Cornerstone Youth Mentoring Program
Building Foundations "One Brick at a Time!"
Welcome!
At Cornerstone Youth Mentoring Program, we are dedicated to empowering young individuals in Syracuse through personalized mentorship and comprehensive support. Our mission is to provide guidance, encouragement, and resources to youth facing challenges such as academic difficulties, social isolation, and adverse environments.
Through our tailored programs and committed mentors, we create a nurturing environment where young people can thrive and build a brighter future. Whether you're a parent seeking support for your child, a potential mentor eager to make a difference, or a community member interested in supporting our mission, we invite you to explore how you can get involved.
Welcome to the Cornerstone Youth Mentoring Program in Jamesville, your trusted partner in youth mentoring. We specialize in empowering boys and young men aged 11–24, guiding them through the complexities of adolescence and young adulthood. Our main ...
We believe in the potential of every young person. Our comprehensive approach ensures that our participants receive well-rounded support in various aspects of their lives. By focusing on leadership, conflict resolution, and foundational life skills, we ...
Delve into our comprehensive mentorship services designed to empower youth through personalized support and guidance. Discover how we cultivate potential, foster resilience, and champion growth in each individual we mentor. Join us in making a lasting impact on the future of our youth.
Forms
Photo Release Permission
Cornerstone Mentoring Program
PHOTO & MEDIA RELEASE FORM
(Parent/Guardian Consent)
Child Information
Child’s Full Name: _________________________________________
Child’s Age: ___________
Parent/Guardian Information
Parent/Guardian Full Name: _____________________________________________
Email Address: ________________________________________
Phone Number: ______________________
Consent Agreement
I authorize Cornerstone Youth Mentoring Program to capture, store, and use photographs, videos, or audio recordings of my child for:
- Website content
- Social media posts
- Promotional materials
- Program documentation
- Digital or printed publications
I understand that:
- My child’s image may appear publicly online.
- No compensation will be provided.
- I may revoke consent at any time in writing, but revocation will not affect materials already published.
Permission Level (Select One)
☐ Full Permission — My child’s image may be used publicly, including on the website and social media.
☐ Limited Permission — My child may appear only in group photos and will not be individually identified.
☐ No Permission — Do not use my child’s image in any public materials.
Digital Signature _________________________________________
Parent/Guardian Signature (Typed): _______________________________________________
Date: _________________
Additional Notes (Optional): _______________________________________________________
_______________________________________________________________________________