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
Primary Parent Contact who will be involved in Student's LYC activities
Student's School Name
Parent's Contact Information (cell phone).
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.
Yes - Upon review of photos
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.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service