STATEMENT OF AGREEMENT
Balance Program Agreement
I understand that attendance at all Balance sessions is expected for graduation. * My behavior and participation will always reflect positively on Balance and my sponsoring agency. * Balance is a drug and alcohol free program, and I will abide by those standards during all Balance events. * I realize that I am a representative of all youth and I will at all times represent them honorably. * I authorize Balance to take appropriate measures if I cannot fulfill this agreement. *I agree with all of the above statements
I understand tuition is $250. $100 is due upon program acceptance and the balance is due on or before 9/30/2018.
Medical/General Liability Release
I understand that my parent (or guardian) will be required to sign a medical release form prior to my participation in Balance.
Youth Leadership Academy and Leadership Academy of Madison County (LAMC) staff, volunteers, and representatives routinely document activities associated with the Academy through photography, videography, audio recordings and other forms of media. I recognize that this media will be used in LAMC presentations, reports, and promotional materials, including on the LAMC/YLA website and social media sites.
I hereby waive my child’s rights to privacy with respect to the use or release of the above-mentioned media. I further understand that no royalty fee or compensation of any character shall become payable to me or my child by the Leadership Academy of Madison County by reason of such use. I hereby release Leadership Academy of Madison County and its staff, volunteers, and representatives from any liability in its use or the use by others.
I agree that the Leadership Academy of Madison County may use such photographs of my child with or without my child’s name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.