Time2Give CIS Registration

Time2Give CIS Registration

This program is best for youth in grades 6-12
Community Innovation Series (CIS) - Oct 24, 2026 9AM - 12PM

Location:Russell Innovation Center of Entrepreneurs (RICE) 504 Fair St SW Atlanta GA 30313

Powered by Delta Community Credit Union
Parent Name

First NameLast Name
Parent Phone Number
Please enter a valid phone number. This number will be contacted in case of emergency.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Youth Name

First NameLast Name
Current Grade
School Youth Attends
How did you learn about this event?

Other
If Other, please specify how you learned of this event.
Waiver of Liability
I permit my child to attend the Time2Give Inc. CIS program at RICE Center. I, the undersigned, provide permission for my child to participate in the full range of program activities, unless I notify you otherwise in writing. I authorize the Program Director, or their designates, in the event of accident or illness affecting my child, to approve all procedures and related expenses, including admission to hospital, surgery, anesthesia, injections, or any other necessary treatment therein, as deemed essential for the care and well-being of my child. Such action is to be taken only when immediate contact with the undersigned, or the emergency contact person, cannot be made. I agree that, having taken such precautions as in your discretion are deemed advisable, Time2Give Inc., Memik Inc., Legacy Line, MantisEDU and RICE shall not be held responsible for any accident or sickness affecting my child, or for any loss or damage to his/her personal property.
Media Release Form
I grant permission to Time2Give Inc., Memik Inc., Legacy Line, MantisEDU and RICE, hereinafter known as the “Media” to use image (photographs and/or video) of the Youth identified above for use in Media publications including: video, email blasts newsletter, magazines, general publications, websites and/or affiliates. I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.
Parent/Guardian's Signature
Should be Empty:

Time2Give CIS Registration

Waiver of Liability

Media Release Form