Teen Leaders Club Registration Form 2019
YMCA Teen Leaders Club (TLC) is a National Club that gives teens, grades 6+,  an opportunity to gain real-life, hands-on leadership experience through Volunteer Opportunities, Trainings, Planning and  Executing Events (Breakfast with Santa, Easter Egg Hunt, Youth Triathlon, Daddy Daughter Dance, etc...), Weekend Leadership Retreats (e.g. YMCA Camp Willson), Counselor in Training Program this summer, and weekly Club meetings.

Come to our Meetings every Thursday at 6pm (meetings resume after Summer 2019 on September 5th) in the National Guard at the Delaware YMCA. New members are always welcome to join at any time.

Club Meetings are FREE to the public. You do not need to be a member of the YMCA to participate.

Participants are not required to attend every meeting/event. In fact, we encourage our members to participate in many different activities and expect club members to miss meetings due to sports/drama/music/etc...

For new members we highly encourage attending a few regular meetings and an overnight retreat as a way to try out the club to see if it will be good fit.

Sign-up for Text Alerts: Text Message YTEENLEADERS to 84483

For questions call or email Roger Hanafin: 740-203-3051, rhanafin@ymcacolumbus.org
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Candidate's Name
Candidate's Age
Candidate's Grade (Must be in 6+)
Candidate's School
Candidate's Phone (if available)
Candidates's Email (for newsletter)
Parent/Guardian Name(s)
Parent/Guardian Email
(can put more than one, please separate with a space and comma - for newsletter)
Parent/Guardian Phone Number
Emergency Phone Number
I understand that YMCA Teen Leaders Club is a voluntary program and by joining, I promise to commit the necessary time and effort required to be successful in the program. I understand that each Leaders Club operates with its own application process, fee structure, member policies and program requirements which support the YMCA Core Values: Caring, Honesty, Respect and Responsibility. I understand that continued participation with Leaders Club will be at the discretion of the Leaders Club Advisor and based on my level of involvement and demonstrating acceptable behavior at all times.  HOLD HARMLESS In consideration for being allowed to participate in YMCA membership and programs, I agree to assume the risk of such activities and further hold harmless the YMCA, employees and volunteers from any and all claims, suits, losses, or related causes of action for damages, including, but not limited to, such claims that may result from my injury or death, accidental or otherwise, during or arising in any way from my YMCA involvement. PHOTO RELEASE Membership cards will be issued and each member’s photo will be taken and held in the YMCA’s membership software program for identification purposes. Additionally, in consideration for being allowed to participate in YMCA membership and programs, I understand that images, video and film footage is often used by the YMCA of Central Ohio for promotional purposes. For my participation in activities to be conducted by YMCA of Central Ohio I hereby give my permission and consent, now and for all time, to YMCA of Central Ohio, the National Council of Young Men’s Christian Associations of the United States of America (YMCA of the USA) and third parties collaborating with YMCA of Central Ohio to make, reproduce, edit, broadcast or rebroadcast any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account of my experience at YMCA of Central Ohio, for publication, display, or exhibition thereof in promotions, advertising and legitimate business uses without any compensation to, and/or claim, by me. I may, or may not be, identified in such reproductions; however, I shall not be stated by name to have endorsed any particular commercial products or commercial services.
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