iShapeMe Prep School 2023

iShapeMe Prep School

Sign Up for our 2023 Summer Series here!
Your Name*

First NameLast Name
Your Email*
example@example.com
Phone Number*
Please enter a valid phone number.
High School*
Grade Level*

Freshman/Rising SophomoreSophomore/Rising JuniorJunior/Rising SeniorSenior/2023 Graduate
I prefer to attend:

Tuesday evenings at Reedy Fork Center for Community DevelopmentWednesday afternoons at Upstate Cirlce of FriendsDepends on my schedule that week
Parent/Guardian/Emergency Contact Full Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Will you be driving yourself to any summer sessions?

YesNo
Please share any food allergies or medical conditions:
How did you hear about this program?

School VisitSocial MediaGuidance CounselorCommunity Center or ChurchUpstate Circle of Friends Program Participant
Photo/Video Release: I understand and agree that all photographs and videos taken of the participant for trade, advertising and any other purpose or purposes as a participant in any iShapeMe, Inc. event, and any use of my name, likeness and/or physical depiction when identified with the Program, shall be the sole and exclusive property of iShapeMe, Inc. I understand and agree that this provision refers to and includes all photographs and videos from any activities relating to the iShapeMe Inc. Prep School Program, including but not limited to meetings, field trips and events, either individually or as a member of a group.*

I Agree

Enrollment Donation*

USDThe donation amount is a suggestion. Please donate what you wish to invest in your future!

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