a10d Youth Advisor Program Acceptance
  • a10d Youth Advisor Program Acceptance

    For both parent/guardian and a10d youth advisor
  • Section 1 of 2

    For parent/guardian
  • Welcome! Once you complete this two part consent and acceptance form for the a10d Youth Advisory Program (“AYAP”), you’ll officially be part of the program. We can’t wait!

    Please read the information below carefully before you complete the form.

    Confidentiality: The information that (you or your child) share in the AYAP will be handled confidentially and with great care. We will not use your child’s name or likeness or your name or your likeness without seeking explicit permission first. We will also establish and reinforce the confidentiality of ideas shared between youth advisors.

    Voluntary participation: Your child’s participation and/or your participation in the AYAP is completely voluntary.


    Program expectations: We expect that advisors will regularly reply within one week to our weekly prompts (sent via text) and attend quarterly Zoom meetings. If/when an advisor can’t complete something, they will message to alert the a10d team.

    SMS/Text messaging: We will use a secure platform called Simpletexting to send and receive SMS or text messages to and from the phone number you have specify in your agreement form. By agreeing, you are giving us permission to communicate in this way. If you ever want to change the number to which we send text messages, please email Meghan Fitzgerald at meghan@a10d.org.

    Right to withdraw from the program: You have the right to withdraw your child and yourself from the AYAP at any time. If you and/or your child want to withdraw, please email Meghan Fitzgerald at meghan@a10d.org to let us know, and we’ll take steps to remove your child as soon as possible.

    Payment: Though the AYAP is an unpaid volunteer program, advisors do earn and receive items like stickers or a10d t-shirts, which are theirs to keep.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Section 2 of 2

    For a10d youth advisor
  • Should be Empty: