Change Conference Volunteer Application Form – Parent/Guardian Permission

Volunteer Application Form – Parent/Guardian Permission

Participant Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent/Guardian Name*
First Last
Relation to the participant
Parent/Guardian Work Phone*
Parent/Guardian Email*
Parent/Guardian Options*
I agree
I/we, named below, undertake and agree to indemnify and hold harmless Youth for Christ/Youth Unlimited, Program Personnel, YFC Canada, its trustees, directors, corporation members, servants, agents, volunteers, employees and all program personnel from any and all actions, causes of actions, claims and demands whatsoever whether existing as of this date or in the future; and, against any loss, damage or injury suffered by the participant as a result of being part of the activities of YFC Canada, as well as of any medical treatment authorized by the supervising individuals representing YFC Canada. This consent and authorization is effective only when participating in or traveling to events sponsored by YFC Canada.
Communication*
I agree
A policy is in effect that communication is to be used solely for the dissemination of information. I/We agree to permit YFC Canada staff or volunteers to communicate with applicant student via telephone, email, social media or text.
Purposes and Extent*
I agree
Youth for Christ/Youth Unlimited is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to develop and nurture on-going relationships with you and your child, and to inform you of program updates and upcoming opportunities at our organization. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish YFC Canada/Youth Unlimited to limit the information collected, or to view your child’s information, please contact us.
Photos/Media Release*
I agree
I/We agree to permit reasonable use of photos, videos, written materials or other pictures of applicant student in promoting Youth for Christ/Youth Unlimited and their activities and programs. We understand that these could appear in agency newsletters, brochures, website or social media; or in local newspapers, on television, and might identify participants by first name. We wish to inform you of this in advance in order to avoid any surprises or misunderstandings.
Signature*

Hello!

You are here because your child signed up to Volunteer with Change Conference and indicated that they are under the age of 18. This means they require parental/guardian acknowledgement, permission and signature to complete their volunteer form.

Please take a moment to review the information on this form, fill out any remaining information needed, and then agree and sign off on the Liability and Release Waiver.

We are so excited to have your child on the team and look forward to meeting them!

If you have any questions, please do not hesitate to contact me.

Blessings,
Kristin Schut
Change Conference – Events Assistant
kristin@changeconference.com | 519-535-8241

Change Conference

Volunteer Application Form – Parent/Guardian Permission

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