Mauldin Police Youth Academy Enrollment Application
|
|
- Gwendolyn Thornton
- 5 years ago
- Views:
Transcription
1 Mauldin Police Youth Academy Enrollment Application Date: Current Age: Photo of Cadet Applicant s Name: School: Rising Grade: Date of Birth: Home Address: City: State: Zip Code: Name of Parent/Guardian Applicant lives with: (Please attach a photo of the Cadet or if you are filling out this form electronically, please drag and drop a JPEG image into this box) Home Phone: Cell Phone: ***Parent/Guardian Address: Applicant s Uniform Size- (Adult Sizes Only) Shirt: S M L XL XXL Shorts: S M L XL XXL Academy Dates: Boy s Academy - June 6-24 Girl s Academy - July *** You must provide a working address for the application to be accepted. will be the primary means of communication we will use, in reference to your cadet s application
2 Academy & Application Information This application must be filled out in its entirety, or your child will not be considered for the program. ALL CADETS WILL PARTICIPATE IN PHYSICAL TRAINING EACH DAY. An officer will contact you if your child is accepted and explain academy dates, times and locations. There is no charge for participation in the academy, however for some events we may ask the cadets to bring a few dollars for movies or special field trips. Lunch will be provided daily, however on field trip days we will ask the cadet to bring their own lunch. Uniforms will be provided to each cadet at no cost. These uniforms must be worn daily and are the property of the Mauldin Police Department. They must be returned if the cadet is dropped from or quits the academy. The Cadet will be able to keep their uniform upon successful completion of the program. Cadets must bring their own water bottle each day. The parent or guardian is responsible for providing transportation to and from the academy each day for their cadet. Cadets are expected to arrive and be picked up on time each day. Times will run from 8:00am 4:30pm. Cadets whose parents or guardians are repeatedly late will be dropped from the program at the officer s discretion. Your signature below indicates your understanding that if an injury and/or emergency should arise with your cadet, academy staff has the right to notify EMS and/or Fire Department First Responders to treat and/or transport your cadet for further treatment. Your signature also allows EMS and/or Fire Department First Responders to release your child if they feel transportation to the hospital is not medically necessary. An electronic form may be found and filled out at The form must be saved to your computer and ed to: tkoutsos@mauldinpolice.com, bsulligan@mauldinpolice.com or abradshaw@mauldinpolice.com. (must include a picture) For paper submissions, applications may be dropped off at the police department communications center or Mauldin High School made to the attention of MHS SRO. Parent/Guardian Signature:
3 ***Completion and submission of this application In no way guarantees acceptance into the Police Youth Academy*** Police Youth Academy Rules of Conduct ALL CADETS WILL PARTICIPATE IN PHYSICAL TRAINING EACH DAY. Cadets will always address instructors as Officer or sir/ma am and others as Mr., Mrs. or Miss. Cadets will always reply (yes/no) sir or ma am. Cadets will not possess weapons of any kind to include pocket knives, guns, razor blades, or anything else that could be used as a weapon. Cadets will not possess electronic devices of any kind to include I-Pods, MP3 players, cell phones, videogames, or anything else that may be disruptive. Cadets may have cell phones for parent contact only but they must be turned off and stored in a bag. Cadets will not fight, argue, or use profanity. Cadets will wear clothing issued by the academy, in a manner directed by the officers. Shirts will be tucked in, shorts worn properly at the waist. Cadets will not wear jewelry, to include necklaces, earrings, bracelets, rings, or watches. Cadets will not eat or chew gum in class, and will only drink water. Cadets will not possess tobacco products, alcohol, drugs, or any illegal substance. Cadets bringing medication must bring medicine in the original prescription bottle with the cadet s name on it and immediately be given to an Academy Instructor. Cadets will not repeat behavior deemed inappropriate by instructors. Cadets will submit to a search of personal effects when called upon by the instructor. Cadets will not violate state or federal laws or any city ordinance. Cadets who break the code of conduct may be disciplined at the officer s discretion, or may be dropped from the youth academy program at any time.
