Student Name | Ema Dever |
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Student Email | Email hidden; Javascript is required. |
Phone | 3607078725 |
Would you like to be notified via text of upcoming volunteer opportunities? | Yes |
School district where you attend high school | Mount Vernon School District |
Grade | 12 - Senior |
Who is your ViV Club advisor? | Kiera Wright - Mount Vernon |
How many years have you been in ViV (not including this school year) | 1 |
Have you earned a Varsity letter in Volunteerism in the past? | Not sure |
Student Agreement | |
I attest that: |
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Student Signature | Ema Dever |
Date | 09/03/2024 |
Parent/Guardian Agreement | |
HTML Block | o I attest that I give permission for my child to participate in ViV as outlined in the ViV guidebook. I am fully aware of the risks involved in such above-mentioned activity, and I release from liability the organizations listed above and waive any such claims that may result of an accident, mishap or negligence of the Released Party and/or any other party under or affiliated with Released Party that results in the injury or death of the above-named minor. I understand that my child’s image may be captured on video and/or photographed while participating in Varsity in Volunteerism, whether by organizing parties, partner organizations, or by media organizations that may cover events throughout the program. Recorded audio, photographs, and video images are public records. I give permission for my child to participate and be videotaped and photographed. I also understand that no compensation is provided for any appearance or statements recorded by organizing parties, partner organizations, or any media attending Varsity in Volunteerism events or volunteer opportunities. |
I give my permission as indicated above | Yes |
Parent Signature | Erin LoGrande |
Date | 09/03/2024 |
Parent email address | Email hidden; Javascript is required. |