YOUNG MEN OF VISION 2022-2023
Program Registration Form for MIDDLE SCHOOL 6th / 7th / 8th grade

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Childs Full Name (Not the Parent Name) *
Boys of Vision GRADUATE?
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Address
School
Grade
Birthday
Age
Parent name
Parent Contact Phone #
Parent Email
Childs phone # (If he has his own phone)
Childs Email
Shoe Size
T shirt size - (We prefer adult sizes if possible)
Pants Size (Waist and Length ex. 32x30 or 16, 20 etc) *
Polo Size - (We prefer adult sizes if possible) *
Any other Extra Curricular activities?
Are you eligible for, or do you participate Free & Reduced Lunch program at your school? *
Height
Weight
Student Race *
Medical Conditions
COVID 19 Vaccinated *

I am the parent/guardian of the aforementioned child (“My Child”). I hereby grant The Gentlemen of Vision Rites of Passages Enterprises Inc and its Subordinate programs (GOV/YMOV/BOV), and their agents the absolute right and permission to use photographic portraits, pictures, digital images or videotapes of My Child, or in which My Child may be included in whole or part, or reproductions thereof in color or otherwise for any lawful purpose whatsoever, including but not limited to use in any GOV/YMOV/BOV publication or on the GOV/YMOV/BOV websites, without payment or any other consideration. I hereby waive any right that I may have to inspect and/or approve the finished product or the copy that may be used in connection therewith, wherein My Child’s likeness appears, or the use to which it may be applied. I hereby release, discharge, and agree to indemnify and hold harmless the GOV/YMOV/BOV and their agents from all claims, demands, and causes of action that I or My Child have or may have by reason of this authorization or use of My Child’s photographic portraits, pictures, digital images or videotapes, including any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said images or videotapes, or in processing tending towards the completion of the finished product, including publication on the internet, in brochures, or any other advertisements or promotional materials. I represent that I am at least eighteen (18) years of age and am fully competent to sign this Release. THIS IS A RELEASE OF LEGAL RIGHTS. READ IT CAREFULLY AND BE CERTAIN YOU UNDERSTAND IT BEFORE CHECKING.

 PLEASE CHECK ONE OF THE ANSWERS BELOW

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