4 Police Youth Academy Cadet Agreement ***To be completed by the Cadet*** I, agree to attend each session of the Police Youth Academy. I will participate in all activities to the best of my ability. I will be respectful to all officers, instructors and my fellow cadets. At all times I will demonstrate the skills and abilities I have learned while attending the Academy. I understand that while wearing the uniform of the Academy, I am at all times representing the Mauldin Police Department and will conduct myself accordingly. Cadet Signature: ***To be completed by the Parent/Guardian*** I,, agree to pledge my support to the instructors of the Police Youth Academy and re-enforce the skills and abilities taught to my child during the summer. I give Mauldin Police Department permission to photograph my son/daughter during the course of the camp. I understand the photos/video/and other like media may be given to the media and used to promote the camp as determined by the department. Parent/Guardian Signature:
5 Information Form and Release of Liability Disclosure The Mauldin Police Youth Academy will involve a variety of activities that often include warm-ups, games, and rigorous physical activities. Participation in these activities and exercises is mandatory, and is supervised by officers at all times. Certain health or medical information must be made known to the instructors conducting the program, so they are prepared to respond appropriately if the need arises. This information will be held in confidence. Applicant Information: Name Do you have any limiting physical disabilities or handicaps? YES NO If yes, please explain: Can your child swim? YES No Medications/Medical Alerts: How to administer medication and when: List ALL allergies, including food allergies and include the symptoms they cause: Release of Liability: I realize that parts of the Mauldin Police Youth Academy program may be physically or emotionally demanding. I affirm that my child s health is good and he/she is not under a physician s care for any undisclosed condition that bears upon his/her ability to participate. I further understand that each participant must assume the risk of physical injury that could result from any of these activities. I release Mauldin Police Department, the City of Mauldin, and its employees from all liability for any injury to my child from participation in the activities. I hereby state I am the legal guardian of said child and that I am authorized to make this decision. Parent/Guardian Signature Date Cadet Signature Date
6 Emergency Contact Information Parent and/or Guardian Information: Father/Guardian s Name: Father/Guardian s Home Phone: Father/Guardian s Cell Phone: Father/Guardian s Work Phone: Mother/Guardian s Name: Mother/Guardian s Home Phone: Mother/Guardian s Cell Phone: Mother/Guardian s Work Phone: Secondary Contact Information: Name: Address: City: State : ZIP: Relationship to Cadet: Phone: Name: Address: City: State: ZIP: Relationship to Cadet: Phone: Name: Address: City: State: ZIP: Relationship to Cadet: Phone: **Parent/Guardian of Cadet MUST be able to be reached by phone at all times**
7 For Cadet Applicant only Please include a few written lines to tell us about yourself and why you would like to be selected as a Mauldin Youth Academy Cadet
CRANFORD POLICE DEPARTMENT YOUTH POLICE ACADEMY
YOUTH POLICE ACADEMY June 25-29, 2018 8:00 AM 3:00 PM Available to Cranford students graduating 6 th, 7 th, and 8 th grades Learn about the Cranford Police Department and other local, state, and federal
More informationMILLBURY POLICE DEPARTMENT Youth Police Academy
MILLBURY POLICE DEPARTMENT Youth Police Academy The Millbury Police Department is hosting its first Youth Police Academy for the summer of 2015! Academy dates are Monday, July 27, 2015 through Friday,
More information201 Chief Michael Feeney
2016 Applicants please fill out this application in its entirety and return to the Ridgewood Police Desk at 131 North Maple Avenue before June 1, 2016. A fee of $50.00 per applicant will be assessed as
More information2016 Multi-Jurisdictional Law Enforcement Explorer Academy
2016 Multi-Jurisdictional Law Enforcement Explorer Academy All questions must be answered. If something does not apply please indicate N/A. Note: If there are any un-answered questions on this application
More informationOnondaga County Sheriff s Office Youth Law Enforcement Academy Application
Onondaga County Sheriff s Office Youth Law Enforcement Academy Application Onondaga County Sheriff s Office 407 South State Street Syracuse, New York 13202 (315) 435-3006 The Onondaga County Sheriff s
More informationMISSOURI STATE HIGHWAY PATROL YOUTH ACADEMY PROGRAM June 11 - June 17, 2017 Sunnyhill Adventures - Dittmer, Missouri
MISSOURI STATE HIGHWAY PATROL YOUTH ACADEMY PROGRAM June 11 - June 17, 2017 Sunnyhill Adventures - Dittmer, Missouri APPLICANT NAME: (Last) (First) (Middle) ADDRESS: CITY: STATE: ZIP: EMAIL ADDRESS: AGE:
More informationINTRODUCTION REGISTRATION
INTRODUCTION The 2017 Law Enforcement Explorer Academy is a weeklong residential career education program providing Explorers with practical, hands-on law enforcement and life-skills training. The academy
More information2018 East Texas Rural Electric Youth Seminar
2018 East Texas Rural Electric Youth Seminar June 25 June 29, 2018 on the East Texas Baptist University (ETBU) campus in Marshall, Texas Applications due Friday, April 20, 2018. To qualify please complete
More informationSHAWNEE COUNTY SHERIFF S OFFICE WORKING TOGETHER FOR OUR KIDS
SHAWNEE COUNTY SHERIFF S OFFICE WORKING TOGETHER FOR OUR KIDS JUNE 4 th - 8 th JUNE 11 th - 15 th JUNE 18 th 22 nd Seaman High School Shawnee Heights High School Washburn Rural High School 8:00am-12:00pm
More informationGeorgetown Police Department 2018 Junior Police Academy Application
Georgetown Police Department Application Application Deadline: Friday, April 27, 2018 by 5:00pm. There are 25 slots available for each camp, so don t delay in turning in your application. Applications
More information2018 JUNIOR POLICE ACADEMY
2018 JUNIOR POLICE ACADEMY Chief Brian Spring Academy Dates: July 9 th July 13 st Eligibility: Pequannock Students that have graduated from the 6th, 7th or 8th grade. Location: Pequannock First Aid Squad
More informationSpringfield Police Department
PLEASE NOTE: Applications will be accepted beginning May 15, 2018, and the deadline for applications will be June 20, 2018. Press Release Chief of Police John P. Cook has announced the dates for the 2018
More informationCome join the Youth Ministry for fun, fellowship and a friendly game of softball with other area Catholic High School teens.
