2022 Novi Police & Fire Youth Leadership Academy Application
Please note any medical information pertaining to this participant (i.e. medications required, allergies)
In case of an emergency, the following person may be contacted if parent of guardian is not available:
Please submit your essay.
Guardian Consent and Release - read before signing
As the parent or legal guardian of above named participant, I give my permission for him/her to attend the 2022 Youth Police & Fire Leadership Academy from July 25, 2022. I grant permission for my child to participate in all activities scheduled. Event sponsors and volunteers are authorized to obtain whatever medical attention is required in the event of an injury to this child. I have listed all pertinent medical information relating to this child. I understand that applications are subject to a criminal history check along with a CLEMIS (a county wide computer check of police contacts). The purpose of this background check is to ensure the topics taught in this course will not be used for future criminal activity. The City of Novi, Novi Police & Fire Departments, Novi Community School District, Walled Lake School District, Northville Public Schools, South Lyon Schools, Catholic Central, Mercy, its board members, officers, directors, agents, volunteers, employees and sponsors, either voluntary or employed, assume no responsibility whatever for any injury suffered to this child in the course of the event. I hereby release, exonerate and discharge the aforementioned parties, its board members, officers, directors, agents, volunteers, employees and sponsors, either voluntary or employed, from any and all liability, actions, of causes of action for any injuries suffered by this child while participating in this event.