Youth Participation Agreement

1. Youth Participant Information:

If you have previously registered, please to prepopulate your information.

Field Is Required Birth Date (if you are under the age of 18, birth date is required).


If you respond and have not already registered, you will receive periodic updates and communications from The American Cancer Society.


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In the event of an emergency, it might be necessary to reach a parent or guardian. Please provide their name and phone number below.





While participating, Relay For Life participants shall:

  • Respect the individual rights, safety, and property of others.
  • Avoid displays of overly affectionate behavior.
  • Not participate in obscene and/or discriminatory language or roughhousing.
  • Not be insubordinate to chaperones or the volunteer coordinator in charge of the event.
  • Not possess or use weapons, alcoholic beverages, tobacco and/ or illegal drugs at any event, activity, or meeting, or remain in the presence of individuals who possess or use these items.
  • Abide by all rules of the attended event, activity, or meeting.
  • Participate in activities to the best of their ability.
  • Notify a chaperone or staff person if they have concerns or medical needs during the Relay For Life event.
  • Not engage in conversations or activities that are sexual in nature.
  • Not leave the event site(s) without permission from the chaperone, parent/guardian, and Event Chair
  • Pay any costs related to damage or destruction of property that they incur, including any property damage to other Relay For Life participants or to third parties. Such costs will be charged to the youth participant and/or their parent(s)/guardian(s).

Disciplinary action
Penalties and/or disciplinary action for infractions of this code of conduct may include any or all of the following:

  • Sending youth home
  • Barring that member from future American Cancer Society activities
  • Being held responsible for the cost of damages and repairs in the event of damage/destruction of property
  • Releasing the member to the nearest law enforcement agency and/or the proper authorities for significant violations of state law

Team chaperones will notify parents/guardians of any actions taken.




By my signature below, I acknowledge receipt of this document and acknowledge that I have read and agree to abide by the guidelines in this document. I am aware that if I violate the agreement, the staff may, at their sole discretion, terminate my participation, and my parent/ guardian will be contacted and required to provide me with transportation home at my own expense. Additionally, I understand that the American Cancer Society works with partner organizations and at its discretion may report any disciplinary action to those organizations.







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