Liberty Youth Council Parent Permission for Student Registration
Event Timing: 2019 - 2020
Event Address: Liberty Town Hall - 239 S Fayetteville St. Liberty, 27298
Contact us at 336.880.0537 cell or celebrateliberty@gmail.com
Student's Name *
Your answer
Parents Name *
Your answer
Parent Email *
Primary Parent Contact who will be involved in Student's LYC activities
Your answer
Student's School Name *
Parent's Contact Information (cell phone). *
Your answer
Liberty Youth Council Video/Photo Consent *
I give full video and photo consent to the Liberty Youth Council to use of my child or myself for Council publicity.
Required
Liberty Youth Council Terms & Conditions *
I have read the terms and conditions of the Liberty Youth Council and agree to abide by it. I understand that the Liberty Youth Council will require my child's participation in meetings, trainings, and service learning activities. I understand that if my son/daughter is granted into the Liberty Youth Council they will have to complete at least 30 community service hours. I understand if my child is accepted into Liberty Youth Council, they will be held to higher standards as a role model for their school, peers and community. Upon any instance, in which my son/daughter should use poor judgment, which violates standard Code of Conduct, they will be removed from the Liberty Youth Council immediately. I understand that my child will be committing to and abiding by the Code of Conduct and by-laws set by the Council and its Advisors. By answering 'Yes' below I am giving my consent for my child's participation in the Liberty Youth Council.
Required
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