Hylo 07 Participants Form

Hmong Youth Leadership Olympics Hmong Student Inter-Collegiate Coalition

Year Two Organizations: Consumes River College

Dear Applicant,

CSU Chico

Thank you for your interest in Hmong Student Inter-Collegiate Coalition’s, or HSIC, Hmong Youth Leadership Olympics.

CSU Sacramento CSU San Diego CSU San Luis Obispo CSU Stanislaus CSU Fresno Devry University Fresno City College Pacific Union College San Diego City College

HSIC is composed of Hmong college student organizations located throughout the state of California. Through this coalition, Hmong college students unite to promote higher education and to bridge the gaps between students, scholars, the Hmong communities, and the broader general society. On July 22, 2007 HSIC will be hosting the Hmong Youth Leadership Olympics in Fresno, CA. This will be a one-day event consisting of team games for Hmong youths. These games will be designed and facilitated by various higher-educational institutions and will promote the following elements: communication, teamwork, and friendship. When: Sunday, July 22, 2007 Where: California State University, Fresno Costs: FREE!! Lunch, T-shirt, and entertainment will be provided. Contact: Choua Lee, Hmong Youth Leadership Olympics Committee Director, at 413330- 8828 or [email protected]; Mai Vang, Hmong Youth Leadership Olympics Co-Committee Director, at 559-577-2402 or [email protected]

UC Davis

The Hmong Youth Leadership Olympics will be unique in many ways. First, teams will be composed of youths between the ages of 11-17. Thus, youths of different ages will be forced to interact with one another in these teams. They will have to learn how to communicate and listen to one another in order to work together. Second, it will give college students the opportunity to be mentors. College students will be able to serve as strong, positive role models for the youth to look to for guidance and support. Third, it will be an enriching event for everyone involved. HSIC hopes to achieve three main objectives through this event. These objectives are leadership development, empowerment, and mentorship.

UC Irvine

The tentative schedule for this event is:

St. Mary’s College UC Berkeley

UCLA UC Riverside UCSD UC Santa Barbara University of the Pacific

9:30 am -10:00am: 10:00am -10:30am: 10:30am – 11:30am: 11:30am - 12:30pm: 12:30pm - 1:30pm: 1:30pm – 2:30pm:

Registration and Complementary Breakfast Inspirational Hmong Speaker for Higher Education Games: Session 1 Lunch/Entertainment (hip hop artists/dance – Bands) Games: Session 2 Awards/Closing

Free food and entertainment will be provided. Therefore, it will be a day where every one, both youth and college students, can just have some “good old fun.” Laughter, smiles, and happiness are the guaranteed byproducts of this event. With all three combined, this event promises to touch the lives of all those involved, in addition to being a powerful vehicle for building positive life skills. Sincerely, Hmong Youth Leadership Olympics Committee

Hmong Youth Leadership Olympics 2007 HYLO Participant form Sunday, July 22, 2007 *note: You must be at least 11 years of age and under 17 years of age to participate in the Hmong Youth Leadership Olympics. Name: ___________________________________ Age: _____ Gender: M/ F Address (street, city &zip code) _____________________________________ ______________________________________________________________ School: ________________________________ Grade level: ______________ D.O.B:_____________________ T-shirt size: XS S M L XL XXL Emergency Contact: Name: ____________________________ Phone: _______________________ Relationship: _______________________ Name: ____________________________ Phone: _______________________ Relationship: _______________________ Medical History: Are you allergic to any kind of medication/ food? Y or N Do you have any serious illness or condition? Y or N Do you allow us to seek medical treatment for you in case of an emergency? Y or N Will you need any special accommodations? Y or N If yes, please state:_______________________________________________ How did you hear about HYLO? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ What are you interested in and your hobbies? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ If you can be a super hero, which one and why? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________

Hmong Student Inter-Collegiate Coalition

Third Hmong Youth Leadership Olympics 2007 HYLO STUDENT PERMISSION SLIP (Child’s name)____________________________from (School) ____________________ has my permission to participate in the Third Hmong Youth Leadership Olympics at California State University, Fresno on Sunday, July 22, 2007. Health or Special Needs. Please check all that apply: ﾁ My child had NO special needs the staff should be made aware of. ﾁ My child has a special need and instructions are attached. ﾁ Other: _________________________________________________________________ Release and Covenant Not to Sue/Authorization for Medical Care In consideration of his/her participation in the Third Hmong Youth Leadership Olympics at California State University, Fresno, I agree to indemnify, defend and hold harmless the California State University, Fresno, Hmong Student Inter-collegiate Coalition and its organizers, volunteers, and sponsors for any and all claims, damage, costs and expenses resulting from lawsuits and other proceedings by any third parties arising out of any acts, omissions or conduct of my child while s/he is participating in the third Hmong Youth Leadership Olympics. As a participant in the Third Hmong Youth Leadership Olympics, I authorize Hmong Student Inter-collegiate Coalition and or assignees or licensees to use photographs of my child or video images for reproduction for promotional or illustrative purposes. I understand that the above activities will not result in any profit and that I will not receive any monetary compensation. I agree to have my child receive any emergency medical services deemed necessary by the authorities in charge. It is understood that the resulting expenses will be the responsibility of the parent/guardian.

Parent/Guardian Name (please print) ______________________________________________ Parent/Guardian Signature ______________________________________________________ ____________________________________________________________________________ Address Home Phone Business Phone

If I cannot be reached in the case of emergency, please notify: ____________________________________________________________________________ Name Home Phone Business Phone ____________________________________________________________________________ Medical Insurance Company Policy Number Phone Number