsof money, claims and demands whatsoever at law or in equity which may arise out ofthis Agreement by reason of or in relation to Venture Academys provision ofservices to the Client, including but not limited to any claims, actions, suits, debts, ordemands by or on behalf of the Client for any reason.

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Guardian Initials

75.The Guardian of the Client acknowledges his or her enrollment in the ResidentialProgram and acknowledges that his or her enrollment in the Residential Program maybe in his or her best interests.


HOME VISITS, DISCHARGE DATES

76.THE GUARDIAN AGREES AND COMMITS TO NOT HAVING ANYDISCUSSIONS WITH THE CLIENT ABOUT HOME VISIT DATES ANDLENGTH OF STAY FOR ANY POTENTIAL OR PREVIOUSLY AGREED UPONHOME VISITS WITHOUT THE SUPERVISION OF THE VENTURE ACADEMYPROGRAM DIRECTOR OR DESIGNATE.

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Guardian Initials


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77.THE GUARDIAN AGREES TO NOT PREDETERMINE WITH, HAVEDISCUSSIONS ABOUT, IMPLY, OR COMMUNICATE IN ANY WAY TO THECLIENT A PENDING DISCHARGE DATE, OR PROJECTED TIME PERIOD OFPARTICIPATION IN, OR LENGTH OF STAY IN, THE RESIDENTIAL

PROGRAM. THE GUARDIAN AGREES AND ACKNOWLEDGES THAT ABREACH OF THIS CONDITION MAY RESULT IN AN IMMEDIATEDISCHARGE OF THE CLIENT FROM THE RESIDENTIAL PROGRAMWITHOUT REFUND OF SERVICE PAYMENT INCLUDING THE ONEMONTH'S SERVICE FEE DEPOSIT.

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Guardian Initials

The parties have hereby executed this Agreement before witnesses in the city of

_____________________, in the province of _______________________

on the _____ day of _________________, 20______.

VENTURE ACADEMY

Per:_____________________________________

Venture Academy Authorized Signatory


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SIGNED, SEALED & DELIVEREDin the presence of:

Witness Signature

Print Name

Address

Occupation

(Signature of Guardian)

(Name of Guardian)

venture academy - residential program agreement bc-1

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