Application

Please fill the form. Allow 10-15 minutes to complete the application. Also where you put your name in specific areas it will be considered a ELECTRONIC SIGNATURE.

Student Profile Information
Student Academic Information
Parental/Legal Guardian Information
Other Student Information
Certification

***Entering the student's name and the parent name below will be consider a electronic signature.***

Progress Information Release Form

This Agreement is made and effective this date

Students Name

In connection with my student’s participation with the Turning Point of Lansing, I hereby agree as follows: I hereby authorize an official at my student’s school, _______________________________ to disclose to The Turning Point of Lansing Representative in good faith any information they may have regarding his/her grades and educational progress. I will hold the School, any former employers, educational institutions, and any other persons giving educational information free of liability for the exchange of this information and any other reasonable and necessary information related to my student’s educational process.

***This is will be consider a electronic signature

Student Medical Information
Release Statement

***This will be considered a ELECTRONIC SIGNATURE***

I give permission for the above minor to receive medical treatment in case of injury. I give permission for the aforementioned minor to participate in the upcoming events and activities sponsored by The Turning Point of Lansing. I do hereby release The Turning Point of Lansing from any and all liabilities and such personal injuries as may result directly or indirectly from any activity conducted under the supervision and direction of The Turning Point of Lansing.
Photo Release

***This will be considered a ELECTRONIC SIGNATURE***

I authorize The Turning Point of Lansing to videotape and photograph my child’s, image and/or voice for use in program materials, program marketing materials and the program website. I understand and agree that these audio, video, film and/or print images may be edited, duplicated, distributed, reproduced, reformatted, and/or translated into other languages in any manner without payment of fees, in perpetuity.
Parental Commitment

$20 (tax deductible) for program polo shirt (new participant)

***This will be considered a ELECTRONIC SIGNATURE

As the parent/legal guardian of a participant of The Turning Point of Lansing, I agree to the following:
-Ensuring that the program participant abides by the guidelines and rules of The Turning Point of Lansing
- Providing the guidance for program participants to make good decisions
- Attending parent workshops
- Ensuring submission of participant grades to the evaluation committee of The Turning Point of Lansing
- Volunteering for at least one program event
- Maintaining high expectations for program participants
- Staying in contact with elders
- Annual contribution of $20 (tax deductible) for program polo shirt

***Failure to adhere to the aforementioned may cause your child to lose Turning Point of Lansing privileges and can lead to their removal from the program. During Turning Point of Lansing parent meetings, program elders will have discussions about your son’s growth and development in the program.

(Men's T-Shirt Size)

Attend and actively participate in the equivalent of 75% of all program activities (added the equivalent of)

***This will be considered a ELECTRONIC SIGNATURE

As a student of The Turning Point of Lansing, I agree to the following:
- Attend and actively participate in 75% of all program activities
- Encourage fellow members of The Turning Point of Lansing
- Abide by the guidelines and rules of The Turning Point of Lansing
- Refraining from the use cell phones or other electronic devices during program sessions
- Adhering to program dress code:
-Wearing The Turning Point of Lansing shirt to all program events
- No jeans; No sagging pants
- No hats during program events unless otherwise specified
- Submitting grades to elders upon receipt from school
- Make good decisions and be held accountable for my choices/actions
- Maintain high learning expectations for oneself
***Failure to adhere to the aforementioned can cause participants to lose Turning Point of Lansing privileges and can lead to removal from the program.
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