Legacy Board Meeting via Zoom – Oct. 9 @ 7pm | Click to Zoom

Middle and High School Session – Impact Church Gwinnett, Snellville GA 30039 | Oct 11th – 11am-130pm | RSVP BELOW!

Cost: We ask for a donation of $25 or more for this session.

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Parent Name *

Parent Name

First Name

First Name

Last Name

Last Name

Phone *

Email *

Youth Name *

First

Last Name *

Last

Grade * 6th7th8th9th10th11th12th

Age * 9101112131415161718

Youth Name of School *

Liability/Waiver Release: *

I the Parent/Gaurdian, the SIGNER of this REGISTRATION FORM which includes immediate & extended family, “Releases” Legacy Driven Foundation Inc., Any/All Schools within, Gwinnett County Public School System, other participants, officers, directors, agents, other staff from any/all liability for said YOUTH(s) registered for this event and all other’s under the organization of Legacy Driven Foundation, Inc..

I give Legacy Driven Foundation, Inc. full AUDIO, PHOTO & VIDEO permission for your youth and/or adults during any Sessions to be recorded. Please note that AUDIO, PHOTO and/or VIDEO may be posted on our social media and/or website channels at any given time.‎

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT fully. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.‎

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