PAL Youth Leadership Club
The Albany PAL Youth Leadership Council (YLC) is made up of high school-aged children who work with Albany Police Officers and PAL staff to discuss and recommend effective ways to better Albany PAL. The YLC provides a youthful voice in determining PAL programs, policies, and strategies. The children of YLC provide positive peer role models, improve communication between PAL staff and the youth they serve, and perform community service projects.
Applicant Name *
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Date of Birth *
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Age *
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Home Address *
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Telephone *
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School *
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Grade *
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Parent/Guardian Name *
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Relationship to Applicant *
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Email *
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Phone (Home/Cell) *
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Phone (Work) *
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Are you an Albany Public Housing Resident and/or a Section 8 Benefactor?
Female Head of Household?
Does your child qualify for the free or reduced lunch program?
Sex of Applicant
Racial Group(s)? Please check all that apply.
Emergency Contact *
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Emergency Contact Telephone *
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Hospitalization Plan *
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Policy # *
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Allergies *
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Doctors Name *
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Doctors Telephone *
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I/WE, the Parents or guardians of the above-named candidate for a position on the Albany Police Athletic League Inc. (PAL), hereby give my/our approval for our child to participate in any and all PAL activities. I/we know that participation in PAL activities may result in serious injury and that protective equipment does not prevent all injuries to players and/or participants, and I/we do hereby waive, release, absolve, indemnify and agree to hold harmless the Albany Police Athletic League, PAL Board members, National PAL, organizers, sponsors, supervisors, participants and persons transporting my/our child to and from activities from any claim arising out of any injury to my/our child whether the result of negligence or any other cause. I/we do hereby give permission for my child to receive medical treatment in case of an emergency if I/we cannot be contacted. I/We do hereby give permission for my/our child’s photo likeness to be used in any and all PAL promotional literature. Parent/Guardian Signature: *
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