City of Prescott Citizen's Academy

Citizen's Academy Application
Please submit an application to be placed on the participation list for the next available academy. Please only put one name per application.

Staff will reach out with information for the next available Citizens Academy. Each academy is limited to roughly 30 participants, and light refreshments will be served (we recommend eating dinner beforehand).

The Citizens Academy occurs May–June and September–October each year. Each academy is eight weeks long and held on Wednesdays from 6:00 p.m. to 8:30 p.m. at varying locations. Participants may miss no more than two classes to remain eligible for graduation.
Name*

First NameLast Name
Preferred Name for Nametag*
Your full name will be used for the graduation certificate.
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a resident of Prescott? (Residents will have priority for selection)*
Number of years as a resident*
Are you 18 years old or older? (must be at least 18 to participate)*
Classes are projected to occur on Wednesdays for 8 weeks in a row. Would you be able to attend every class?*
If not, how many classes will you miss?
How did you hear about the City of Prescott Citizen's Academy?
Friend, Family, or Neighbor's Name:
Waiver and Participation Guidelines

To ensure everyone enjoys a safe, positive, and respectful experience, please take a few moments to review and sign the following Waiver of Liability and Code of Conduct & Participation Guidelines. These documents are designed to protect participants, City staff, and volunteers, while helping to create a welcoming environment where everyone feels comfortable and engaged.
Participation Guidelines

Be Respectful
Treat all presenters, staff, and fellow participants with courtesy. We each bring unique experiences and perspectives—please engage with kindness and an open mind.

Avoid Political Discussion
The Academy is an educational program designed to learn about City services and operations. Please refrain from discussing political campaigns, personal political opinions, or controversial topics.

Share the Space
Allow everyone the opportunity to ask questions and participate. Be mindful not to dominate discussions or interrupt speakers.

Respect Personal Space
Be considerate of others’ comfort levels. Avoid unwanted physical contact and maintain awareness of personal boundaries.

Stay Curious and Positive
Ask questions, participate fully, and enjoy the experience! A positive attitude helps create an engaging and welcoming environment for everyone.

Be Professional
Please conduct yourself in a manner that reflects the professionalism and courtesy expected in any City setting.

Support a Safe and Enjoyable Experience
If any situation arises that makes you uncomfortable or requires staff attention, please notify a City representative immediately so we can address it promptly and respectfully.
Waiver of Liability and Participation Agreement

In consideration of my participation in the City of Prescott Citizen’s Academy, on behalf of myself and all heirs, administrators, executors, and assigns, I agree to the following:

Assumption of Risk and Waiver of Liability
I hereby release and agree to hold harmless the City of Prescott, its elected officials, employees, representatives, volunteers, and agents from any and all liability for any damage, loss, injury, or death which may occur or result, regardless of the cause, from my participation in the Citizen’s Academy. This release shall apply to any claim, demand, suit, or right of action that may accrue to myself, my heirs, or my personal representatives, including claims of negligence.

I acknowledge that participation may involve inherent risks, including but not limited to use of City facilities, equipment, and vehicles. I voluntarily assume all risks associated with my participation and agree not to seek contribution or indemnification from the City of Prescott if I am sued by any party in connection with my participation.

Use of City Vehicles, Facilities, and Equipment
I specifically agree to waive and release any and all liability related to my presence in, use of, or access to City of Prescott vehicles, facilities, or equipment during the Citizen’s Academy. I understand that such use is incidental to participation in the Academy and that all safety instructions provided by City staff must be followed at all times.

Media Consent
I consent to the unrestricted use of my image and/or name in connection with the Citizen’s Academy by the City of Prescott or any person authorized by the City, including but not limited to photographs, audio/video recordings, interviews, or other media, whether for television, radio, online, or print purposes.

Participants
I understand that participation in the Citizen’s Academy is voluntary, that I will not be paid for my involvement, and that either the City of Prescott or I may terminate my participation at any time for any reason. I further understand that by signing this Waiver, I am giving up my right to sue the City of Prescott for any damages arising out of my participation.
Acknowledgment
I, the undersigned, have carefully read and fully understand the City of Prescott Citizens Academy Waiver of Liability, Participation Agreement, and Participation Guidelines.

I acknowledge that I am voluntarily participating in this program and releasing certain legal rights as outlined in the Waiver. I further agree to abide by the Code of Conduct to help create a respectful, safe, and positive experience for all participants, staff, and volunteers.

I understand that this Waiver and Acknowledgment will remain valid and in effect indefinitely from the date of my signature, unless revoked in writing. I also understand that failure to follow the Code of Conduct or program guidelines may result in being asked not to continue participation in the Citizens Academy.

I sign this Acknowledgment and Release of my own free will.
Signature of Acknowledgement and Release*

Clear
If 'other', please state:
Should be Empty:

Citizen's Academy Application

Waiver and Participation Guidelines