Youth Services Enrolment

* Indicates a required field
Student Information:
Student's Address:
Gender
Race/Ethnicity
Requires Language Interpreter Services:
Parent/Guardian Information
Address
Gender
Race/Ethnicity
Requires Language Interpreter Services:
Media Release for Parent/Guardian and Student
Social Media Release for Parent

I grant permission to the National Federation of the Blind of Colorado and the Colorado Center for the Blind to use recordings of me, my image, and my likeness on various communication channels, including, but not limited to: CCB and NFBCO websites, promotional materials, blogs, and social media networks such as Face Book, Twitter and others.

Is the Student over 18 Years Old?

Student is under 18 Years old.

I grant permission to the National Federation of the Blind of Colorado and the Colorado Center for the Blind to use recordings of my minor child and their image, and their likeness on various communication channels, including, but not limited to: CCB and NFBCO websites, promotional materials, blogs, and social media networks such as Face Book, Twitter and others.

Student is over 18 Years old.

I grant permission to the National Federation of the Blind of Colorado and the Colorado Center for the Blind to use recordings of my image, and my likeness on various communication channels, including, but not limited to: CCB and NFBCO websites, promotional materials, blogs, and social media networks such as Face Book, Twitter and others.

Social/Media Release Student