YCEF (Youth Creative Expressions Foundation) memebership form
Section 1: Member Information
Full Name: ___________________________________________
Date of Birth (MM/DD/YYYY): ___________________________
Gender: ☐ Male ☐ Female ☐ Other
School Name: _________________________________________
Section 2: Parent/Guardian Information
Full Name: ___________________________________________
Relationship to Youth: _________________________________
Phone Number: ________________________________________
Email Address: ________________________________________
Section 3: Emergency Contact
Full Name: ___________________________________________
Phone Number: ________________________________________
Relationship to Youth: _________________________________
Section 4: Membership Details
Membership Type:
☐ Annual Member ($25/year)
☐ Adult Member (free)
☐ Volunteer Youth Member
☐ Program Member
Programs of Interest (check all that apply):
☐ Art & Crafts
☐ Dance
☐ Debate
☐ Leadership & Public Speaking
☐ Music
☐ Sports/Dry land training
☐ Other: ____________________________________________
Section 5: Medical Information
Does your child have any allergies, medical conditions, or special needs?
☐ Yes ☐ No
If yes, please specify: ____________________________________________
Section 6: Consent & Waiver
☐ I give permission for my child to participate in all YCEF activities and programs.
☐ I authorize emergency medical care if necessary.
☐ I allow photos/videos of my child to be used in YCEF promotional materials, including social media and newsletters.
Section 7: Terms & Acknowledgment
☐ I understand that participation in YCEF programs is voluntary and subject to program availability and policies.
☐ I acknowledge that all information provided is accurate to the best of my knowledge.
☐ I understand that YCEF reserves the right to modify or cancel programs, and has the final right of interpretation regarding all policies and procedures.
Signature of Parent/Guardian: ____________________________
Date: __________________
===============================================================================================================
Membership ID: ____________
Date Received: ____________
Approved By: ______________
Notes: ______________________________________________