Participation Waiver
Your signature below is your indication that you acknowledge the risks associated with your child’s participation in Youth For Christ activities.
Volunteer or Student
*
Student
Volunteer
School Area
*
Bellevue
Bennington
DC West
Elkhorn
Elkhron North
Elkhorn South
Glenwood
Gretna
Millard North
Millard South
Millard West
Military
Omaha Northwest
Papio-La Vista
Parent Life
Platteview
Westside
Participant Name:
*
First Name
Last Name
Parent or Legal Guardian Name: (if under 19)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please verify that you are human
*
I have read the above waivers/releases and understand what I have read. I represent that I am the participant named below (if 18 or over) or the legal parent/guardian of the child named below, who is under 18 years of age. In consideration for allowing my child to participate in this activity and ongoing YFC activities, I hereby consent to the foregoing on behalf of my child and agree that this release shall be binding upon me, my child, our heirs, legal representatives and assigns.
Signature
*
Submit
Should be Empty: