FUTURE LEADERS

FUTURE LEADERS

Registration Form
Child's Name*

First NameLast Name
Child's Age*
Gender*
YesNo
Child T-shirt size
Parent/Guardian's Name

First NameLast Name
Address*

Street Address Line 2

CityState

Zip Code
Parent/Guardian's Phone Number*
Parent/Guardian's E-mail*
example@example.com
Does your child have any food allergies? If yes, explain.
Additional Information for Future Leader Instructors?
Any dietary or medical concerns?
Emergency Contact

First NameLast Name
Phone Number
Career Exploration and Skills Labs*
Choose 4 Careers Your Student May Be Interested to Explore
By signing below you authorize that your child can participate in the Future Leaders Program presented by OIC of Omaha. You will make sure your child is present August 30, 2025 at 2930 N 108th St Omaha, NE 68164. You authorize the use of you child's likeness and image to be used in any marketing or advertising regarding Future Leaders including but not limited to social media.
Signature*
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