LEADERS FOR AMERICA

Leaders for America Yosemite Leadership Intensive Application

Date Selected

Fall 2023 | October 12th - October 24th

Leaders Commitment We are committed to serving you! We will do our best to ensure you will have a safe and life-changing experience! Lastly, we are committed to making sure you stay focused, and we will do everything we can to eliminate distractions as they present themselves (i.e. phones, computers, etc.)

I agree to the terms and guidelines of the Leaders Commitment

Liability Release and Consent to Travel I hereby release and hold harmless Leaders for America and David Ferranti, Its agent, assigns, employees and volunteer assistants from any liability whatsoever arising out of injury, sickness, damage or loss of property of loss of life which make be sustained by myself or the minor named above during the course of said trip sponsored by Leaders For America for the entire duration of the trip.

I agree to the Liability Release and Consent to Travel

Medical Release I do give my consent for the director or properly appointed staff member of Leaders for America to secure the administration of medical treatment or medication for myself or the minor named above in the case of an emergency, and I do further agree to the performance of such treatment, anesthetics, and operations as in the opinion of the attending physician is deemed necessary for myself.

I agree to the Medical Release

Photography Release By agreeing to this document, you understand that you may be photographed and/or videoed during the Leaders for America Intensive. Therefore, by agreeing to this document, you are giving Leaders for America permission to use and/or distribute such photographs and/or videos for promotional and other relating purposes. You also state by agreeing to this document that you understand that you will not receive any sort of compensation for any photographs and or videos.

I agree to the Photography Release

Making A Positive

DIFFERENCE

Bay City Local,

INTERNATIONAL REACH

Meet

OUR FOUNDER

Leaders for America Yosemite Leadership Intensive Application

Date Selected

Leaders For America Youth Collaborative Scholarship Application

Leaders For America Youth Collaborative Scholarship Application

Date Selected

DONATION

Youth Collaborative Enrollment

Leaders for America Yosemite Leadership Intensive Application

Date Selected

Making A Positive

DIFFERENCE

Bay City Local,

INTERNATIONAL REACH

Schedule

Meet

OUR FOUNDER