{"id":2035,"date":"2026-08-24T15:51:33","date_gmt":"2026-08-24T19:51:33","guid":{"rendered":"https:\/\/yfc.ca\/kawartha-lakes\/?page_id=2035"},"modified":"2026-08-24T15:51:33","modified_gmt":"2026-08-24T19:51:33","slug":"application-for-music-unlimited","status":"publish","type":"page","link":"https:\/\/yfc.ca\/kawartha-lakes\/application-for-music-unlimited\/","title":{"rendered":"Application for Music Unlimited"},"content":{"rendered":"<section class=\"y-spacer small grey  guten-block\" ><\/section>\n\n<section class=\"y-single-image wide  guten-block\">\r\n\t\r\n\t\t\t<div class=\"grid-narrow\">\r\n\t\t\t<img decoding=\"async\" class=\"wide\" src=\"https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/uploads\/sites\/44\/2026\/08\/Color-Music-Unlimited-Triad-Logo-750-x-275-px-1.png\" alt=\"\" \/>\r\n\t\t<\/div>\r\n\t<\/section>\r\n\n\n\t<section class=\"y-gravity-form grey  guten-block\" >\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t\t\t\t<div class=\"y-gravity-form--inner\">\r\n\t\t\t\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_36' ><div id='gf_36' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_36' id='gform_36'  action='\/kawartha-lakes\/wp-json\/wp\/v2\/pages\/2035#gf_36' data-formid='36' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lfq1YsaAAAAAIlCN1-uzuUjef83MGbopf9xeWCd' data-tabindex='0'><input id=\"input_43631b131d2315cdbc2b8f43dd01c2df\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_43631b131d2315cdbc2b8f43dd01c2df\" value=\"\"\/><\/div>\n        <div id='gf_progressbar_wrapper_36' class='gf_progressbar_wrapper' data-start-at-zero='1'>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_0' style='width:0%;'><span>0%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_36_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_36' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_36_77\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Class Time is Thursdays, 7:00 &#8211; 8:30 pm<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_36_77'><li class='gchoice gchoice_36_77_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.1' type='checkbox'  value='October 8, 2026 to May 27, 2027 (off during school breaks)'  id='choice_36_77_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_36_77_1' id='label_36_77_1' class='gform-field-label gform-field-label--type-inline'>October 8, 2026 to May 27, 2027 (off during school breaks)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_36_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Participant Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_36_1'>\n                            \n                            <span id='input_36_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_36_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_36_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_36_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_36_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_36_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_36_6\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_6'>Birth Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_6' id='input_36_6' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_36_6_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_36_6_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_36_6' class='gform_hidden' value='https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_36_44\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_44'>Age<\/label><div class='ginput_container ginput_container_number'><input name='input_44' id='input_36_44' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_36_80\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_80'>Gender<\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_36_80' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_82\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_82'>Name of School that Student Attends<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_36_82' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_87\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_87'>Tell us about the student&#039;s musical background.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_87' id='input_36_87' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_36_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_36_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_36_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_36_4_1' value=''    aria-required='true'    \/>\n                                        <label for='input_36_4_1' id='input_36_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_36_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_36_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_36_4_2' id='input_36_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_36_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_36_4_3' value=''    aria-required='true'    \/>\n                                    <label for='input_36_4_3' id='input_36_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_4.4' id='input_36_4_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_36_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_36_4_5' value=''    aria-required='true'    \/>\n                                    <label for='input_36_4_5' id='input_36_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_36_4_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_36_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_5'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_36_5' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_36_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_36_10\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_10'>Please describe below any health concerns, medical conditions\/allergies, or accommodations needed  that we should be aware of to help the student succeed in our program:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_36_10' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_36_43' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_36_2' class='gform_page' data-js='page-field-id-43' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_36_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_36_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Parent\/Guardian\/Caregiver