Teen Editors 2025-26 Registration

Register for Teen Editors 2025-26!
Thank you for registering for Lake Erie Ink's 2025-26 Teen Editors Project! You should receive a confirmation email upon completion of this form. If you have any questions, please email staff@lakeerieink.org or call 216-320-4757. Thank you!
Parent/Guardian Email Address*
example@example.com
Student Name*

First NameLast Name

Participant Information
Participant Birthdate*

MonthDayYear
Date
Participant Pronouns (she/her, he/him, they/them, etc.)
School*
Grade*
Home Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Demographic Information

The following demographic questions help Lake Erie Ink report and apply to funders upon request. All information will remain confidential.
AsianBiracialBlack or African AmericanHispanic or LatinoNative American or AlaskanPacific Islander or HawaiianWhite or CaucasianPrefer not to answerOther
First language, if not English:

Parent/Guardian and Emergency Contact Information
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Relationship to Child
Parent/Guardian Email*
example@example.com
Second Parent/Guardian Full Name

First NameLast Name
Second Parent/Guardian Relationship to Child
Second Parent/Guardian Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Second Parent/Guardian Email
example@example.com
Alternate Emergency Contact:

First NameLast Name
Alternate Emergency Contact Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Emergency Contact Relationship to Student:

Learning & Medical Concerns
Please describe any special learning concerns you might have for your child:
Please describe any medical or health concerns (i.e. allergies, asthma, diabetes, etc.):
YesNo
Lake Erie Ink will always call 911 in the event of a medical emergency, but we will alert first responders and medical personnel if your child does not have consent for medical treatment.

You're Almost There!
Social MediaSchool/TeacherLake Erie Ink EmailFlyerMail from Lake Erie InkCurrent ParticipantGoogle/Web SearchOther
School/Teacher name:
Where did you see the flyer?
Yes, subscribe me to Lake Erie Ink's e-newsletter.
Should be Empty:

Register for Teen Editors 2025-26!