Waiting List DLD Improvement Program

✨Unlock Your Full Potential with DLD For Youth Improvement Program!✨

At DLD For Youth, we believe every student deserves the tools to succeed! Our tutoring program, designed for ages 8-15, offers:

🎯Personalized Learning Plans – Tailored to meet each student's unique strengths and goals.

📚Core Subject Mastery – From reading and writing to math and science, we build confidence and academic success.

🤝Supportive Environment – Our experienced tutors foster a safe, encouraging space for growth and discovery.

Whether your child is catching up, staying on track, or getting ahead, we’re here every step of the way to support their journey!

🌟Join us and empower your youth today!

If you wish to get updates on other activities please visit www.dld4youth.org for all up-and-coming events.

Students Name *

First NameLast Name

Parent Name

First NameLast Name

Student Age *

Gender *

Phone Number*

Please enter a valid phone number.

Zip Code

Email*

example@example.com

Activities*

Location*

Total Capacity Training and Development Center (37 N Hillside Ave Hillside, IL)Maywood Public Library

PHOTO/VIDEO CONSENT AND WAIVER FORM

I, the undersigned, hereby grant permission to DLD For Youth and its representatives to take and use photographs and/or video recordings of me (or my child/ward) in connection with DLD For Youth Programs / Youth Academy.

1. Purpose of Use I understand that the images and recordings may be used for the following purposes:

Promotional materials, including brochures, flyers, and posters.
Social media platforms and website content.
Newsletters and press releases.
Educational and informational purposes.
Other related marketing and promotional activities.
2. Consent I grant DLD For Youth the irrevocable right to:

Use, reproduce, distribute, and publicly display the photographs/videos in any media format.
Edit or modify the images as necessary without further approval.
Use my (or my child/ward's) name in connection with the images if required.
3. Release of Rights I acknowledge that:

I will not receive any financial compensation for the use of the images/videos.
All rights, title, and interest in the images/videos will belong to DLD For Youth
I waive any rights to inspect or approve the final product.
4. Duration This consent is valid indefinitely unless I provide a written request to revoke permission.

5. Liability I release and hold harmless DLD For Youth and its representatives from any claims, demands, or liabilities related to the use of the photographs/videos.

6. Revocation I understand that I may withdraw my consent at any time by submitting a written request to 708-738-6496 but any prior usage cannot be retracted.

Parent/GuardianName

DLD For Youth Improvement Program / Youth Academy