Youth and Social Media | Youth Advisory Council

Youth Advisory Council Consent Form

Youth Advisory Council

Participation Agreement and Waiver Form

Parent or Guardian. Please complete the online or print-friendly version of this form. If you choose to complete and sign the print-friendly version, please give it to your child/ward so they may bring it to their interview for the council. 

Online Form

"*" indicates required fields

YOUTH ADVISORY COUNCIL PARTICIPATION AGREEMENT AND WAIVER

Program Information

Parents and legal guardians are responsible for carefully reviewing all program materials.

Participant Information

Participant Name (hereafter "Participant")*
Participant Address*

Consent & Waiver

Parent/Guardian Name*
This field is for validation purposes and should be left unchanged.