Shore - Marion County
PARENT/GUARDIAN RELEASE *
My child, ______________________________________, has my permission to participate in the SOUTH SHORE - MARION COUNTY YOUTH LEADERSHIP PROGRAM at a cost of $20.00 (due at the August meeting). I understand the attendance, conduct and dress requirements and agree that my child will comply. I will not hold my School District, the school board of education, any sponsoring organization, employees or members of these organizations responsible in the event my child incurs accidental injury or death while participating in the program.
* This form may be printed from your browser. If you have been selected to participate in the South Shore - Marion County Youth Leadership Team this year, please bring this signed form (and the completed Commitment Form) to the Cooperative Extension Service office in the old Health office behind the nursing home in Yellville or mail it to: Renee Myers, P.O. Box 386, Yellville, AR 72687.
Thank you. See you in August!