Registration Form

Please fill the form below to become a member of the Rap Snacks BossUp Youth Entrepreneurship + Fundraising Club
PRIMARY INFORMATION

ALL RESPONSES SHOULD BE RELATIVE TO YOUR CHILD
Participant's Name*

First NameLast Name
Primary Phone*

Area CodePhone Number
Primary E-mail*
PLEASE SUBMIT AN EMAIL ADDRESS THAT YOU THE PARENT OR GUARDIAN HAS ACCESS TO.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender
Age*
Date of Birth*

MonthDayYear
Grade*
Do you currently own a business?*
If yes, how many years?
CONSENT AREA

FOR PARENT/LEGAL GUARDIAN ONLY
CONSENT FOR PARTICIPATION | As the parent or legal guardian of the above-named participant, by typing my name below, I hereby give my consent for participation in the Rap Snacks BossUp Youth Entrepreneurship + Fundraising Club.
Parent/Guardian Signature*

First NameLast Name
Should be Empty:

PRIMARY INFORMATION