Etiquette Etiquette Foundation Youth Program Registration & Parent Consent

Etiquette Etiquette Foundation Youth Program Registration & Parent Consent

Register for the Etiquette Etiquette Foundation, Inc. Youth Etiquette Leadership Program. Please complete all sections below.
Parent/Guardian Information

Please provide the primary parent or guardian's contact details.
Parent/Guardian Full Name*

First NameLast Name
Relationship to Student*
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Student Information

Please provide the student's details.
Student Full Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Student Grade Level*
Emergency Contact Information

Please provide an emergency contact other than the parent/guardian.
Emergency Contact Full Name*

First NameLast Name
Emergency Contact Relationship*
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Medical and Allergy Information

Please provide any relevant medical conditions or allergies.
Does the student have any allergies or medical conditions?*

NoYes (please specify below)
If yes, please list allergies or medical conditions
Liability Waiver and Release

Please read and agree to the waiver below.
ETIQUETTE ETIQUETTE FOUNDATION, INC.

Youth Program Liability Waiver and Release

I, the undersigned parent or legal guardian, understand that my child is voluntarily participating in programs offered by Etiquette Etiquette Foundation, Inc., a Maryland nonprofit organization. Programs may include etiquette instruction, leadership development activities, group discussions, role-play exercises, dining instruction, and participation at local venues.

I understand that participation may involve certain inherent risks, including but not limited to minor physical injury, slips or falls, food-related allergic reactions, or interactions with other participants. I acknowledge that my child is physically able to participate and I voluntarily assume all risks associated with participation.

I hereby release, waive, and hold harmless Etiquette Etiquette Foundation, Inc., its board members, officers, instructors, volunteers, representatives, and any partnering venues or facilities from any and all claims, liabilities, damages, or expenses arising out of my child’s participation in the program, except in cases of gross negligence or willful misconduct.

In the event of a medical emergency, I authorize Etiquette Etiquette Foundation, Inc. and its representatives to seek emergency medical treatment for my child. I understand that I am responsible for any medical expenses incurred.

I acknowledge that participants are expected to conduct themselves respectfully and in accordance with program guidelines. Etiquette Etiquette Foundation reserves the right to dismiss any participant for unsafe, disruptive, or inappropriate behavior. No refund is guaranteed in cases of dismissal due to misconduct.

This agreement shall be governed by the laws of the State of Maryland.

By signing below, I confirm that I have read, understand, and voluntarily agree to this Liability Waiver and Release.
Photo Release Consent

Please indicate your consent for use of photos.
Please indicate your preference regarding photography and media use.Etiquette Etiquette Foundation, Inc. may photograph or record program activities for educational, promotional, website, social media, and marketing purposes.*

Yes, I grant permission for my child’s photograph, image, video, and likeness to be used for program materials and promotional purposes.No, I do not grant permission for my child’s photograph, image, video, or likeness to be used.
Electronic Signature (Parent/Guardian)

By signing below, I confirm that I have read, understood, and voluntarily agree to all terms, waivers, medical authorizations, and media consent selections in this registration form.
Signature*
Date*

MonthDayYear
Date
Payment & Registration Completion

Please note: Registration is not finalized until payment is submitted. After clicking “Submit,” you will be redirected to PayPal to complete your payment.
Should be Empty:

Etiquette Etiquette Foundation Youth Program Registration & Parent Consent

Parent/Guardian Information

Student Information

Emergency Contact Information

Medical and Allergy Information

Liability Waiver and Release

Photo Release Consent

Electronic Signature (Parent/Guardian)

Payment & Registration Completion