Parent/Guardian: This form serves as an application into the Future Inspired Native American Leaders College and Career Readiness program. An orientation into the program is required for all participants and must be attended by both parent/guardian and student. This form must be completed by a parent or legal guardian of the student listed below.
Enrollment for Future Inspired Native American Leaders program is on-going throughout the year. Orientations are scheduled throughout the year when new students apply with exception to the months of June and July. These months are designated for an overview of the Summer Academy event and will require admission to Phoenix College for classes. Participation in the Summer Academy requires a mandatory orientation for both Student and Parent/Guardian. Failure to attend one of the four orientations will prevent the student from participating in the Summer Academy but may continue in the program during the Fall 2017. Classes for Summer Academy will be taught by instructors at Phoenix College and students will enroll during the June or July orientation. Students will not be accepted into the Summer Academy if they have not attended one of the orientations with their Parent/Guardian and have not submitted all supporting documents by the final orientation date (July 2, 2018).
Students will have the freedom to choose their class but seating is on a first-come first-served basis. Students wanting to enroll in a particular class are advised to attend an early orientation date with all their required documents. Students will not be enrolled in a class without submitting all four required documents.
(Please initial next to each statement below)
I hereby authorize and give full consent to the PHOENIX INDIAN CENTER, INC. to transport my child.
This Release, Indemnity, and Assumption of Risk statement covers all activities, events, sessions, meals, occurrences, participation, observation, and travel between activities, associated with this project. I hereby give permission for my child to participate. For my child, I agree to assume the risk of any events associated with my child’s participation, observation, or other activities that may result in any harm, injury, illness, damage or loss to my child. I hereby release, waive, and hold harmless Phoenix Indian Center, or other organizations involved in the program or any of these organizations agents, personnel or volunteers from any claims, liability, or responsibility for any such injury, illness, damage or loss. I understand the activities are voluntary, and I agree to accept the responsibility for my child’s personal safety and participation in the program. I consent to the provision of emergency medical treatment for my child to the extent the treatment is necessary in the medical opinion of the doctor rendering the treatment. If I have any concerns about my child’s ability to participate in any event or activity associated with the Phoenix Indian Center, I agree to discuss my concerns with my child’s physician before signing this form.
Program Participant Responsibilities:
Phoenix Indian Center Staff Responsibilities:
This agreement will remain in effect for the duration of the program. The Phoenix Indian Center personnel will be advised of any violations of agreement and appropriate action may be taken to remedy the situation, including family discussions or possible suspension or termination from the program.