2024-2025 Youth Connex Committee Application

The Innisfil Youth Connex Committee is made up of Innisfil residents in Grades 8 to 12, with support from Council, Town staff and community partners.

The YCC provides a link between youth in the community, Council and local community partners to promote youth initiatives, programs and insight that enhance the quality of life, health and well-being of Innisfil youth.

This is your chance to make a difference in your community!

Please apply for the 2024-2025 Youth Connex Committee using the form below. The first meeting of the 2024-2025 Youth Connex Committee will be held in late September 2024.

Tell Us About You

First and Last Name

Email Address

Phone Number (Cell or Home)

Please provide the phone number you want us to use to contact you.

Home Address

Date of Birth

yyyy-mm-dd

Current School

Please provide information about any health conditions (including allergies), accommodations you need, or any other information you think it would be helpful for us to know about you to facilitate your participation on the Youth Connex Committee.

Tell Us About Your Interest in the Youth Connex Committee

Have you been a member of the Youth Connex Committee in the past?

Yes

Why do you want to be a member of the Youth Connex Committee?

Please share any skills, talents, or experiences that will compliment and/or meaningfully contribute to the YCC.

How do you want to be involved with the Youth Connex Committee?

Please select all the responsibilities you think you can take on as a member of the Youth Connex Committee. This information helps give us an idea of how many members to recruit.

Do you have any ideas for initiatives or events that you would like to promote for 2024/2025? If so, please share them in the box below.

Emergency Contact

Please consider making a parent/guardian or family member your emergency contact.

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Email Address

Please review the following information with a parent/guardian.

Personal Information

Personal information collected through this registration form is pursuant to the Municipal Freedom of Information and Protection of Privacy Act, R.S.O.1990, Chapter M.56, as amended, and will be used for registration and mailing lists.

Release of Liability

The participant and the parents/guardians waive any and all claims they may now and in the future may have against, and release from all liability and agree not to sue, the Town of Innisfil, and its elected officials, employees and agents. This release includes all claims for bodily injury, death, property or loss sustained by the participant as a result of his or her participation in the programs offered by the Town of Innisfil including, without limitation, negligence on the part of the Town of Innisfil, its elected officials, employees and agents.

Consent for Photo/Video

The Town may photograph or take video at meetings and events. The photos and videos may appear in Town of Innisfil publications, or on the Town of Innisfil's social media pages or website. Unless you tell us otherwise, we assume consent to take your photo during Youth Connex Committee meetings or events.

Transportation Support to Reduce Barriers

The Town can offer Uber gift cards to help Youth Connex Committee members attend meetings and events via Innisfil Transit.

I acknowledge that my parent/guardian and I have read and agree to the collection of my personal information, the release of liability, consent for photo/video, and the availability of transportation support.

Send me a copy of my responses

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