Teen Huddle 2023 / 2024 Application "*" indicates required fields Hope For Three Teen Huddle 2023-2024 STUDENT APPLICATION Mission “Increasing autism awareness and acceptance among teens.” Application deadline: May 1, 2023, 11:59pm CST Incomplete applications or applications received after the deadline will not be considered.Student InformationFirst Name / Last Name* First Last How did you learn about Teen Huddle:* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Birthday (Must be 15 years-old by September 1, 2023)* MM slash DD slash YYYY Age*Email* Enter Email Confirm Email Cell Phone*Preferred method of contact*Select choiceCell phoneEmailList any languages you speak fluently: Ethnicity (Optional):Select ChoiceAmerican Indian / Alaskan NativeAsian / Pacific IslanderBlack / African AmericanCaucasianHispanicGender*Please select choiceMaleFemaleI prefer not to answerWould you be interested in a leadership role?* School InformatonName of School attending during 2023-2024 School Year* What grade are you entering during the 2023-2024 School Year?* School District:* School Address Street Address City State / Province / Region ZIP / Postal Code Principal, Counselor or PALs Teacher Name Parent(s) / Legal Guardian(s) InformationGuardian 1 Name* First Last Relationship* Father, Mother, Grandmother, etc.Cell Phone*Email* Enter Email Confirm Email Guardian 2 Name First Last Father, Mother, Grandmother, etc.Cell PhoneEmail* Enter Email Confirm Email Please provide address for the above if different from student's address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Short Response Questions1. What aspects of Teen Huddle appeal to you most, and why?*2. Describe your experience, if any, working with children with special needs, or children with autism spectrum disorder.*3. What volunteer contributions can teens offer that are different from those adults provide?*4. What challenges do you foresee working with children who have siblings with autism and what will you do to overcome these challenges?*5. What extracurricular activities are you currently involved in? Will the time commitment required for your extracurricular activities and the time required for Teen Huddle conflict? If not, why?*What are your hobbies? Have you ever participated in any leadership activities? 2023 - 2024 Hope for Three (H43) Teen Huddle Contract 2023 - 2024 H43 Teen Huddle Contract Please initial each statement. All Teen Huddle sessions and events will take place on the weekends, either Saturday or Sunday, every month.I commit to attend the Saturday monthly sessions of the 2023-2024 Teen Huddle program.* 1. September: Family Event- Carnival -Saturday, 8:45A-12:15P 2. October: Caregivers Time Out - Saturday, 9:30A-12:00P 3. November: Sibling Session - Saturday, 9:30A-12:00P 4. December: Caregivers Time Out - Saturday, 6:00P-9:00P 5. January: Caregivers Time Out - Saturday, 9:30A-12:00P 6. February: Sibling Session - Saturday, 9:30A-12:00P 7. March: Caregivers Time Out (Sports) - Saturday, 9:00A-12:00P ~ EVENTS ARE SUBJECT TO CHANGE ~ I understand my commitment to Teen Huddle includes attendance at the following special events in addition to the monthly Teen Huddle activities:* 1. August: Retreat/ Orientation (overnight Galveston Retreat) 2. April: Car Wash For Kids - Saturday 3. April: Family Fun Fest - Saturday 4. May: Teen Huddle Banquet - Sunday Teen Huddle membership requires participation in all sessions and components. This includes, but is not limited to volunteer projects, discussions, etc.* Failure to attend two regularly scheduled and special events can negatively impact future participation in Teen Huddle. This determination will be made by the Teen Huddle adults: Volunteer, Chair and Co-Chair.* I understand transportation to and from the Teen Huddle session(s) is the responsibility of the parents/legal guardians and/or the Teen Huddle applicant.* It is my responsibility to positively represent and promote H43 and Teen Huddle. This includes, but is not limited to Facebook, Instagram, Messenger, and other forms of social media.* Any communication from Teen Huddle requires a response within 24 hours. Responses via email, text, and/or phone is acceptable.* I agree* I have read and accepted the contract conditions listed above. Signature* Type in your full name to sign this document. Parent(s) /Legal Guardian(s) Release / Consent to Participate Parents/Legal Guardians Release/Consent to Participate Please place initials beside each statementI hereby grant permission for my son/daughter to apply to the 2023-2024 Teen Huddle, I recognize the time commitment required to fully participate and agree to meet the criteria outlined by the Teen Huddle. I understand that transportation to and from the Teen Huddle session(s) is the responsibility of the parents/legal guardians and/or the Teen Huddle applicant. By signing below, I hereby release and hold harmless the Sugar Land Family Church, Hope for Three Autism Advocates, Teen Huddle, and the volunteers participating in the program from and against any injury, loss, damage, accident, or expense arising out of, or in any way related to, participation in the 2023-2024 Teen Huddle activities. I acknowledge and have carefully read this release and understand its impact and effect. I acknowledge if I have any questions regarding this release, I have exercised my right to have it reviewed and further explained to me prior to signing.SignatureOnline SignatureDateEmail Add RemoveParents/Legal Guardians Medical Release Parents/Legal Guardians Medical Release Please place initials beside each statementI hereby give permission