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IMPACT: YLD
Parental/Family Consent
Parent / Guardian First name
Parent / Guardian Last name
Email
Phone
Preferred contact method & time
Student First Name
Student Last name
Student's Grade Level
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Feel free to ask questions here leave a comment
I understand that my child's right to withdraw from participating or refuse to participate will be respected and that his/her responses and identity will be kept confidential. I give this consent voluntarily.
I have read and accept all terms & conditions as stated in the cohort brochure
My child is NOT 18 years of age. I hereby give consent as the parenta/guardian consent for my student to participate in the AAAMotivated IMPACT Youth Leaership Development Program
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Thanks for submitting you're family consent form.
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