PARENT/GUARDIAN CONSENT FORM  
SANKOFA STORYTELLING PROGRAM
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Email *
Contact Information
Student First Name *
Student Last Name   *
Date of Birth *
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/
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Student Phone Number (If they don't have one just say N/A) *
Student Email (If they don't have one just say N/A) *
School *
Grade *
Student's Home Address (We will be mailing out books)
I, the parent or legal guardians for child/student named above hereby allow my child’s permission to participate in the Sankofa Storytelling Program.

I fully understand that the program involves mentors, who shall be selected from the community and will be screened (including a criminal background check) and trained before beginning in the program.  I understand that Mentor(s) will be expected to spend a minimum of two hours per week with my child Online at the Sankofa Program.

                                                             PHYSICAL / IN PERSON
York Region Alliance of African Canadian Communities will not be responsible for any loss or damage belonging to your child
• Your child will follow all rules and reasonable instruction while participating in the program.
• York Region AACC board, staff and volunteers shall not be responsible for any loss , damage or injury  by anyone in the course of their voluntary attendance and / participation in the Program

I consent to my child's participation in the Sankofa  Story Telling & Mentoring  program and give him/her my permission to participate. I understand that my child will be participating in various activities with a volunteer mentor, and that he/she will be under that programs supervision during those activities. *
I understand that my child's participation in Sankofa Story Telling & Mentoring Program and sponsored activities and specific activities is voluntary. *
I understand that I will be expected to attend ONLINE /IN PERSON orientations, meetings and celebrations associated with the program, and will encourage / motivate my child to participate and discuss topics with me. *
I give my permission to the Sankofa Story Telling and Mentoring Staff and/or Mentor(s) to pick up, or transport my child for activities and events that are planned and organized by the program in person as per the government mandated protocols. *
I understand that my child will be participating in various one-to-one activities with a volunteer mentor, and that he/she will be under that volunteer's supervision during those activities. *
I give my permission for my child's name, likeness and speech in any audiotape, videotape, film or photograph, artwork, stories, or quotes made at any Sankofa Story Telling & Mentoring Program activities for public relations or outreach purposes. I waive all rights to compensation. *
I have been informed as to the purpose and duration of the program. I have also been informed as to the programs expectations concerning the involvement of the mentor(s), my child, and parents. *
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