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Youth Group Y.E.S.

Date: Sunday, October 1, 2017
Time: 1:00 pm - 3:00 pm

Location: Vision Forward Association
Address: 912 N. Hawley Road, Milwaukee WI

Audience: Youth with vision loss

Details:

Youth – Empower – Success (Y.E.S.)
Make connections, learn and have fun!

First Sunday of each month

Vision Forward will host a monthly group for youth ages 13-18 who are visually impaired to make connections, learn new skills and give back to our community! Each month will feature a youth themed activity.

UPCOMING GROUPS:

October 1: Trick or Treat for Canned Goods
November 5: Tech with Me

Youth Registration Form

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: Madalyn Barnes, School Age Program Manager 414-615-0179 or mbarnes@vision-forward.org

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Youth Group Y.E.S.

Youth – Empower – Success (Y.E.S.) Make connections, learn and have fun!

Youth Registration Form

Youth Participant Information

Parent or Guardian Contact Information

Youth – Empower – Success (Y.E.S.)
Make connections, learn and have fun!