to the Teen Huddle and its designated Teen Huddle volunteers, and any other trained medical personnel to treat my child in a situation that requires medical attention. I authorize said volunteers to seek such medical advice, treatment, and services as they deem necessary, in their sole discretion, which may be necessitated because of any injury or illness suffered because of my child’s participation in the activities of the Teen Huddle. I further agree to accept any financial responsibility for the care and treatment of such injuries or illnesses and for such further medical services which are required, even though all attempts to contact responsible parties have failed and there is urgency with respect to my child’s treatment, or in the case in which benefits of my health insurance have been depleted and additional medical expenses or loss of income occur. I understand that any medication my child may need for severe allergies (including bee stings, food allergies), asthma or other such medical condition(s) must be brought with my child to the program I have read the foregoing document in its entirety, fully understand the same, and freely and voluntarily sign my name to the medical release. Signature*Online SignatureDate Add RemoveParents/Legal Guardians and Student Photography/Communications Release Parents/Legal Guardians and Student Photography/Communications Release Please place initials beside each statementI hereby authorize the Teen Huddle to publish the photographs or video taken of my child, and their name, for use in printed publications, videos, and on authorized websites. I acknowledge that since my son/daughter’s participation in media produced by the Teen Huddle is voluntary, we will receive no financial compensation I further agree that my son/daughter’s participation in any media produced by the Teen Huddle confers no rights of ownership whatsoever to my child or me . I release the Teen Huddle from liability for any claims by me or any third party in connection with their participation.Signature*Parent / Guardian SignatureDate Add RemoveStudent Signature*Student SignatureDate Add Remove2023-2024 Teen Huddle Hope For Three 4771 Sweetwater Blvd., #358 Sugar Land, TX 77479 281-245-0640 www.hopeforthree.org Questions? Contact Cristina Haro, Teen Huddle Adult Volunteer, 281-344-2058 cristina@hopeforthree.org Please ensure the application is completed in its entirety, obtain all required signatures and recommendation letters. You will be notified if selected for an interview. Interviews held in May and June HiddenPlease upload recommendation #1Max. file size: 32 MB.HiddenPlease upload recommendation #2Max. file size: 32 MB.HiddenFileMax. file size: 32 MB.HiddenUntitledFirst ChoiceSecond ChoiceThird ChoiceEmailThis field is for validation purposes and should be left unchanged.
"*" indicates required fields Hope For Three Teen Huddle 2023-2024 STUDENT APPLICATION Mission “Increasing autism awareness and acceptance among teens.” Application deadline: May 1, 2023, 11:59pm CST Incomplete applications or applications received after the deadline will not be considered.Student InformationFirst Name / Last Name* First Last How did you learn about Teen Huddle:* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Birthday (Must be 15 years-old by September 1, 2023)* MM slash DD slash YYYY Age*Email* Enter Email Confirm Email Cell Phone*Preferred method of contact*Select choiceCell phoneEmailList any languages you speak fluently: Ethnicity (Optional):Select ChoiceAmerican Indian / Alaskan NativeAsian / Pacific IslanderBlack / African AmericanCaucasianHispanicGender*Please select choiceMaleFemaleI prefer not to answerWould you be interested in a leadership role?* School InformatonName of School attending during 2023-2024 School Year* What grade are you entering during the 2023-2024 School Year?* School District:* School Address Street Address City State / Province / Region ZIP / Postal Code Principal, Counselor or PALs Teacher Name Parent(s) / Legal Guardian(s) InformationGuardian 1 Name* First Last Relationship* Father, Mother, Grandmother, etc.Cell Phone*Email* Enter Email Confirm Email Guardian 2 Name First Last Father, Mother, Grandmother, etc.Cell PhoneEmail* Enter Email Confirm Email Please provide address for the above if different from student's address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Short Response Questions1. What aspects of Teen Huddle appeal to you most, and why?*2. Describe your experience, if any, working with children with special needs, or children with autism spectrum disorder.*3. What volunteer contributions can teens offer that are different from those adults provide?*4. What challenges do you foresee working with children who have siblings with autism and what will you do to overcome these challenges?*5. What extracurricular activities are you currently involved in? Will the time commitment required for your extracurricular activities and the time required for Teen Huddle conflict? If not, why?*What are your hobbies? Have you ever participated in any leadership activities? 2023 - 2024 Hope for Three (H43) Teen Huddle Contract 2023 - 2024 H43 Teen Huddle Contract Please initial each statement. All Teen Huddle sessions and events will take place on the weekends, either Saturday or Sunday, every month.I commit to attend the Saturday monthly sessions of the 2023-2024 Teen Huddle program.