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 Name Last Name
Primary Phone *

Area Code Phone 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

City State / Province

Postal / Zip Code Country
Gender
Age *
Date of Birth *

Month Day Year
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 Name Last Name
Should be Empty:

PRIMARY INFORMATION