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Existing Account Link Form
I HAVE A COLLEGECHOICE 529 ACCOUNT ALREADY FOR MY CHILD AND WOULD LIKE TO USE THE ACCOUNT TO JOIN THE PROMISE PROGRAM AND BECOME ELIGIBLE FOR ANY INCENTIVES.
ADULT (Account Owner)
Last Name *
Your answer
First Name *
Your answer
Middle Initial
Your answer
Email *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
CHILD (Beneficiary)
Last Name *
Your answer
First Name *
Your answer
Middle Initial
Your answer
School Name *
Your answer
County Where School is Located *
Your answer
Grade Level *
Your answer
CollegeChoice 529 Account Number *
Your answer
*
Required
Electronic Signature *
Your answer
Date *
MM
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DD
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YYYY
*
Required
Participation Waiver
My signature above indicates that I am the Account Owner and I give my child permission to participate in Promise Indiana, including the evaluation process. I give Ascensus College Savings permission to share data for my CollegeChoice 529 account with Promise Indiana. I understand that this process includes collection of demographic data, attendance, academic outcomes, and youth development outcomes. I agree that the YMCA, CollegeChoice 529, my child's school district, and anyone they give permission to, has the right to use my child's participation data in any form or manner whatsoever and that I will have no objections to this now or in the future. I understand and agree that the data may be used as part of another work. No information about my child will be disclosed to anyone outside the research process. The research staff will maintain my child's confidentiality by not revealing his/her name through any material or data.

I also give my permission for the YMCA to use any video film, footage, sound track recordings, and photos taken of me and/or my child in connection with the Program in any way it chooses, including providing it to others. I understand that any video film, footage, sound track recordings, and photos taken of me and/or my child in connection with the Program shall be owned by the YMCA and YMCA of the USA and they can use them without restriction worldwide. I or my child may, or may not be, identified in such reproductions; however, I shall not be stated by name to have endorsed any particular commercial products or services. I forever release and discharge Promise Indiana and anyone working with it from any and all claims in connection with the uses and reproductions of any video film, footage, sound track recordings, and photo reproductions of me and/or my child. I give the above consents and permissions without any expectation of payment of any kind and agree I cannot change my mind or file any claim in the future.

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