CTYM Registration Form
  •  

    Please use this form to register your children for participation in Chandelier Transformations Youth Mentoring 2026-2027. Payment plans and scholarships available. Registration using this form is effective for:

    Group School Year
    When Cost

    Elementary School Mentoring

     (3rd - 5th Grades) In person  

    Registration:

    Regular Registration Fee: $125  

    Monthly:

    Regular Price per month: $30 (10 months)

     

    Middle School Mentoring

    6th-8th Grades

     

     In person 

    Registration:

    Regular Registration Fee: $125  

    Monthly:

    Regular Price per month: $30 (10 months)

     

    High School Mentoring

    9th-12th Grades

     

    In person

    Registration:

    Regular Registration Fee: $125  

    Monthly:

    Regular Price per month: $30 (10 months)

     

    Teen Summit 2022 TBD TBD
    Leadership Workshop 2022 TBD TBD
    CTYM FinTech Spring Break Camp (Girls Only) — Tampa, FL

    March 16–20, 2026

    Hours:Monday–Friday 8:00AM–5:00PM

     📍 410 S. Ware Blvd, Suite 1038, Tampa, FL 33619

    Registration Fee: $125

    Cost for Camp: $125 

    CTYM NextGen Innovation Certification Academy (Girls Only)

    June 15 – August 1, 2026 (7 weeks)


    Hours: Monday–Friday | 8:00 AM – 5:00 PM

    📍 410 S. Ware Blvd, Suite 1038, Tampa, FL 33619

    Registration Fee: $150

    Cost per week: $145 

     

     

     

    More information about Chandelier Transformatoions Youth Mentoring can be found on our website: www.CTYM.org

     

  • Chandelier Transformations Youth Mentoring (CTYM) Registration Form

  •  

    Please use this form to register your children for participation in Chandelier Transformations Youth Mentoring INC. 2026 - 2027. Payment plans and scholarships available. Registration using this form is effective for:

    Group School Year
    When

    Cost

           
    Monthly Mentoring

     

    2026-2027

    4th -5th Grades

     

    6th-8th Grades

     

    9th-12th Grades

     

      📍 410 S. Ware Blvd, Suite 1038, Tampa, FL 33619

    Registration:

    Regular Registration Fee: $125  

    Monthly:

    Regular Price per month: $30

     

    CTYM FinTech Spring Break Camp (Girls Only) — Tampa, FL

     

    March 16–20, 2026

    Hours:Monday–Friday 8:00AM–5:00PM

      📍 410 S. Ware Blvd, Suite 1038, Tampa, FL 33619  

    Registration Fee: $125

    Cost for Camp: $125 

    Teen Summit 2026   📍 410 S. Ware Blvd, Suite 1038, Tampa, FL 33619 TBD
    Leadership Workshop 2026   📍 410 S. Ware Blvd, Suite 1038, Tampa, FL 33619 TBD
    CTYM NextGen Innovation Certification Academy (Girls Only)

    June 15 – August 1, 2026 (7 weeks)


    Hours: Monday–Friday | 8:00 AM – 5:00 PM

    📍 410 S. Ware Blvd, Suite 1038, Tampa, FL 33619

    Registration Fee: $150

    Cost per week: $145 

     

     

     

    More information about Chandelier Transformatoions Youth Mentoring can be found on our website: www.CTYM.org

     

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          Payment Methods

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        • Form Instructions

          *The tabs below will expand as you click on them

          1. Complete Parent/Guardian Information (including alternative pick up and emergency contact persons)

          2. Add registration details for each of your children (up to 3 per family) and select all the applicable ministry groups for each child

          NOTE: This year, in accordance with regulations surrounding children's activities we're asking you to submit your Insurance details in relation to your child(ren). Thank you for your understanding. 

          3. Submit Registration

           

          • PARENT/GUARDIAN INFORMATION 
          • Parent/Guardian #1

          • Parent/Guardian #2 (if applicable)

          • Alternative pick-up

            I give permission for the following people to collect my child(ren) from their ministry activities:
          • Emergency Contacts

            In the event of an emergency this person will be contacted if the parent/guardian cannot be reached:
          • ADD CHILD 1 
          • CHILD "1" INFORMATION

          • ADD CHILD 2 
          • CHILD "2" INFORMATION

          • ADD CHILD 3 
          • CHILD "3" INFORMATION

          • CONFIRMATION & CONSENT 
          • Your registration summary:

             

            {firstNamechild1} {lastNamechild1}

            {2023CTYM}

            {firstNamechild2} {lastNamechild2}

            {2023CTYM}

            {firstNamechild3} {lastNamechild3}

             {2023CTYM}

             

          • The Leadership team of the aforementioned group/s will treat the information contained confidentially. This information may be shared with a third party when it concerns medical health or care of individuals listed. If you wish to access this information or have queries in relation to the manner in which we handle your personal information, please do not hesitate to contact us.

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