Anderson Fuel up to Play Student Team 2018-2019
Dear parents,
Your child has been chosen to participate in our Fuel Up to Play 60 (FUTP60) Student Leadership Team for the 2016-2017 school year.  Please complete the form below so that we know how to contact you and track your students activity on FUTP60.  
If you have not already done so, please visit http://www.FuelUptoPlay60.com and link up with our school.  You will need a username and password.  Please bring these to each meeting this year, as we will be visiting the website periodically. Also, once your child has created their username and password an email will be sent to your email address and you will need to click on the link provided to give your child permission to participate on the online version of Fuel Up to Play 60 and to link to our school.
Participation via the online version of Fuel Up to Play 60 is mandatory for membership in the Fuel Up to Play 60 Student Leadership Team.
Most meetings will be after school on Tuesdays and will end at 3:30, unless we let you know beforehand that they will last longer. We will send an email/text the day before ANY meeting to let you know if we will have one that week. Due to duty assignments we will not be able to meet each week.
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Student Name *
Fuel Up to Play 60 Username (not password)
FUT60 Password (only if you want us to keep should your child forget)
Grade Level for 2018-2019
Guardian's Name
Guardian's email
Guardian's phone
How will your child get home from meetings?
I understand that as a member of the Student Team for Fuel Up to Play 60 on my campus I am assuming a leadership role. I understand that my grades, attitude and behavior need to exemplify leadership and set an example for other students on my campus. I understand that I am expected to attend meeting and events set for/by this team. I take this role seriously and understand that choosing not to attend events/meeting or to exhibit qualities unfitting of a leader, may result in my removal from the team.   yes, I understand my role as a student leader.  no *
Media, Photography and Video Release *
 I hereby grant National Dairy Council (NDC), Anderson Elementary, the National Football League, and each of their respective affiliates, subsidiaries, officers, representatives, employees, successors and assigns, and those acting under its authority (collectively the “Fuel Up to Play 60 Parties”) permission to publish or use still photographs or moving images, including, if applicable, any sound recordings accompanying the images (“Images”) taken of my child at any Fuel Up to Play 60 events or meetings in any and all media, whether now known or hereafter existing, and including still and moving images, without payment or any other consideration and without notifying me. I understand and agree that these Images will become the property of the Fuel Up to Play 60 Parties, which shall have complete ownership of the Images and all products created using the Images. I hereby irrevocably authorize the Fuel Up to Play 60 Parties to edit, alter, copy, exhibit, publish or distribute these Images for the purpose of publicizing the Fuel Up to Play 60 Parties’ programs, including without limitation the program entitled “Fuel Up To Play 60” or for any other lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my child’s likeness appears. Additionally, I waive any right to royalties or other compensation arising out of or related to the use of the Images. I hereby hold harmless and release and forever discharge the Fuel Up to Play 60 Parties from all claims, demands, and causes of action which I, my child, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. This release specifically includes, without limitation, a complete release and discharge of any liability by virtue of any editing, distortion, alteration, or optical illusion, whether intentional or otherwise, that may occur or be produced in the taking of or editing of said Images, unless it can be shown that they were maliciously caused, produced and published solely for the purpose of subjecting me or my child to conspicuous ridicule, scandal, reproach, scorn and indignity. I hereby certify that I am the parent or guardian of the child listed above, and do hereby give my consent without reservation to the foregoing on behalf of this person. I am over 18 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.
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Typing your name in the box below will count as a signature and your acceptance of the aforementioned role. *
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