Youth Advisory Leadership Application

Dear Parents/Guardians,

The S.A.F.E. Organization is a 501(c)(3) nonprofit that promotes self-esteem, advocacy, faith, and education in the lives of youth. We provide mentorship and educational services.

We are currently seeking young ladies ages 11-17 to join our youth leadership team. The purpose of this team is to build leadership skills and offer opportunities for youth to demonstrate those skills through service-learning experiences and community service.

Member Responsibilities: 

• Regular attendance at meetings

• Contributing ideas to the group 

• Being an ambassador for the organization’s mission 

• Exhibiting strong traits of leadership and professionalism 

Parent's Information

Youth's Information

Emergency Contact's Information

Liability Waiver: Please sign and date.

Please read carefully before signing.

By signing this waiver, I acknowledge that I am voluntarily allowing my child to participate as Youth Advisory Leader and that I am aware of the inherent risks involved. I understand that these risks may include, but are not limited to: such as injuries, illness, property damage, or loss of personal belongings.

I agree to assume full responsibility for any and all injuries, losses, or damages that I my child may suffer as a result of her participation as a Youth Advisory Leader. I release the SAFE Organization and its affiliates from any and all liability arising from my participation.

I certify that I am in good physical and mental condition and that I am not under the influence of any drugs or alcohol. I understand that if I become injured or ill during the activity, it is my responsibility to seek medical attention.

I have read and understand the terms of this waiver and agree to be bound by them.

Photo Authorization

I hereby grant to S.A.F.E. and its representatives the irrevocable and unrestricted right and permission to use and publish photos of me, or my child, in which may be included for education, illustration, promotion, or other purpose in any manner or medium, and to use my name in connection therewith.

I hereby release the S.A.F.E. Organization and its representatives from all claims and liability relating to said photographs.

I am of legal age and have read the aforementioned and fully understand the contents thereof.