Come join the Youth Ministry for fun, fellowship and a friendly game of softball with other area Catholic High School teens. Who do we play? Other Youth Ministries from the Dallas Diocese When do we play?
More information1) INFORMATION ABOUT THE PARTICIPANT AND ACTIVITY
2016-17 South Carolina 4-H Membership and Event Permission Form for Youth (Updated 08.01.16) ALL elements of this form must be completed by youth participating in clubs, field trips, events requiring group
More informationROTARY DISTRICT 7930 ROTARY YOUTH LEADERSHIP AWARDS May 11-13, 2018 STUDENT APPLICATION
Application Process ROTARY DISTRICT 7930 ROTARY YOUTH LEADERSHIP AWARDS May 11-13, 2018 STUDENT APPLICATION 1. Students in grades 10 or 11 (sophomore or junior) are eligible to attend RYLA. 2. STUDENTS--
More informationWe ll meet in the Youth Room at 2:30 p.m. and we ll return by 6:30 p.m. (depending on traffic)! For students in grades 7-12.
For I was hungry and your gave me food, I was thirsty and you gave me something to drink, I was a stranger and you welcomed me. Matthew 25:35 The Dallas Life Foundation is a Christian based homeless shelter
More informationGroup Dynamix Lock-In
Group Dynamix Lock-In Group Dynamix lock-ins are certain to be tons of fun. Just imagine several hours of exciting group activities that are guaranteed to keep you going all night long. Group activities
More informationHuntington University Nursing Career Academy Application Process Summer 2015
Application Process Eligibility Requirements: applicants must be in 10 th, 11 th, or 12 th grade during the 2014-2015 academic school year and be interested in exploring a career in nursing. Program cost:
More informationState Officer Application - SLC 2016
Candidate name: State Officer Application - SLC 2016 Read the following pages of information very carefully. If you have any questions, please call the Florida HOSA State Office at (386) 462-HOSA. Fill
More informationProject Aerospace ACE Academy Application
Project Aerospace ACE Academy Application Location: (s): The OBAP Aviation Career Education (ACE) Academy is designed to provide a more in-depth look at the aviation industry for students who truly want
More information1st Annual Bloomfield Junior Police Academy
1st Annual Bloomfield Junior Police Academy Dear Parent/Guardian: Thank you for your interest in the 1st Annual Bloomfield Junior Police Academy, which will be held at the Bloomfield High School Gymnasium
More informationLangston University Returning Athlete Screening Form
Langston University Returning Athlete Screening Form Name: Address: Social Security #: : Phone: Sport: DOB: M / D / Y 1. Have you had any injury since your last athletic screening here? Yes: No: If yes,
More informationRotary District 5180/5190 RYLA REGISTRATION FORM 2018
Rotary District 5180/5190 RYLA REGISTRATION FORM 2018 ROTARY CLUB OF: ROTARY CLUB CONTACT: This form must be completed in full and signed by the student as well as a parent or legal guardian in multiple
More informationCamp TOV Medical Form
Mail: Fax: Please send these forms to us by either: Jewish United Fund/Jewish Federation of Metropolitan Chicago Attn: Camp TOV 30 South Wells Street, Room 5034 Chicago, IL 60606 Attn: Camp TOV 312-444-2086
More informationJUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION Age: Date of Birth: Parent/Guardian s
JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION - 2016 Name: (Last) (First) (Middle) Date: Address: (Street) (City) (State) (Zip Code) Phone: (H) (C) Age: Date of Birth: E-mail: Parent/Guardian s Email: High
More informationInformation about the VPD Cadet Program
Information about the VPD Cadet Program The VPD Cadet Program provides students in Grades 10-12 attending school within Vancouver a unique opportunity to participate in applied educational workshops, physical
More informationStudent T-shirt size is: Small Medium Large XLarge 2XLarge 3XLarge (Circle one)
