Cincinnati Youth Collaborative

Dream Makers Celebration Student Volunteer Consent Form


The Dream Makers Celebration is Cincinnati Youth Collaborative’s (CYC) annual event recognizing and celebrating students, mentors, volunteers, and partners who are making a positive impact in the community. The event highlights student achievements, builds community connections, and provides students with opportunities to develop leadership, teamwork, and service skills through active participation and volunteering. 

The event will be held this year on April 23, 2026 at the American Sign Museum at 1330 Monmouth Avenue, Cincinnati, Ohio from 5:30 - 9:00 PM (volunteer roles occur before, during and a few conclude after this time). 

I give permission for my child named below to participate as a student volunteer in the Cincinnati Youth Collaborative (“CYC”) Dream Makers Celebration. 

Student Name:  

School:

Grade:

I acknowledge that participation in these activities is intended to support my child’s development with the knowledge, skills, attitudes, and behaviors necessary to participate fully and responsibly in society. 

I give permission for my child to travel to and from program activities in: 

  • private vehicles driven only by approved volunteers or staff  
  • school or organizational vehicles 
  • buses or public transportation 

I understand and consent that my child may appear in media and promotional materials, including TV, radio, websites, printed materials, newsletters, and social media. If I do not want my child photographed or recorded, I will notify CYC in writing and take appropriate precautions.  

I consent to my child participating in program/event evaluations and surveys. 

I release and hold harmless Cincinnati Youth Collaborative (CYC), its staff, volunteers, mentors, partner schools, facilities, and their agents or employees from any claims arising from my child’s participation in the Dream Makers Celebration and related activities. 

I agree to support CYC programs and encourage my child’s positive participation and behavior. I understand that failure to follow program guidelines may result in my child being removed from participation. 

Parent/Guardian Name:

Phone Number:

Emergency Contact Name:

Emergency Contact Phone:

Leave this empty:

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Signature Certificate
Document name: Dream Makers Celebration Student Volunteer Consent Form
lock iconUnique Document ID: 5f799926e65fb42bbbc46399bfc9b06d9756e11a
Timestamp Audit
April 2, 2026 1:42 pm EDTDream Makers Celebration Student Volunteer Consent Form Uploaded by Chris Lipscombe - [email protected] IP 72.49.230.250