REAL LIFE. MY MUSIC. www.reallifemymusic.org
P.O. Box 11483
Detroit, MI 48211
Youth Volunteer Parental Consent Form In order for your child to become a volunteer with Real Life. My Music., we need your consent and involvement in helping them have a productive experience. Please read and sign this parental consent form if you would like Real Life. My Music. to continue the process of considering your child as a volunteer. Note: This Parental Consent Form must be filled out for all volunteers under age 18. Children under the age of 16 may not volunteer with Real Life. My Music. without the supervision of a parent, guardian or other responsible adult chaperone. Name of youth volunteer: Age of youth volunteer: I understand that my child (named above) wishes to be considered for volunteer work and I hereby give my permission for him/her to serve in that capacity, if accepted by Real Life. My Music. I understand that he/she will be provided with orientation and training necessary for the safe and responsible performance of his/her duties and that he/she will be expected to meet all the requirements of the position, including regular attendance and adherence to Real Life. My Music. policies and procedures. I understand that he/she will not receive monetary compensation for the services contributed and he/she is offering services of their own free will without any expectation of compensation, benefits, or insurance of any kind. I hereby waive, release, and hold harmless Real Life. My Music. from any liability, claims or damages for personal injury, including death, as well as from claims for property damage which may arise in connection with the abovenamed activity, against the supervisor, Real Life. My Music. and its elected and appointed officials, agents, and employees.
Parent/Guardian Signature: Nature of relationship to volunteer: Date: For Office Use Only: Received by: Accepted: Yes/No
Date Received: Note:
Published on Jul 20, 2011