Orange Learn 2 Earn™, March-May 2008

Greenfield BizVenture!™, June 23-28, 2008

Orange BizVenture!™, July 21-26, 2008

Orange Learn 2 Earn™, July 7-17, 2008

Orange Learn 2 Earn™, October 7-November 13, 2008

To determine your program fee:
1. Find the number of people who live in your household.
2. Find the income level that most closely matches your household size.

3. Check the fee for your income level:

MoneySmart!™ Levels: 1: $0     2: $0     3: $0     4: $0

BizVenture!™ Levels: 1: $50     2: $100     3: $150     4: $200

Learn 2 Earn&trade (deposit only); Levels: 1: $20     2: $20     3: $20     4: $20

If you are unable to pay the full fee, please use this space to apply for a scholarship by briefly explaining your need

CONSENT | LIABILITY WAIVER | MEDIA RELEASE
Consent: I hereby grant permission for me/my child to participate in any and all program activities. I accept that times and places of these classes, field trips, and activities may vary and/or be flexible. I grant permission to the staff and to any other adult, volunteer or otherwise, who is acting as a chaperone and/or resource person in connection with activities organized by said staff, to administer any emergency first aid treatment that me/my child may require. Furthermore, I grant permission to the foregoing persons to select a hospital and/or physician for me/my child to secure any emergency medical treatment that I/my child may require.

Disclosure: This program involves a variety of activities. There is risk that must be assumed by each participant that she or he may suffer an emotional or physical injury as a result of his/her participation. The level of participation in these activities is, at all times, completely up to the participant. However, I also understand that if I/my child cannot control my/his/her behavior, the staff will exercise whatever non-violent means necessary to control the situation to insure the safety of me/my child and all other program participants. I accept responsibility for requesting and understanding the particular details involved with these activities.

Release of Liability: I understand elements of the program may be physically or emotionally demanding. I affirm that my/my child's health is good, and that I/my child am/is not under a physicians care for any undisclosed conditions that bears upon my/my child's fitness to participate in program activities. I recognize the inherent risk of injury or disability in program activities. I understand that each participant must assume the risk of emotional or physical injury that could result from these activities. I release Young Entrepreneurs Society, Inc. and its partnering agencies, employees, volunteers, vendors, and boards of directors from any and all liability for any injury to me/my child resulting from my/his/her participation in YES program activities.

Media Release: I also provide permission for the Young Entrepreneurs Society, Inc. (YES) to use, reproduce, electronically publish and display my/my child's/ward's name, photograph, and any information provided by me/my son/daughter/ward in all media including, but not limited to, newspapers, magazines, television, radio, and Internet web sites. I understand that this media will be accessible throughout the world and that stories including me/my son/daughter/ward may appear in written, video and electronic form. I understand that information provided by me/my child/ward will be used to promote YES and entrepreneurship generally. I release YES and their agents and employees from any claims of infringement, invasion of privacy, defamation or misappropriation arising from the use of the information provided by me/my son/daughter/ward in the permitted manner.

By checking this box, I certify that, to the best of my knowledge, the information I have provided in this application is true and correct. I have read, understood, and agree to all of the provisions contained in this application.