One-time Release Form for 2019-2020 September-June RYC Middle School Grandfriend Programs
Hello! This release form provides necessary permissions and emergency information for any and all of the Rye Youth Council Grandfriend Programs from September 2019 through June 2020. Sign ups will be distributed each month -- but you will only have to fill this online form out once.
Form For Rye Youth Council (RYC) Make a Grandfriend Program at The Osborn Retirement Community
2019-20 Dates: September 23, October 28, November 25, December 16, January 6, February 3, March 9, April 20, May 4, June 8th
Time: 2:340-4 pm
Place: Meet at the front of Rye Middle School and a bus will take the kids to The Osborn, 101 Theall Road, Rye, NY 10580. Participants should be picked up at The Osborn at 4pm.
Who: Middle school aged students who live or attend schools in Rye and Rye Neck, and who would like to make meaningful connections to senior citizens.
I, the undersigned, certify that I am the parent or legal guardian of the Rye Youth Council child-participant and do hereby give my consent for the child-participant to attend the Make a Grandfriend program on and of the dates listed above. I understand and agree that my child will be chaperoned by an adult Rye Youth Council Party.
"Rye Youth Council Parties" include RYC and its successors, officers, members, directors, volunteers, employees, and agents.
I hereby covenant and agree to release and hold harmless the Rye Youth Council Parties and The Osborn from and against any and all liability, loss, damages, claims, or actions (including costs and attorney fees) for bodily injury and/or property damages, to the extend permissible by law, arising out of participating in this field trip.
I agree to indemnify and hold harmless the RYC Parties for any loss, cost, or damage caused by the undersigned participant during his or her participation in RYC events. I will assume the costs from damage caused by me or my undersigned child-participant at any RYC event.