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First JYF Con of the School Year Form

Complete the fields on this form and submit by clicking the send button

This form includes the following:

  • Medical History and Information
  • Emergency Contact Information
  • Release and Agreement for JYF Cons
  • Use of Likeness Release

Medical History and Information

First Name
Last Name
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Phone Number
ext Extension
Please upload a photo of the front AND back of your JYFs insurance card.
No file selected

Emergency Contact Information

First Name
Last Name

Release and Agreement for Junior Young Friends Conferences

In consideration of being allowed to participate in the youth programs of Baltimore Yearly Meeting, its related events and activities, I the undersigned, acknowledge, appreciate, and agree that:

I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or other, and assume full responsibility for my participation; and,
I willingly agree to comply with the Gathering Expectations. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring the issue to the attention of the FAPs or Youth Programs Manager immediately; and,
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless the Baltimore Yearly Meeting of the Religious Society of Friends, Inc. (BYM), its officers, officials, agents and/or employees, other participatns, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lesors of presmises used for the activity, with respect to any and all injury, disability, death, or loss or damage to person or property associated with my preence or participation, whether arising from the negligence of the releesees or otherwise, to the fullest extent permitted by law; and,
I understand transportation to and from conferences is my responsibilit and release BYM, staff, and volunteers from responsibility unless transportation is provided by the program.
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.
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For Parents/Guardians of Junior Young Friends of Minority Age

(Participant Under age 18 at the time of registration)
I, as parent/guardian with legal responsibility for this participant, do consent and agree to my child's release as provided above of all the Releasees, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, even if arising from the negligence of the releasees, to the fullest extent permitted by law.
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Use of Likeness Release

I understand and agree that photographs of myself/my child may be printed in promotional materials. I further understand and agree that my/my child's likeness, in photographs or videos, may appear on a webpage or webpages produced by Baltimore Yearly Meeting and that such webpage(s) will be accessible via the Internet. I agree that any materials produced pursuant to this release may be used, in whole or in part, without inspection or further consent or approval by me, of the finished product or any use of said materials or product by BYM Youth Programs. I have read this agreement, and I make it willingly on my behalf or that of my child.
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