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Y.E.S Monthly Youth Group

Date: Sunday, September 9, 2018
Time: All Day

Audience: Youth ages 13-21 with vision loss

Details:

Time to be determined

This month, we will give back to the community by volunteering at Dylan’s Run at the lakefront. Dylan’s Run is a fundraiser to build awareness about autism and to generate dollars for autism research and outreach programs.

Please contact Emily Zajork at ezajork@vision-forward.org as soon as possible if you would like to sign up to volunteer with the group.

Youth Music Group Registration

Name of Program Registering For*
Youth Participant Information
First and Last Name*
Street Address*
City*
State*
Zip Code*
Parent or Guardian Contact Information
First and Last Name*
Email Address*
Phone Number*
Emergency Contact Name (if different)
Emergency Contact Phone Number
Consent to Participate
- I understand there is risk of injury in any activity and grant permission for participation.
Photographic Release
- I hereby authorize Vision Forward Association to photograph, videotape, or otherwise record by visual, audio, electronic or manual means, the visual likeness and/or voice or other sounds created by the above named participant (collectively “Reproductions”). Vision Forward Association may use or permit to be used the Reproductions in any CD, DVD, exhibition, display, publication, solicitation or promotional or educational material or on Vision Forward’s website, Facebook, or YouTube without compensation to the participant.

For more information, contact: Emily Zajork at ezajork@vision-forward.org or 414-615-0179.

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Y.E.S Monthly Youth Group

Time to be determined

Youth Music Group Registration

Youth Participant Information

Parent or Guardian Contact Information