Select a Venture Box type: * The Beadwork box is reserved for Indigenous youth. Do you self-identify as an Indigenous person? * If my preferred Venture Box is unavailable, I am interested in receiving another Venture Box. Please rank the Venture Box types in order of your preference: (1 – top choice, 4 – least favorite choice) * Participant Information Name *
First Last Your Shipping Information *
Boxes available to residents of Newfoundland and Labrador only.
Are you 29 years of age or younger? * Are you 18 years of age or younger? * We are unable to accept your registration request as Venture Boxes are reserved for youth 29 and under. Parent/Guardian Information Business Information Do you have a business idea? Describe your business idea: * Do you have a business plan? * Do you plan to start a business this summer? Are you a previous participant of the Youth Ventures program? * Region *
From the list below, select the town/region where you live or is the closest to you:
St. John's, Mount Pearl Paradise, CBS, Colliers,Torbay, Portugal Cove Goulds, Southern Shore, Bay Roberts, Carbonear, Harbour Grace Burin Peninsula Clarenville, Bonavista Placentia Gander Grand Falls - Windsor Connaigre Peninsula Springdale, Baie Verte Deer Lake Corner Brook Stephenville Port aux Basques Parsons Pond Plum Point St. Anthony Labrador City, Wabush, Churchill Falls Ulnooweg Happy Valley-Goose Bay, Rigolet, Hopedale L'anse au Loup, Forteau Port Hope Simpson , Cartwright Nain, Makkovik, Postville, Natuashish Choices for Youth Association for New Canadians Empower NL Release Forms LIABILITY RELEASE FORM: *
In consideration of being permitted to participate in any way in the operation of a business and/ or under the auspices of Youth Ventures, I acknowledge, appreciate and agree that: The risk of injury from any activity involved in owning and operating a business is possible including the potential for permanent disability, death, public and private property damage etc. does exist. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of those persons released from liability below, and assume full responsibility for my participation and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless the Youth Ventures Program, its staff, volunteers, corporate sponsors and funders with respect to any and all injury, disability, death, personal or private property damage. I understand and agree that this release of the Liability Agreement covers each and every activity and event in which I participate in the hereafter.
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement. Participant's Signature for Liability Release * Reset signature Signature locked. Reset to sign again Parent/Guardian Signature for Liability Release * Reset signature Signature locked. Reset to sign again MINORITY RELEASE FORM: * I certify that I, as parent/guardian with legal responsibility for this participant, consent and agree not only to his/her/their release of Youth Venutres but also to release and indemnify the Releases from any and all liabilities incident to his/her/their involvement in this program for myself, my heirs, assigns and next of kin. Parent/Guardian Signature for Minority Release * Reset signature Signature locked. Reset to sign again PUBLICITY RELEASE FORM *
Youth Ventures likes to publicize the accomplishments of its participants as well as the activities of the Youth Ventures program. I hereby grant Youth Ventures, its officers, employees, agents, funders, assigns and licenses the perpetual rights throughout the world to use and reuse for lawful purposes (including but not limited to) television, printed marketing materials, websites, in any manner or media, by any means or device know known or hereafter created, in the use of my image/and or obtained per above for education and archival purposes and promotional activities.
I understand that Youth Ventures NL reserves the right to publish my name and photos/videos of me at Youth Ventures events and activities. I agree to cooperate with Youth Ventures in obtaining any necessary consents and approvals related to such photographs taken of me. Participant's Signature for Publicity Release * Reset signature Signature locked. Reset to sign again Parent/guardian Signature for Publicity Release * Reset signature Signature locked. Reset to sign again
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