Join School Based Youth Services Program @ LCMR

I hereby give permission to have my child participate in activities and or to receive services from School Based Youth Services/ Acenda, and to be transported in School Based Youth Services Program/ Acenda vehicles or chartered transportation. I further realize that School Based Youth Services Program/ Acenda and the entity donating the space are not responsible for any injury that may occur to my child. I hereby empower and direct School Based Youth Services Program/ Acenda program authorities to authorize emergency medical and  hospital treatments to my child in any situation where treatment is reasonably necessary in the judgment of said personnel. I understand that a physician is not present during recreational activities. i authorize program authorities to render first aid to my child, if an accident takes place under such circumstances. I understand that the cost of medical treatment must be paid by participants own medical coverage. I hereby waiver and release any right to bring legal action against School Based Youth Services Program/ Acenda. I give consent for my child to participate in surveys, questionnaires form  the State of New Jersey. I give consent for my child to appear in photos for recreational and educational activities and  our social media plat forms. 

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