Participant Permission Form/ Release Waiver Form My child,, has my permission to attend. I understand this celebration is offered to all graduates who have signed and maintained both the Project Grad Participant
More informationSummer Engineering Academy
TM February 5, 2018 Aloha, Honolulu Community College is once again pleased to announce its upcoming Summer Engineering Academy. Space will be limited, so please apply as soon as possible. Only 60 students
More informationPalmetto Health Tuomey Student Volunteer Application Application to be completed by the student, NOT the parent. Full Name: Phone: (
1 Palmetto Health Tuomey Student Volunteer Application Application to be completed by the student, NOT the parent. Full Name: Phone: ( ) Email address: Cell Phone: ( ) Address: City: Zip: Social Security
More informationMarch 3, Dear Team Captain,
March 3, 2008 Dear Team Captain, Welcome to the 17 th annual 24 Hour Relay Challenge scheduled for Memorial Day weekend, May 24-25, 2008, on Holt Field at San Luis Obispo High School. This packet is intended
More informationDistrict Handbook for Club Presidents and RYLA Chair Persons Rotary District Dave Stuckey, Chair
2018 District 7710 Handbook for Club Presidents and RYLA Chair Persons Rotary District 7710 Dave Stuckey, Chair 1 Table of Contents What is RYLA?. 3 Application Procedures 4 Selection Criteria. 5 What
More information2017 Recruit Class. Vernon Junior Police Academy
2017 Recruit Class Vernon Junior Police Academy Monday, August 14 th through Friday, August 18 th Location: Vernon Police Athletic League (PAL) 25 Church Street, Vernon NJ Academy Times: 8:00am-12:00pm
More informationSTATE OFFICER CANDIDATE APPLICATION (Please Print)
DEADLINE: January 31, 2017 Submit by the deadline for DECA State Conference registration materials. NO FAXES WILL BE ACCEPTED ALABAMA DECA HIGH SCHOOL DIVISION STATE OFFICER CANDIDATE APPLICATION (Please
More informationHandbook for Club Presidents and RYLA Chair Persons Rotary District Dave Stuckey, Chair
2017 Handbook for Club Presidents and RYLA Chair Persons Rotary District 7710 Dave Stuckey, Chair 1 Table of Contents What is RYLA?... 3 Application Procedures...4 Selection Criteria... 5 Info to share
More informationAlpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp Counselor In Training Handbook
Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp City of Alpharetta Recreation and Parks Alpharetta Community Center 175 Roswell Street Alpharetta, GA 30009 (678) 297-6100 accprograms@alpharetta.ga.us
More informationDAUPHIN COUNTY TECHNICAL SCHOOL 6001 Locust Lane, Harrisburg, PA (717) ext * Fax: (717)
SUMMER CAREER CAMP 2014 March 2014 Dear Parent or Guardian, Dauphin County Technical School is once again offering Summer Career Camp. This camp is free to all current 6 th and 7 th graders from Dauphin
More informationCAMP CO-OP 2018 Registration Packet
CAMP CO-OP 2018 Registration Packet Registration Begins February 15, 2018 This summer day camp is designed for Charles County Public School students with significant cognitive delay who are receiving special
More informationThe Alaska Youth Academy Application
The Alaska Youth Academy Application Email to katina.charles@tananachiefs.org by June 30 th, 2016 Personal Information Please write in or circle your answer. Name: (First) (Middle) (Last ) Date of Birth
More information2018 Recruit Class. Denville Junior Police Academy
2018 Recruit Class Denville Junior Police Academy Monday, July 16 th through Frida, July 20 th Morris Knolls High School 50 Knoll Drive, Rockaway, NJ 8:00 a.m. to 4:00 p.m. Fee: $50.00 (to be collected
More informationParent/Guardian Names: Cell Phone: School: Parent/Guardian Signature: Date:
SPIRIT OF AMERICA BOATING SAFETY PROGRAM Offered by Sailing Center Chesapeake & St. Mary s College of Maryland Open to students who have completed 6 th, 7 th, or 8 th grades in 2017. Summer 2017 Student
More informationSummer Camp Counselor Application