Contact Information<\/h2><\/li><li id=\"field_36_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_12'>Parent\/Guardian\/Caregiver Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_36_12' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_14'>Contact Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_36_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_13'>Relationship to Student<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_36_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_16'>Alternate Emergency Contact Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_36_16' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_15'>Alt. Emergency Contact Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_36_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_17'>Relationship to Student<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_36_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_42\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_42'>Additional Email Address for Program Communication<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_36_42' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_36_39' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_36_39' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_36_3' class='gform_page' data-js='page-field-id-39' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_36_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_36_18\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Consents and Releases<\/h2><\/li><li id=\"field_36_34\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Purposes and Extent:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_34.1' id='input_36_34_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_36_34_1' >KLYU 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 to limit the information collected or to view your child&#8217;s information, please contact us.<\/label><input type='hidden' name='input_34.2' value='KLYU 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 to limit the information collected or to view your child&#039;s information, please contact us.' class='gform_hidden' \/><input type='hidden' name='input_34.3' value='29' class='gform_hidden' \/><\/div><\/li><li id=\"field_36_35\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Medical Consent:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_35.1' id='input_36_35_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_36_35_1' >I\/we, the parents or guardians named above, authorize Kawartha Lakes Youth Unlimited (KLYU) to administer any first aid treatment necessary, and in the case of medical emergency, to authorize any physician or hospital to provide a medical assessment, treatment or procedures for the participant named above. KLYU representatives will do everything in their power to contact parents or emergency contacts before such action, if a problem should arise.<\/label><input type='hidden' name='input_35.2' value='I\/we, the parents or guardians named above, authorize Kawartha Lakes Youth Unlimited (KLYU) to administer any first aid treatment necessary, and in the case of medical emergency, to authorize any physician or hospital to provide a medical assessment, treatment or procedures for the participant named above. KLYU representatives will do everything in their power to contact parents or emergency contacts before such action, if a problem should arise.' class='gform_hidden' \/><input type='hidden' name='input_35.3' value='29' class='gform_hidden' \/><\/div><\/li><li id=\"field_36_85\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Music Ownership &amp; Royalty Rights:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_85.1' id='input_36_85_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_36_85\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_36_85_1' >Official Policy Statement<\/label><input type='hidden' name='input_85.2' value='Official Policy Statement' class='gform_hidden' \/><input type='hidden' name='input_85.3' value='29' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_36_85' tabindex='0'>KLYU explicitly confirms that it holds no ownership rights, claim, or financial interest in any original music composed by participating youth. Consequently, YFC\/Youth Unlimited Kawartha Lakes will neither receive nor pay out any commissions, royalties, or financial compensation of any kind to composers, parents, or guardians for the creation, recording, or performance of music within its programs.<br \/>\nKey Terms &#038; Policy Breakdown<br \/>\n100% Creator Ownership: All original music composed during YFC\/Youth Unlimited Kawartha Lakes programs remains the sole intellectual property of the youth creators involved.<br \/>\nNo Commission or Royalty Obligations: YFC\/Youth Unlimited Kawartha Lakes is strictly exempt from receiving or distributing any commissions or royalties generated from recorded versions, streaming, sales, or public performances of the music.<br \/>\nPromotional Use Exemption: Any recordings made by YFC\/Youth Unlimited Kawartha Lakes strictly for promotional use carry no financial entitlement, royalty payouts, or commission collection for any party.<br \/>\nProof of Copyright: A recorded and dated public performance serves as official evidence of copyright creation.<br \/>\nCopyright Registration Responsibility: The legal registration of copyright and the organization of formal studio\/commercial recordings are solely the responsibility of the composers and their parents or legal guardians.<br \/>\n<\/div><\/li><li id=\"field_36_33\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Responsibility:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_33.1' id='input_36_33_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_36_33_1' >I\/we acknowledge that it is my responsibility to take the necessary steps for insuring against personal injury, property damage, or any loss by my child or by self. I also acknowledge that I must assume total responsibility for ALL medical coverage, accidental insurance and personal injury, or any other loss or damage. I will also pay for the cost to have my child sent home if he\/she is unwilling to comply with the rules.