Co-op Youth Ambassador Application

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Co-op Youth Ambassador Application

First Name

Last Name

High School

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Parents or Guardians

Parent/Guardian Email

Parent/Guardian Phone

Sweatshirt Size

I want to be a Youth Ambassador because:

Any medical condition(s) we should be aware of?

I agree to the following:

As the participating student, by hitting submit I agree to follow these rules: I will remain in the designated areas of all activities and will not leave the premises unless arrangements are made with the Riverland Energy staff and my parents. I understand that no alcoholic beverages or any illegal substances will be allowed. I understand that Riverland Energy may take photographs of participants and activities. I agree that Riverland Energy shall be the owner of and may use such photographs relating to the promotion of future programs. I understand that this program is strictly voluntary.