Summer Camp Counselor Application Thank you for your interest in being a counselor with Whiskeytown Environmental School summer programs! Counselors play a very important role in making summer the best
More informationAlexander Bands. o Required forms packet (Medical Form, Code of Conduct, Drug Testing Awareness, Attendance Policy, Video/Photo Permission)
Alexander Bands Marching Band Sign-Up Night Checklist Our annual Marching Band sign-up night will be here soon. This year, it will take place on Thursday, April 12 at 6:00pm. You are welcome to complete
More informationYOUTH POLICE ACADEMY Class II
CITY OF BURLINGTON POLICE DEPARTMENT YOUTH POLICE ACADEMY Class II The City of Burlington Police Department is conducting its Second Youth Police Academy. This program is geared towards teenage students
More informationTHE AMERICAN LEGION LAW ENFORCEMENT CAREER ACADEMY
APPLICATION CHECKLIST To be completed by the Applicant and Parents (MUST BE ATTACHED TO APPLICATION) June 3rd to June10 th of 2017 (St. Joseph s Youth Camp-Mormon Lake) CHECK DATE COMPLETED All areas of
More informationCAMP KEOLA 4-H CAMP June 19-23, 2018 CAMPER REGISTRATION NAME AGE GENDER GRADE MAILING ADDRESS CITY ZIP
COMPLETE 1 PER CAMPER CAMP KEOLA 4-H CAMP June 19-23, 2018 CAMPER REGISTRATION Camp Fee Date Received Check Number For Office Use Only WHO MAY ATTEND: Fresno County 4-H members who are 9 years old or in
More information2018 RA Camp Discount Application
2018 RA Camp Discount Application Thank you for choosing Reston Association and placing your child(ren) in our care. The intent of the RA Camp Scholarship Program is to provide financial assistance to
More information2018 CAMP Registration Packet. Roxborough YMCA PHILADELPHIA FREEDOM VALLEY YMCA. Important Registration Information:
2018 CAMP Registration Packet Roxborough YMCA PHILADELPHIA FREEDOM VALLEY YMCA Important Registration Information: Financial Aid Applications are due no later than 2 weeks before desired camp start date.
More information16 Camp Alamisco
Theme: Following owing Jesus Camp Pastor: Jeremy Simpson YOUTH CAMP (for those who have completed grades 7 KIDS CAMP (for those who have JULY 13-16 16 (for those who have completed grades 7-12) for those
More information2017 Summer Camp Registration
1515 N. Galloway Avenue Mesquite, Texas 75150 972.216.6260 www.cityofmesquite.com 2017 Summer Camp Registration Please select which camp your child(ren) will be attending BLAST Camp Sports Camp Teen Camp
More informationThe Alaska Youth Academy Application
The Alaska Youth Academy Application Email to katina.charles@tananachiefs.org by June 26 th, 2015 Personal Information Please write in or circle your answer. Name: (First) (Middle) (Last ) Date of Birth
More informationChurch of St. Raphael - Summer Stretch 2017 PARENTAL CONSENT FORM & INDEMNITY AGREEMENT
Church of St. Raphael - Summer Stretch 2017 PARENTAL CONSENT FORM & INDEMNITY AGREEMENT Student/Participant Name: of Birth: / / Sex: M / F Current Grade in School: 6 th / 7 th / 8 th / 9 th / 10 th / 11
More informationApplicant must have taken the ACT/SAT Test at least once and submit their scores.
HENDERSON STATE UNIVERSITY SUMMER INSTITUTE STUDENT INFORMATION SHEET Sunday, July 8-Thursday, July 12, 2018 Application deadline for ALL applications is Friday, June 4, 2018 ELIGIBILITY CRITERIA Applicant
More informationCristo Vive International c/o Cheryl Furst: Hwy 178 Chippewa Falls, WI 54729
Cristo Vive International c/o Cheryl Furst: 13051 Hwy 178 Chippewa Falls, WI 54729 763-229-9527 cvimncamp@gmail.com online:www.cristovive.net Returning Team Member Application/Notification of Interest
More information2018 CAMP Registration Packet. Boyertown YMCA PHILADELPHIA FREEDOM VALLEY YMCA
2018 CAMP Registration Packet Boyertown YMCA PHILADELPHIA FREEDOM VALLEY YMCA 1 Camp Registration Procedures 1. The entire camp registration packet minus the (optional) Request for Modification and Diabetes
More informationIf you have any questions concerning the application process, do not hesitate to contact us soon.
