This Parent/Guardian Permission Form (the “Waiver”) must be completed for all youth
participating in Alpha Kappa Alpha Sorority, Incorporated® (“AKA”) Youth Leadership
Institute (the “YLI” or “program”) which will cover all “YLI Activities” (as such term is defined
in this Form) during the 2023/2024 school year and hosted events including but not
limited to field trips and any other event or activity hosted by the event coordinator(s).
The form must be submitted prior to the youth participating in YLI and prior to any
event that will occur outside of the customary location for YLI Activities listed in Section
B below and must be re-executed and submitted each year the youth participates in
the program. The form has seven parts: (1) Information about the Youth Participant, YLI
and Offsite activity, (2) Parental Permission and Liability Release, (3) Media Release, (4)
Medical Emergency Authorization (5) Pick-up Authorization, (6) Code of Conduct and
(7) Parental/Legal Guardian Acknowledgement and Signature. Please read each section
carefully and be sure to complete all sections and sign where requested.