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YAC Application Form

  1. Photo/Video Release Form

  2. I grant the City of Killeen Youth Advisory Commission permission to reprint my photograph and/or my son or daughters’ photograph and to use video of my son or daughter for Youth Advisory Commission publications, Web sites, electronic and digital media, publicity, advertising and/or the calendar. All photographs/videos will remain the property of the City of Killeen Youth Advisory Commission.

  3. I grant the Youth Advisory Commission to identify my son or daughter with their full name in the aforementioned communications.

  4. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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