This Generation Won't Wait Workshops 2022

"This Generation Won't Wait" Workshops & Back 2 School Family Field Day Challenge Registration

Please fill in the form below. We'll contact you as soon as possible.
Youth Full Name *

First Name Last Name
Parents Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parents E-mail *
example@example.com
Youth Email if Applicable
example@example.com
Parents Phone Number *
Youth Phone Number if Applicable
Please enter a valid phone number.
Are You currently a Youth Council Member? *

Yes No I would you like more information on the be well Youth Council.
Events you would like to attend *

Know Your Rights - July 14th Art & Social Conciseness - July 21st Urban Survival & Naturalist Artist -July 28th I would like to attend All Family Back 2 School Field Day Challenge - August 20th 3-8p
Number of Family Memebers that will Participate August 20th
Adult Dropping off Youth *
WAIVER OF LIABILITY AND RELEASE OF CLAIMS: In consideration of being permitted to participate in any program or activity offered by The Foundation /be well do hereby, for myself, my family, and our heirs and administrators, waive any and all liability rights and release any and all claims we may have against The Foundation and be well Health & Wellness Initiative and their officials, employees ,various sponsoring agencies, as well as paid and non-paid volunteers with respect to any damage, loss or injury resulting from or associated with such participation. Although I understand that a physician examination is not required for participation, it is highly advisable that I consult with a physician about my health before participating in athletic and strenuous activities. I have read this form and understand and consent to its content and knowingly request that I be allowed to participate in any programs offered by The Foundation & be well Health & Wellness Initiative in 2022. Signature of Participant
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"This Generation Won't Wait" Workshops & Back 2 School Family Field Day Challenge Registration