Virtual MYC Activities Permission Form

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This form acts as an addition to our pledge form

Email *

What MYC virtual group(s) are you signing up for? Check all that apply *

Middle School Activity Group (6 weeks) (May 21st to June 25th)

Middle School Kids Group (Formerly known as Girls Group) (6 weeks) (May 18th - June 22nd)

5th Grade Magical illusions program ( 4 weeks) (May 19th - June 9th)

5th Grade Activity Group (6 weeks) ( May 21st to June 25th)

Jack-box Games on Wednesdays May 13th to June 24th (Do not need to attend every one)

Required

Activity group & magic illusions supplies will be provided. These supplies can be picked up via no-contact curbside pick-up or by no-contact door step delivery. Please choose below. *

I would like to pick up the supplies at MYC Via no-contact curb side pick-up

I would like to have these items delivered to my door step by a MYC staff member

I only signed up for Jackbox games links

Required

Youth email address (for Zoom links) (or enter the email you would like Zoom links for the virtual group sent to) *

Please list youth first & last name below *

Please list parent first and last name below *

Please list working parent phone number below *

Youth Phone number for text reminders (optional)

I give my youth permission to participate in adult led McFarland Youth Center virtual activities. *

Yes

I understand that because virtual activities will take place in homes, this may mean that your child, parents, and/or others may overhear what is being said.

Yes

Clear selection

I understand that youth who participate should consider video sessions as though they were at the youth center with the same expectations for behavior and dress code

Yes

Clear selection

I agree to discuss appropriate virtual behavior with my youth before signing up for any virtual activities.

Yes

Clear selection

I understand that youth are expected to choose a location that is appropriate, including being free from distractions. Students will be expected to follow the virtual group norms and expectations as established (i.e. not speaking out of turn, behave in a appropriate manner, redirecting behavior when asked & respecting others.). Participants who are unable to meet the expectations may be muted, have their video turned off, and/or be removed from the call for the session and possibly future sessions.

Yes

Clear selection

A copy of your responses will be emailed to the address you provided.

Submit

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