YAC Application 2017

  • Candidates Name * Required
  • Address * Required
  • *A professional email is required. Example: first.lastname@gmail.com. If you do not have a professional email, please make one before submitting this application.
  • Parent Information

  • Parent/Guardian Name * Required
  • School Information

  • Candidate Questionnaire

    APPLICANT: PLEASE ANSWER THE FOLLOWING QUESTIONS TO THE BEST OF YOUR ABILITY.
  • Waiver and Signature

  • By signing above you are willing to serve and make a commitment for a minimum of 1 year and attend the mandatory monthly meetings, Town functions, and other mandatory events.
  • By signing above your child is willing to serve and make a commitment for a minimum of 1 year and attend the mandatory monthly meetings, Town functions, and other mandatory events.
  • In consideration of the acceptance of my application for entry into each above activity, I hereby waive, release and discharge any and all claims for damages for death, personal injury or property damage which I may have, or which hereafter accrue to me, against the Town of Colma as a result of my participation in the activity. This release is intended to discharge the Town of Colma, its officers, officials, employees and volunteers, any other involved municipalities or public agencies from and against any and all liability arising out of or connected in any way with my participation in the activity, even though that liability may arise out of the negligence or carelessness on the part of persons or Town of Colma. I further understand that accidents and injuries can arise out of the activity; knowing the risks, nevertheless, I hereby agree to assume those risks and to release and to hold harmless all of the persons or agencies mentioned above who (through negligence or carelessness) might otherwise be liable to me (or my heirs or assigns) for damages. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I am aware of the cancellation policy and the penalties involved for activities for which I have registered myself and family. I realize that while participating in any Town sponsored activities myself or a family member may be photographed and that photo may be used for a future Town of Colma publication, report, flier and/or advertisement.
  • Parent Consent * Required
    I give my consent for my son/daughter to participate in the above activity and I execute the above liability release on his/her behalf
Close window