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Please list an acceptable starting pay you expect for performing the following kinds of work:

Comments

Hold Harmless

I hereby agree I will indemnify and hold the Village harmless of and from any and all claims that may be made by any person or organization for personal injury or property as a result of participation in the Teen Connect Program.

E-Signature

By signing you agree to the Hold Harmless clause.

Parent or Guardian (if student under the age of 18; parent/guardian signature is required) E-Signature

Print and Mail

Return signed and completed application to the Village Manager's Office at
The Village of Deerfield,
850 Waukegan Road, Deerfield, IL 60015

For more information, contact the Village manager’s Office at 847-719-7400.

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Teen Connect Program

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