<\/label><input type='hidden' name='input_33.2' value='I\/we acknowledge that it is my responsibility to take the necessary steps for insuring against personal injury, property damage, or any loss by my child or by self. I also acknowledge that I must assume total responsibility for ALL medical coverage, accidental insurance and personal injury, or any other loss or damage. I will also pay for the cost to have my child sent home if he\/she is unwilling to comply with the rules.' class='gform_hidden' \/><input type='hidden' name='input_33.3' value='29' class='gform_hidden' \/><\/div><\/li><li id=\"field_36_36\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Faith Disclosure:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_36.1' id='input_36_36_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_36_36_1' >I\/we understand that KLYU is a non-denominational, faith-based, not-for-profit organization that is governed and operated by Christian values, principles and beliefs.  I\/we understand that KLYU is inclusive to all participants regardless of their personal religious belief, race, sexuality, socio-economic status, or gender.  I\/we understand that the staff and volunteers of KLYU, with the utmost dignity and respect, may engage in discussions, conversations and\/or lessons regarding topics of faith with my child during the course of their participation with KLYU and its affiliates.<\/label><input type='hidden' name='input_36.2' value='I\/we understand that KLYU is a non-denominational, faith-based, not-for-profit organization that is governed and operated by Christian values, principles and beliefs.  I\/we understand that KLYU is inclusive to all participants regardless of their personal religious belief, race, sexuality, socio-economic status, or gender.  I\/we understand that the staff and volunteers of KLYU, with the utmost dignity and respect, may engage in discussions, conversations and\/or lessons regarding topics of faith with my child during the course of their participation with KLYU and its affiliates.' class='gform_hidden' \/><input type='hidden' name='input_36.3' value='29' class='gform_hidden' \/><\/div><\/li><li id=\"field_36_27\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Photos\/Media Release: I\/we (do\/do not) authorize KLYU to take, use and own, in perpetuity, names, photographs, or recordings of the students; understanding that these photos or recordings may be used for public promotional purpose (such as newspaper articles, newsletters, Facebook, other media outlets, etc.).  KLYU does not sell or give away any recorded materials or mailing list information.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_36_27'><li class='gchoice gchoice_36_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='Agree'  id='choice_36_27_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_36_27_1' id='label_36_27_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_36_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='Disagree'  id='choice_36_27_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_36_27_2' id='label_36_27_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_36_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Communication: A policy is in effect that communications is to be used solely for the dissemination of information.  I\/we agree to permit KLYU staff or volunteers to communicate with applicant student via telephone, email, social media or text.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_36_28'><li class='gchoice gchoice_36_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Agree'  id='choice_36_28_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_36_28_1' id='label_36_28_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_36_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='Disagree'  id='choice_36_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_36_28_2' id='label_36_28_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_36_37\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Parent\/Guardian Acknowledgement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_37.1' id='input_36_37_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_36_37\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_36_37_1' >Acknowledged<\/label><input type='hidden' name='input_37.2' value='Acknowledged' class='gform_hidden' \/><input type='hidden' name='input_37.3' value='29' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_36_37' tabindex='0'>By participating in this registration process and the corresponding activity, I\/we, named below, undertake and agree to indemnify and hold harmless KLYU and KYFC, its trustees directors corporation members, servants, agents, volunteers, employees, and all program personnel from any and all 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 KLYU, as well as of any medical treatment authorized by the supervising individuals representing KLYU.  This consent and authorization is effective only when participating in or travelling to events sponsored by KLYU.<\/div><\/li><li id=\"field_36_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_32'>I have read, understood, and agree with the above and sign it to cover all the student activities associated with the Kawartha Lakes Youth Unlimited Program. (please type your written name and sign below)<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_36_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_36_38\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_36_38'>Date Signed<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_38' id='input_36_38' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_36_38_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_36_38_date_format' 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