YAC Application

Recreation Forms & Documents Recreation Services

May 1, 2017

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Candidates Name * Required
First Last
Date of Birth * Required
Age * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Mobile Phone
Email

*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
First Last
Parent/Guardian Mobile Phone * Required
Parent/Guardian Work Phone
Email
School Information
2017-2018 School * Required
Grade * Required
Candidate Questionnaire
APPLICANT: PLEASE ANSWER THE FOLLOWING QUESTIONS TO THE BEST OF YOUR ABILITY.
1. WHY ARE YOU APPLYING TO BE A MEMBER OF THE YOUTH ADVISORY COMMISSION (YAC)? * Required
2. PLEASE TELL US WHAT STUDENT/COMMUNITY ACTIVITIES YOU ARE INVOLVED IN. * Required
3. WHAT KIND OF TEEN PROGRAMS DO YOU WANT TO SEE IN COLMA? * Required
Waiver and Signature
Youth Signature * Required
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.
Parent Signature * Required
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 Signature * Required
Parent Consent * Required
- Yes
- No
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
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Documents and forms

YAC Application

Parent Information

School Information

Candidate Questionnaire

Waiver and Signature