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Youth Financial Education Class Registry
Securing The Bag 
When: Every 2nd Saturday
Time: 11:00am - 1:00pm
Where: 150 E 1st Street, Lancaster, TX 75146
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Parent/Legal Guardian Information

First Name
*
Last Name *
Phone Number *
Email Address *
Youth Information

First Name
*
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Race *
School Name (if applicable): *
Grade Level *
Primary Language Spoken *
Home Address *
City *
State *
Zip Code *
Does the youth need transportation assistance? *
Does your child have any allergies? *
If yes, please list. If no, type N/A. *
Preferred method of contact for follow-up: *
To You From Us Youth Participant Release and Waiver of Liability

I, the undersigned parent or legal guardian, on behalf of my child (the “Participant”), desire for the Participant to engage in activities related to To You From Us (TYFU). In consideration for my child's opportunity to participate in TYFU's community programs, I freely and voluntarily execute this Release under the following terms:

RELEASE AND WAIVER OF LIABILITY. I, on behalf of my child, do hereby release and forever discharge, and hold harmless TYFU and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my child’s participation in activities for TYFU. I understand and acknowledge that this Release discharges TYFU from any liability or claim of negligence that my child or I may have against TYFU with respect to any bodily injury, personal injury, illness, death, or property damage that may result from my child’s participation in TYFU's activities.

MEDIA RELEASE. I do hereby grant and convey unto TYFU all right, title, and interest in any and all photographic images and video or audio recordings made by TYFU during my child’s participation in TYFU's activities. This includes but is not limited to any royalties, proceeds, or other benefits derived from such photographs or recordings. I further understand that it is my responsibility to remove my child from any area where photos or videos are being taken if I do not wish for my child to be included.

Acknowledgment and Agreement

By providing my name and the date below, I acknowledge that I have read and understand this Release and Waiver of Liability and agree to its terms on behalf of my child. My entry of this information serves as my legal signature.

MUST BE COMPLETED BY PARENT OR LEGAL GUARDIAN

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