Cristo Vive International P.O. Box 527 Big Lake, MN 55309 Dear Applicant: Thank you for expressing an interest in joining the Cristo Vive Team as a participant with the camp ministries for children and
More information4-H Youth Development Team Coordinator 4-H Community Educator
Wayne County 1581 Route 88N Newark, NY 14513 p. 315.331.8415 f. 315.331.8411 www.ccewayne.org Dear 4-H Families, Welcome to Wayne County 4-H! It is a very exciting time of the year to join 4-H; new projects
More informationGeneral Information & Preparation
Ponderosa Retreat Parent Information Please Keep This Information Paper for your Reference All Other Forms, with $50 Payment, Turn-in by Friday, August 17 All Other Forms Must be Signed to be Valid General
More informationRancho Cielo Culinary Academy ELIGIBILITY CHECKLIST
ELIGIBILITY CHECKLIST NAME: HOME PHONE: SS#: CELL PHONE: AGE: DOB: HOME ADDRESS: Step 1 Please complete the following forms included in this packet. 1. Complete the John Muir Charter School Enrollment
More informationSPECTACULAR All Camp Policies and Expectations
SPECTACULAR All Camp Policies and Expectations Our mission is to provide a safe, Christ centered community that encourages young women and men to discover God, their inherent worth and cultivate and express
More informationMESA COMMUNITY COLLEGE. Information Packet 2018 YOUTH COLLEGE. Workshop I & II - Please fill out the following forms and bring to your Audition Time:
MESA COMMUNITY COLLEGE Information Packet 2018 YOUTH COLLEGE Workshop I & II - Please fill out the following forms and bring to your Audition Time: o 14 years and older Need to provide picture ID for Student
More informationA T G R O U P D Y N A M I X
St. Patrick - St. Pius - St. Martin - St. Anthony Santa Clara - prince of peace - Seton A T G R O U P D Y N A M I X Who: Youth going into grades 9-12 (and 15 Grads) Where: Group Dynamix (1215 Trend Dr,
More informationKingdom Kamp 2016 Guardian Authorization
Kingdom Kamp 2016 Guardian Authorization (Kamper s Name).. has my permission to engage in all prescribed Kingdom Kamp activities, except as noted by his/her physician. I hereby give permission to the Kingdom
More informationRegistration Form Needs completed, signed with Notary, and a copy of insurance card included (if applicable).
CAMPER PACKET INCLUDES: Registration Form Needs completed, signed with Notary, and a copy of insurance card included (if applicable). Code of Conduct signed by students and parents with dates. Suggested
More informationBrighton High School Band Information
2016-2017 Brighton High School Band Information MEMBERSHIP: All Incoming/New members outside of the Brighton Middle & High School Bands program must audition for placement within the Brighton High School
More informationBuilding Relationships with God, Youth and our Neighbor
What: Who: Recognize that our neighbor is someone as worthy of God s love as I 2014 Theme Being Jesus Rejoicing and Sharing God s Love with the World John 3:16-18 / 2 Corinthians 13:11-13 Mission Statement
More informationKennedy King College-Minority Science and Engineering Improvement Program 2013
Dear Student & Parent/Guardian: This is the Application Packet for the Minority Science and Engineering Improvement Program at Kennedy King College. All documents within this packet must be completed and
More informationSUMMER CAMP OCOEE RETREAT CENTER JULY 20-23, 2016
SUMMER CAMP OCOEE RETREAT CENTER JULY 20-23, 2016 The City Students team is giddy with anticipation as we prepare to spend four days in July at the beautiful Ocoee Retreat Center (ORC). All students who
More informationBAND /COLOR GUARD/JAZZ BAND REGISTRATION
BAND /COLOR GUARD/JAZZ BAND REGISTRATION Parents: Please fill out completely. One form for each child in Band (This includes Marching, Concert and Jazz Bands, Color Guard) This information will be used
More informationCANOE EXPLORATION ON THE ELKHORN RIVERS OF LIFE JOHN 7:38
CANOE EXPLORATION ON THE ELKHORN RIVERS OF LIFE JOHN 7:38 LOCATION U S HWY 127 N. FRANKFORT KY. AT-- STILL WATERS CAMP GROUND ACTION CAMP MAY 2-3 HIGH SCHOOL AGE & UP Boys Discovery and Adventure Rangers
More informationTHE HUMANITARIAN, INC. Creating Vision Through Mentoring
THE HUMANITARIAN, INC. Creating Vision Through Mentoring Mentor Interest Survey Name: Date: Please complete all the following. This survey will help The Humanitarian, Inc. Mentoring Program know more about
More informationCIRCLE BELOW THE POSITION YOU OR YOUR GROUP LEADER HAS REQUESTED We reserve the right to place volunteers in positions available.
