AUTHORIZATION OF CONSENT I understand that all the information on this form is voluntarily supplied and may be used and disclosed for emergency and/or office purposes only. I also agree to release and hold harmless the staff, the volunteers, and the board of directors of I’RAISE Girls & Boys International Corporation from any and all liability for disclosing this information to government agencies and their agents, and/or donors, who request information of youth enrolled in program. I hereby agree to participate in I’RAISE Groups and maintain the confidentiality of group members. I understand that information that I disclose in groups will be held in confidentially and will not be disclosed to any individual or organization including parent and/or guardian except given verbal or written permission by the youth AND in the event a youth discloses that they want to harm themselves or another individual, parents/guardians will be contacted. By becoming an I’RAISE Youth member, I understand that I will have the opportunity to participate in many individual and group activities, programs and events, trips, community organizing. I further understand that I’RAISE is rooted in Christian beliefs and principles and by becoming an I’RAISE Youth member; I am agreeing to respect the religious views and standards of I’RAISE Girls & Boys International Corporation, Therefore, legal action cannot be taken against I’RAISE for teaching Christian principles, Christian beliefs and/or Christian standards to youth. By signing this application, I grant permission for participation in events without requiring additional permission forms. I hereby grant permission for I’RAISE Girls & Boys International Corporation to take my child on trips via public transportation, private bus companies, parental consent must be received when arranging other transportation methods. I hereby grant permission to the I’RAISE Girls & Boys International Corporation to take my child photo while participating in the activities to use for publicity. I have read this entire Informed Consent Agreement. I fully understand it and I agree to be legally bound by it. *
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