FRS Youth Tour

Application

Applicant Information

First Name *

Last Name *

Nickname (if applicable)

Age *Must be age 15, 16 or 17 at the time of the tour.

Birthday *

Sex *FemaleMale

RTC Networks Phone Number or Account Number *

Parent/Guardian Name(s): *

Home Address *

City *

State *

ZIP *

Student Email Address *

Student Home Phone #

Student Cell Phone # *

High School Name *

What do you think are the biggest challenges facing your rural community? *

Additional Information/Documentation Required

Upload Recent Photograph *

No file chosen

Attach a recent photo of yourself, such as a senior photo or headshot. The photo should be of just the student attending the youth tour.

Student Conduct Guidelines

1. Students shall abide by all Youth Tour rules in a manner that will bring credit to FRS and their partnering NTCA member.

2. At all times, students shall keep the assigned chaperone or FRS staff informed of their activities and whereabouts while in Washington, D.C.

3. Students must stay in housing designated by FRS during the tour. All students will be assigned a roommate.

4. Students shall participate in authorized activities only.

5. Students shall not possess or use any alcoholic beverages or illegal drugs at any time, under any circumstances.

6. Students shall respect and abide by the authority entrusted to the FRS staff and chaperones.

7. Identification badges must be worn as directed.

8. Smoking, including electronic cigarettes and vaping, will not be permitted.

9. Boys are not permitted in girls’ rooms and girls are not permitted in boys’ rooms at any time – unless an adult supervisor is present.

10. FRS is a non-partisan organization. Students are expected to dress in a respectful manner and to avoid inappropriate attire. Examples of inappropriate attire include, but are not limited to, clothing with profanity, nude or semi-nude photos, sexually suggestive photos or messages, political slogans, political advertisements, and politically suggestive cartoons or drawings.

ACTION TO BE TAKEN IF STUDENT VIOLATES STUDENT CONDUCT GUIDELINES: Student will be sent home immediately and sponsoring company, school, and parents will be notified.

I certify that the information on this application is complete and correct to the best of my knowledge, and agree to adhere to the Student Conduct Guidelines.

Student Signature *By entering your name on the line, you are effectively providing your signature.

Date *

Parental Release Form

This form must be completed for each participating student by their parent or guardian. By signing this form, parent(s)/guardian(s) grant consent for their child to attend the 2024 FRS Youth Tour in Washington, D.C. Your signature releases your child into the supervision of the FRS staff and all accompanying chaperones.

Please note all future communications regarding youth tour will be made directly with the participating student via email or the GroupMe chat

Liability Information

Parents/Guardians of this student agree, by affixing their signatures, to the conditions set forth here-in.

Being parents/guardians of son/daughter who is to be the representative on the Foundation for Rural Service Youth Tour, we hereby agree to release FRS/NTCA, its representatives, agents, servants, and employees from liability for any injury to said minor—resulting from any cause whatsoever occurring to said minor at any time while attending the 2024 FRS Youth Tour – including travel to and from said event, excepting only such injury or damage resulting from willful acts of such representatives, agents, servants, and employees.

This form also grants FRS full permission to use any photographs, or videos of the students on the foundation’s Web site, in print materials and/or in promotional pieces for future tours. Signature(s) acknowledge that all parties have read and concur with the information contained herein.

Parent/Guardian Signature *By entering your name on the line, you are effectively providing your signature.

Date *

FRS Youth Tour

Application

Applicant Information

Additional Information/Documentation Required

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