Camp Echoing Hills Volunteer Registration/Contract Form Form must be completed and mailed with registration fee of $25 to Camp Echoing Hills. Incomplete applications will not be considered. Please attach
More informationNOTE: WE REQUEST THAT PARISHES AND SCHOOLS DO NOT USE THE RALLY AS A SUBSTITUTE FOR A CONFIRMATION RETREAT.
M E M O TO: FROM: CYMs, DREs and Middle School/Jr. High Principals Clare Kolenda, Middle School Youth Rally Coordinator Brian Flynn, Office of Youth Ministry DATE: January, 2018 RE: Middle School Youth
More informationBRIDGES 21 st Century Community Learning Center
78 Betsy Ross Lane Sylacauga, AL 35150 (256)245-4343 BRIDGES 21 st Century Community Learning Center Application Packet BRIDGES Registration Date: Free Lunch?: Yes No OR Reduced Lunch?: Yes No Have you
More information2018 Summer Camp Registration
2018 Summer Camp Registration Registration is a 3-Step Process. Complete all of the steps listed below to secure your registration and rate. Incomplete forms and a delay in submitting the required documents
More informationAdventure Club. Before and After School Care Enrollment Packet. Before and After School Care Mission:
Adventure Club Before and After School Care Enrollment Packet Before and After School Care Mission: Our before and after school care is designed to provide children with a safe, loving and exciting environment
More informationJUNIOR VOLUNTEER SERVICE
Application is due by April 30 th. Interviews conclude May 18 th Selections made May 31 st Program begins June 4 th Program concludes July 31 st JUNIOR VOLUNTEER SERVICE Thank you for inquiring about the
More informationBROOKLYN TECHNICAL HIGH SCHOOL
BROOKLYN TECHNICAL HIGH SCHOOL SENIOR WINTER TRIP PERMISSION FORM Trip Date: January 26 th -28 th, 2017 COSA OFFICE THIS FORM MUST BE PRINTED, COMPLETED BY STUDENT AND PARENT/GUARDIAN AND NOTARIZED BY
More information2018 MARSHALL COUNTY LAW ENFORCEMENT YOUTH CAMP APPLICATION
2018 MARSHALL COUNTY LAW ENFORCEMENT YOUTH CAMP APPLICATION Law Enforcement agencies from across Marshall County will sponsor and provide a Law Enforcement Youth Camp for students this year on the dates
More informationCLARION UNIVERSITY WOMEN'S SOCCER
CLARION UNIVERSITY WOMEN'S SOCCER Super Summer Soccer Camps! 2015 Clarion women s soccer and new head coach Sean Esterhuizen are proud to introduce a fantastic range of summer soccer camp offerings to
More informationDear Parent/Guardian,
Dear Parent/Guardian, Thank you for your interest in Nathan Adelson Hospice s Camp Erin. Camp will be held June 1 st 3rd, 2018. We are very excited and looking forward to another great camp experience!
More informationDisney Band Trip 2017
Disney Band Trip 2017 Medical Forms Medicine Procedures Student Pledge The following 4 pages contain Student Medical Forms, which need to be filled out and returned by Friday, January 13, 2017. Please
More informationVETERINARY & BIOMEDICAL SCIENCES SUMMER CAMP-2018 REGISTRATION FORM
1 VETERINARY & BIOMEDICAL SCIENCES SUMMER CAMP-2018 REGISTRATION FORM When: Residential camp: June 24 (Sunday)-June 29 (Friday), 2018 Commuters: June 25 (Monday)-June 29, 2018 In order to get personal
More informationD E ADLINE: October 16 RELEASE T-SHIRT SIZE. (circle one) YOUTH S M L LEADER INFORMATION. Name: Male Female. Address: City: State: Zip:
Director USE ONLY : CABIN LEADER INFORMATION Name: Male Female (First) (Last) Date of Birth: m m / d d / y y Email: Address: City: State: Zip: Phone #: Secondary Phone #: MEDICAL INFORMATION Are you under
More informationREGISTRATION ON PACKET
This Packet Contains The Following Forms: 2018-19 REGISTRATION ON PACKET 1. First Payment and Intent to Attend Band Camp form - due May 11, 2018 2. Seminole County Medical & Travel form (this form must
More informationPolk County Sheriff s Office
Polk County Sheriff s Office Explorer Post 900 Application Grady Judd, Sheriff Polk County Sheriff s Office 1891 Jim Keene Blvd Winter Haven, FL 33880 (863) 298-6200 www.polksheriff.org Pride In Service
More informationName: (Last) (First) (Middle Initial) Sex: F M Today s Date: Date of Birth: Street Address: City: State: Zip: Contact #: Teen s
Application A Teen Volunteer may serve DeKalb Medical between the ages of 14 and in the 9 th grade 18. He or she will work within the hospital under the supervision of specified hospital personnel and
More informationWe want to thank you for your interest in the Orion Weight Loss Program. We are looking forward to helping you reach your weight loss goal.
