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Youth Participation
Group Application Form

Participation of parents is essential for us to have a successful year.

Important: Communication regarding youth participants/group events will normally be done by email. Please list an email that you check on a regular basis.

Please be sure to return all forms with payment:

1. Youth Group Application Form

2. Health Form

3. Code of conduct

4. Master Permission Form

Birthday
Month
Day
Year
Gender
Male
Female

"I hereby grant permission for my child to be a member of Freedom Is A Choice, Inc. (FIAC) Youth Participant/

Group and to participate in activities arranged by the Committee and Advisor in this regard from time to time. This will serve

to release FIAC, Inc. and all of its personnel, employees and representatives from liability in case of accident or injury

resulting from all causes in connection with such membership including outings, field trips or other activities which necessitate

travel away from FlAC, Inc., except for those involving gross negligence or intentional misconduct on the part of such

personnel, employees and representatives.”


"In granting this permission and release, I specifically recognize that my child may from time to time be transported

to events by private vehicles operated by advisors or volunteers not as agents, employees or representatives, In such regard, I

specifically release and will hold harmless to FlAC, Inc., their officers, employees, agents and representatives from any and all

liability which may arise as a result of such transportation whether or not organized by FlAC, Inc." A calendar will be given to

you and your child showing available dates and progression.

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Date
Month
Day
Year
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