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I hereby attest that my child is in the fourth grade (or above) and I give my child permission to walk home from the Youth Center.
By checking the “I agree” box, you agree and acknowledge that activities and/or programs which involve swimming and physical activity/exercise associated with participation in any and all such youth programs and/or “drop in centers” may involve risk of serious injury. It is recommended that, prior to participation, any participant that engages in a program of physical exercise should do so only after consulting with a physician.
The photographic release allows your child to be photographed and/ or videotaped for promotional uses for the Youth Center ONLY.
By checking the "I agree" box below, you agree and acknowledge that the Youth Center is a State entity and that State officers and employees are prohibited from accepting gifts of more than $15 from individuals and entities that do business with the State.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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