Thrivers Club Registration Form

Thrivers Club Registration Form
DESCRIPTION:

Members between the ages of 6 and 11 are placed on the Kids Thrivers Club, while those between 12 and 19 belong to the Youth Thrivers Club

The primary program of the Youth Thrivers Club is the "Youth Leadership Forum" a hybrid monthly meeting for and by young people, that combines various learning and engagement forms as well as peer-to-peer networking aimed at nurturing leadership and enhancing a social network among our youth. The purpose is to equip young black individuals with leaderships and prepare them for the future.

The primary program of the Kids Thrivers Club is the "Kids Book & Story-Telling Forum" designed for children to immerse themselves in the world of storytelling and literature, featuring interactions with authors and engaging storytelling sessions. The approach involves Interactive workshops and dramatized presentations to promote a love for reading in a family-oriented community setting.

In addition to these, Thrive4Blacks has an array of other programs available to both categories of Thrivers Club members, including Culture and Heritage programs, Summer Skills Workshops, Financial Literacy Programs etc.
Registrants Information

Provide information about Youth or Kids joining the Thrivers Club. (Youth that are 18 years and older, should complete separate forms individually. Up to four kids and youth that are below 18 can be accommodated in one form).
What best describes you?

College Student 18yrs and olderParent/Guardian registering your ward(s) below 18yrs
Name*

First NameLast Name
Your Email
example@example.com
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Unique Client Identifier #*
Preferred Language*
City of Residence*

Registrant Info
Number of Registrants*
1. Registrant #1 (Full Name)*

First NameLast Name
Date of Birth*

MonthDayYear
Gender*
Unique Client Identifier #*
Preferred Language*
2. Registrant #2 (Full Name)

First NameLast Name
Date of Birth

MonthDayYear
Gender
Unique Client Identifier #*
Preferred Language*
3. Registrant #3 (Full Name)

First NameLast Name
Date of Birth

MonthDayYear
Gender
Unique Client Identifier #*
Preferred Language*
4. Registrant #4 (Full Name)

First NameLast Name
Date of Birth

MonthDayYear
Gender
Unique Client Identifier #*
Preferred Language*

Thrivers Club Registration Form

Registrants Information

Parents/Guardians Information

Parents/Guardians Consent