Appointment Date: Appointment Time: Dear Orion Member, We want to thank you for your interest in the Orion Weight Loss Program. We are looking forward to helping you reach your weight loss goal. Enclosed
More informationBehavior Contract. I understand the following behavior is expected of me while I am at Frost Valley:
Behavior Contract I understand the following behavior is expected of me while I am at Frost Valley: 1. To cooperate with fellow students, teachers and the Frost valley staff. 2. To cooperate with and accept
More informationPottstown Parks & Recreation Summer Adventure Registration
Pottstown Parks & Recreation Summer Adventure Registration Please complete ALL information; registration will not be processed without ALL information. Please note, your enrollment is not guaranteed NOR
More informationCamp Victory Lock-In 2014
Camp Victory Lock-In 2014 Friday June 20th - Saturday, June 21st For youth entering grades 6-12 in the fall of 2014 Please sign and return the following forms along with payment: The Code of Conduct form
More information2017 VENTURA COUNTY JUNIOR LIFEGUARD PROGRAM HELD ON SILVER STRAND BEACH IN OXNARD
2017 VENTURA COUNTY JUNIOR LIFEGUARD PROGRAM HELD ON SILVER STRAND BEACH IN OXNARD Dear Junior Lifeguard Families and prospective Junior Lifeguards: Enclosed is your 2017 PROGRAM OUTLINE. Please retain
More informationVOLUNTEER APPLICATION
VOLUNTEER APPLICATION Name: Age: Date of Birth: Social Security : Address: City: State: Zip Phone: Work: Cell: Email Address: How can we reach you? Home phone Cell phone Text Email Work phone Employer/School:
More informationCADET TRAINING RECORD INFORMATION SHEET
CADET TRAINING RECORD INFORMATION SHEET LAST NAME FIRST NAME MIDDLE NAME ADDRESS CITY STATE ZIP CODE HOME PHONE NUMBER PLACE OF BIRTH (City/State) MIDDLE SCHOOL ATTENDED DATE OF BIRTH (mm/dd/yyyy) CITIZENSHIP
More informationSanta Margarita Catholic High School Girl s Soccer
Welcome Eagles! This booklet contains all of the information and approval forms that must be completed, signed, and returned by the parents of all players before the player will receive their uniform and
More informationYOU! SPLASHWAY WANTS. JoinSplashway.com We are family. SUBMIT YOUR APPLICATION NOW. DEADLINE IS WEDNESDAY, MARCH 9 TH.
SPLASHWAY WANTS YOU! Must be dedicated to: SCAN HERE Fill out online application. TEAMWORK GUEST SERVICE INITIATIVE JoinSplashway.com We are family. Applications should be submitted ONLINE or at your local
More informationParent & Guardian Handbook
Parent & Guardian Handbook 1 We are pleased to welcome you to Canton Parks and Recreation and to offer exciting programs and activities for the upcoming summer season. You will find the answers to most
More information2010 / 2011 Merit Badge University
2010 / 2011 Merit Badge University Hosted By: Merrimac District Tidewater Council Boy Scouts of America Leaders Guide and Registration Forms I. General Description Leader s Guide A. Merit Badge University
More informationMy image/name may be included in print/social media Yes No
Volunteer Application 2018 Due: April 20 th for DOH & June 2 nd for WOH Volunteer Fees DOH - $10* WOH - $20* *Youth Scholarships Available Youth/Adult: Youth (age 14-20 by event date) Adult (21 or older)
More informationWSHS COLOR GUARD REGISTRATION INFORMATION School Year
WSHS COLOR GUARD REGISTRATION INFORMATION 2018-2019 School Year Student Information: Last Name First Name Middle Initial Nickname Home Street Address City Zip Home Telephone Number (with area code) Fall
More informationSTUDENT MINISTRY GUIDELINES AND FORMS
STUDENT MINISTRY GUIDELINES AND FORMS Table Of Contents TRAVEL GUIDELINES FOR: Camps ~ Retreats ~ Overnight Transportation Restaurants EMERGENCIES: Emergency Procedures Medical Emergency Procedures LEADERSHIP:
More information