YAC Event Registration and Consent Form

Youth Advisory Community (YAC) events provide opportunities for Arizona Youth Leadership Forum (AZYLF) alumni, ages 14–29, to connect, collaborate, and continue developing leadership skills.

May YAC Gathering – Service Project

Date: Saturday, May 16, 2026
Time: 11:45 AM – 2:00 PM
Location: St. Mary’s Food Bank Volunteer Center, 2804 North 29th Avenue, Phoenix, 85009

Join us for our May YAC service project as we give back to the community at St. Mary’s Food Bank in Phoenix!

Important Info:
All volunteers are required to complete and sign a liability form provided by St. Mary’s Food Bank.

After you submit your registration, the food bank’s volunteer form will be emailed directly to you—please review, sign, and bring the completed form with you on the day of service.

If you are under 18 or under guardianship, a parent/guardian must sign.
If you are 18 or older and not under guardianship, you may sign for yourself.

Dress Code & Reminders (from the Food Bank):

Wear sneakers or boots only
No tank tops
Bring your own water bottle (refill stations available!)
Parking is limited—please carpool if you can
Lockers are available for personal items

Come serve, connect, and make a difference while supporting our community!

I have graduated from Arizona Youth Leadership Forum (AZYLF):

I am 14–29 years old:

I would like to attend:

Participant's Name

Participant First NameParticipant Last Name

Please provide the best phone number to reach you on the day of the event in case we need to contact you.

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

County of Residence

Are you under 18 years old/do you have a legal guardian?

Parent/Guardian Name

Parent/Guardian First NameParent/Guardian Last Name

Relationship to YAC Participant

(e.g., parent, guardian, etc.)

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian Email

example@example.com

We are committed to making our events accessible to everyone. Please describe any disability accommodations needed to participate in this event. Note: Advance notice may be required to arrange for some accessibility needs.

Do you have any allergies (food, medication, environmental, etc.)?

Please list and explain any allergies (food, medication, environmental, etc.).

0/150

Do you have any dietary restrictions?

Please list and explain any dietary restrictions.

0/150

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone numberFormat: (000) 000-0000.

Emergency Contact Relationship to Applicant

Diverse Ability Incorporated will not provide transportation to Youth Advisory Community (YAC) events.

Each participant is responsible for the $25 admission fee for Tohono Chul’s Holiday Nights.

Faire at the Square is a free event; however, participants are responsible for any additional purchases they choose to make during the event.

By typing my full name below, I understand that my typed name constitutes a legal electronic signature and signifies my consent and agreement to the terms outlined above.

Participant First and Last Name

Date Signed

MonthDayYear

Activity Participation Agreement with Parent/Guardian Release of Liability and Assumption of Risk Agreement

By typing my full name below, I understand that my typed name constitutes a legal electronic signature and signifies my consent and agreement to the terms outlined above.

Parent/Guardian First and Last Name

Date Signed

MonthDayYear

If you have difficulty completing this online form, please email us or call 602-425-5135.

Youth Advisory Community Event Registration and Consent Form

Eligibility Confirmation

Event Selection

Participant's Information

Parent/Guardian Information

Accommodations

Allergies and Dietary Restrictions

Emergency Contact Information

Acknowledgement of Transportation Responsibility

Activity Participation Agreement with Release of Liability and Assumption of Risk Agreement