SWAG @ Streams

This is a free program for students in Grades 6-12. Students will participate in SWAG, a program that encourages students to think critically and make good choices, and teaches them life skills and lessons. Students will also share a meal together and have free time to play games, basketball, soccer, volleyball, crafts, cooking, etc. Registration is required for this program.

Mondays 4:30–7PM

Thursdays 4:30–7PM

Streams at 280 60th St SE

This program is FREE to our community, but advanced registration is required. To sign up, please fill out the form below.

Questions? Contact us at .

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Parent / Guardian Name*

First Last

Email*

Cell Phone*

Student's Home Address*

Street Address Address Line 2 City State ZIP Code

Emergency Contact

First Last

Emergency Phone

Student Name*

First Last

Cell Phone

Gender*

Date of Birth*

Grade in School*

School*

Parent / Guardian Consent*

*I understand that while participating at Streams of Hope that my child is expected to conduct him/herself in an orderly manner. They are expected to respect the instructor and other students.

*I understand that if my child’s behavior/attitude is disruptive, they will risk removal from the program.

*I am the legal parent/guardian of this student and do hereby consent and allow Streams of Hope, Grand Rapids, MI to handle any type of medical care for my child including but not limited to the administration of anesthesia determined by a physician to be necessary for the welfare of my child while said child is in the care of Streams of Hope and I am not reasonably available by telephone to give consent.

*I also hereby grant permission to Streams of Hope and its representatives to take photographs or videos of me, and/or my child while at Streams of Hope located at 280 60th St SE, Grand Rapids, MI 49548. I further grant producers and their representatives the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of these images and recordings in any media now known or later developed. I acknowledge that Streams of Hope owns all rights to the images and recordings.

*I hereby waive any right to inspect or approve the use of the images or recordings or of any written copy. I also waive any right to royalties, or other compensation arising from or related to the use of the images, recordings, or materials. I hereby release, defend, indemnify, and hold harmless the producers from and against any claims, damages, or liability arising from or related to the use of the images, recordings, or materials, including but not limited to claims or defamation, invasion of privacy, or rights of publicity or copyright infringement, or any misuse, distortion, blurring, alteration, optical illusion or use in composite form that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.

I consent.

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