* 1. September: Family Event- Carnival -Saturday, 8:45A-12:15P 2. October: Caregivers Time Out - Saturday, 9:30A-12:00P 3. November: Sibling Session - Saturday, 9:30A-12:00P 4. December: Caregivers Time Out - Saturday, 6:00P-9:00P 5. January: Caregivers Time Out - Saturday, 9:30A-12:00P 6. February: Sibling Session - Saturday, 9:30A-12:00P 7. March: Caregivers Time Out (Sports) - Saturday, 9:00A-12:00P ~ EVENTS ARE SUBJECT TO CHANGE ~ I understand my commitment to Teen Huddle includes attendance at the following special events in addition to the monthly Teen Huddle activities:* 1. August: Retreat/ Orientation (overnight Galveston Retreat) 2. April: Car Wash For Kids - Saturday 3. April: Family Fun Fest - Saturday 4. May: Teen Huddle Banquet - Sunday Teen Huddle membership requires participation in all sessions and components. This includes, but is not limited to volunteer projects, discussions, etc.* Failure to attend two regularly scheduled and special events can negatively impact future participation in Teen Huddle. This determination will be made by the Teen Huddle adults: Volunteer, Chair and Co-Chair.* I understand transportation to and from the Teen Huddle session(s) is the responsibility of the parents/legal guardians and/or the Teen Huddle applicant.* It is my responsibility to positively represent and promote H43 and Teen Huddle. This includes, but is not limited to Facebook, Instagram, Messenger, and other forms of social media.* Any communication from Teen Huddle requires a response within 24 hours. Responses via email, text, and/or phone is acceptable.* I agree* I have read and accepted the contract conditions listed above. Signature* Type in your full name to sign this document. Parent(s) /Legal Guardian(s) Release / Consent to Participate Parents/Legal Guardians Release/Consent to Participate Please place initials beside each statementI hereby grant permission for my son/daughter to apply to the 2023-2024 Teen Huddle, I recognize the time commitment required to fully participate and agree to meet the criteria outlined by the Teen Huddle. I understand that transportation to and from the Teen Huddle session(s) is the responsibility of the parents/legal guardians and/or the Teen Huddle applicant. By signing below, I hereby release and hold harmless the Sugar Land Family Church, Hope for Three Autism Advocates, Teen Huddle, and the volunteers participating in the program from and against any injury, loss, damage, accident, or expense arising out of, or in any way related to, participation in the 2023-2024 Teen Huddle activities. I acknowledge and have carefully read this release and understand its impact and effect. I acknowledge if I have any questions regarding this release, I have exercised my right to have it reviewed and further explained to me prior to signing.SignatureOnline SignatureDateEmail Add RemoveParents/Legal Guardians Medical Release Parents/Legal Guardians Medical Release Please place initials beside each statementI hereby give permission to the Teen Huddle and its designated Teen Huddle volunteers, and any other trained medical personnel to treat my child in a situation that requires medical attention. I authorize said volunteers to seek such medical advice, treatment, and services as they deem necessary, in their sole discretion, which may be necessitated because of any injury or illness suffered because of my child’s participation in the activities of the Teen Huddle. I further agree to accept any financial responsibility for the care and treatment of such injuries or illnesses and for such further medical services which are required, even though all attempts to contact responsible parties have failed and there is urgency with respect to my child’s treatment, or in the case in which benefits of my health insurance have been depleted and additional medical expenses or loss of income occur. I understand that any medication my child may need for severe allergies (including bee stings, food allergies), asthma or other such medical condition(s) must be brought with my child to the program I have read the foregoing document in its entirety, fully understand the same, and freely and voluntarily sign my name to the medical release. Signature*Online SignatureDate Add RemoveParents/Legal Guardians and Student Photography/Communications Release Parents/Legal Guardians and Student Photography/Communications Release Please place initials beside each statementI hereby authorize the Teen Huddle to publish the photographs or video taken of my child, and their name, for use in printed publications, videos, and on authorized websites. I acknowledge that since my son/daughter’s participation in media produced by the Teen Huddle is voluntary, we will receive no financial compensation I further agree that my son/daughter’s participation in any media produced by the Teen Huddle confers no rights of ownership whatsoever to my child or me . I release the Teen Huddle from liability for any claims by me or any third party in connection with their participation.Signature*Parent / Guardian SignatureDate Add RemoveStudent Signature*Student SignatureDate Add Remove2023-2024 Teen Huddle Hope For Three 4771 Sweetwater Blvd., #358 Sugar Land, TX 77479 281-245-0640 www.hopeforthree.org Questions? Contact Cristina Haro, Teen Huddle Adult Volunteer, 281-344-2058 cristina@hopeforthree.org Please ensure the application is completed in its entirety, obtain all required signatures and recommendation letters. You will be notified if selected for an interview. Interviews held in May and June HiddenPlease upload recommendation #1Max. file size: 32 MB.HiddenPlease upload recommendation #2Max. file size: 32 MB.HiddenFileMax. file size: 32 MB.HiddenUntitledFirst ChoiceSecond ChoiceThird ChoiceEmailThis field is for validation purposes and should be left unchanged.