The Adrienne Small Foundation Enrollment Form

The Adrienne Small Foundation 2023 Camp Enrollment Form

Complete the form below to sign up for our program. Please be as detailed and creative as possible with your video submission. This is due immediately so that you can receive the form to sign up for camp classes.
Attendee Name*

First NameLast Name
Attendee E-mail ( List parent email if teen does not have one.)*
Attendee Phone Number: (List parent phone if teen does not have one)*

Area CodePhone Number
Attendee Birth Date:*

MonthDayYear
What grade will you be in for the 2023-2024 school year?*
What school will you be enrolled in for the 2023-2024 school year?*
YesNoEnrolling Next School Year
XSSMLXLXXLXXXL
Parent Name*

First NameLast Name
Parent E-mail*
example@example.com
Parent Phone Number:*

Area CodePhone Number
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please list any allergies or medical conditions we need to be made aware of.*
A Friend or colleaugeSocial MediaPrevious AttendeeOther
If "Other", please list how you heard about our program.
What part of the beauty industry intrigues you the most? (ex. what part of the hair, makeup, nails, waxing, etc.) Whatever you love the most, list it!*
Please upload a clear, unfiltered, picture of the teen attending our program. These pictures will be used for their name badges which are required for admission into any workshops/ camps*

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We love to get to know our Girlpreneurs prier to meeting them in person. Upload a 1- 2 minute video of why you would like to be apart of our program and what your future goals are, even if you do not plan on making the beauty industry your full time career. (*NOTE: Make sure your phone is turned sideways and set with a high, 1080 or 4k, resolution) If it does not allow you to upload, EMAIL your video to Info@TheAdrienneSmallFoundation.org. Subject: *YOUR NAME* VIDEO SUBMISSION.

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Enrollment Rules
1. Enrollment is ONLY available to anyone interested in any aspect of the beauty industry, ages 13-19. Anyone over 19 can apply for a Jr. Mentor position when spaces become available.

2. Each teen should be willing to simply try. Being pushed out of your comfort zone and not being afraid to be greater than you are today is mandatory.

3. Being respectful to your mentors and fellow girlpreneurs is of high priority. We celebrate and help each other in and outside of the foundation events.
I have read, understood, and have accepted the rules for enrollment. I have double checked to ensure all information entered is correct.
Signature

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The Adrienne Small Foundation 2023 Camp Enrollment Form

Enrollment Rules