At the present time, all sessions will be conducted using a virtual platform called Zoom. The sessions will be recorded. We are asking that all young leaders use video and audio functions to fully participate in the program. If the state of the current pandemic changes, and we are able to gather, we may attempt to meet. We, however, keep in mind that the safety of your children is our number one priority. Please review and complete the below parental consent form prior to August 15th. If you have any questions, please feel free to reach out to us at leaders@characterfirstyouthleadershipacademy.org. Thank you.

Name

First Name

Last Name

Child's Name

First Name

Last Name

Your email

Child's Email

Preferred Number

(###)

###

####

I consent to my child participating in the Fellows Program.

Yes

Sessions will be conducted and recorded using Zoom. I agree to my child participating in the sessions using audio and video technology.

Yes

If the state of the current pandemic changes, and it is safe to gather, we may meet one or two times. During these sessions, we will record and take pictures. I provide consent to my child being photographed, and/or recorded during these sessions.

Yes

Do you permit us to use any recorded sessions or pictures with your child in them on our social media pages and/or website?

Yes

Child's Polo Shirt Size (adult) - Please respond in the following manner (Male - S, Female - M etc.)

Please provide any comments or questions here.