Virtual SLI Permission Slip

If you would like additional information about program content or how the program is presented, please click here for our Summer Leadership Program page.

Permission Slip SLI Sahaurita Virtual

• Child's name*
  First Last
• Child's Date of Birth*
  MM slash DD slash YYYY
• Child's Grade
• Parent/Guardian Name*
  First Last
• Email*
• Arizona Youth Partnership will be presenting REAL Essentials as a part of the Summer Leadership Institute. REAL Essentials has been presented in schools and communities nationally as well as locally. It is a week-long program that helps youth learn about peer pressure, media pressure, assertiveness skills and risk avoidance. The youth also learn how to make healthy decisions, set boundaries and increase communication with parents. All participants must have parental consent to attend. I give my child consent to attend:*
  YESNO
• Parent Initials
• Date Signed
  MM slash DD slash YYYY
• Arizona Youth Partnership (AzYP) has permission to use my child's first name and any photographs, video tapes, slides, etc. of me and/or my children in stories about AzYP for the media, funding sources, and AzYP materials.
  YESNO