Parent-Guardian Consent Form | 2026 Youth Leadership Summit

By signing below, I confirm that I approve the student named below to attend the National Council for Community and Education Partnerships (NCCEP) 2026 NCCEP/GEAR UP Youth Leadership Summit in Washington, DC, from July 19-22, 2026.

To the maximum extent by law, I agree to defend, indemnify, and hold harmless NCCEP and its employees, directors, and designees for expenses relating to injuries, accidents, disease, property damage, and/or property loss which may occur as a result of this student’s participation in the 2026 NCCEP/GEAR UP Youth Leadership Summit.

I am aware that the hazards associated with participation in the Youth Leadership Summit are minimal, and that they include transportation sponsored by my child’s GEAR UP program to Washington, DC, and some local transportation to and from specific program activities. Knowing that there are risks that may present themselves, I give my permission for my child (or the student I am the guardian of) to participate in the Youth Leadership Summit and to be transported to any Youth Leadership Summit activity as noted above. I also authorize any necessary transportation and medical treatment to be administered to the above-named student.

1. Student Full Name *This question is required.

2. Parent/Guardian Relationship to the Student *This question is required.

3. Parent/Guardian Signature *This question is required.

Clear

Signature of

4. Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

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