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Mayor's Youth Council
Parent Acknowledgment Form

Applicant Information

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Parent/Guardian Information


Program Commitment

You must agree to each commitment to be eligible for the Mayor's Youth Council. *
 I agree
Meets two Thursdays of the month, 5:00-6:30pm at Town Hall.
Members are expected to attend all meetings. A maximum of two unexcused absences for the school year.
Members are expected to attend as many MYC events./programs, service projects, trainings and social outings as possible.
Members are expected to complete a minimum of 20 volunteer service hours.

Waiver and Release of all Claims

Please read this form carefully and be aware that in registering yourself or your minor child/ward for participation in Town of Fountain Hills programs, you will be waiving and releasing all claims for injuries you or your child/ward might sustain arising out of said programs.

I recognize and acknowledge that there are certain risks of physical injury to participants in the above program(s) and I agree to assume the full risk of any such injuries, damages, or loss regardless of severity which I or my child/ward may sustain as a result of participating in any activities connected or associated with any such program (s). I waive and relinquish all claims I or my child/ ward may have against the Town and its officers, agents, servants and employees as a result of participant in any of the above program (s). I hereby fully release and discharge the Town and its officers, agents, servants and employees from any and all claims from injuries, damage or loss which I or my child/ward may have or which may accrue to me or my child/ward on account of my participation or the participation of my child/ward in any of the above program (s). I further agree to indemnify and hold harmless and defend the Town and its officers, agents, servants, employees for, from and against any and all claims resulting from injuries, damages and losses sustained by me or my child/ward, and arising out, connected with, or in any way associated with the activities of any of the programs (s). Media Disclaimer: By participating in programs and special events, a participant expressly grants the Town of Fountain Hills the royalty free license and complete release to take photos and videos of themselves and their children for publication in the program brochure, web site and additional uses as the Town deems necessary unless the registrant or participant expressively files with the Town a written objection as to photos or videos of themselves and/or their children.

I have read and fully understand the program details and waiver and release of all claims.

At least one parent/guardian is aware and acknowledges by signing below that the above named student is applying for this council and that the student submitted an introductory video for consideration.
Parent/Guardian Signature *
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