EYK© Membership

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(First)

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(Last)

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Current Age

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Grade

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Interests/SkillsWhat does your child enjoy? What is his learning style?

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Areas of Concern * This field is required.Describe any concerns that are being experienced with your child.

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(Parent Name & contact)Provide your name & contact info for meeting & event notifications

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Rules of EYK* This field is required.As members of Elevating Young Kings, each child will be challenged to think, speak & uphold the respect of themselves,the mentors,other parents & one another. Anyone that cannot adhere to this will be asked to leave the organization. Parents, while all discussions will not to be easy, it is vital that the influencers of Elevating Young Kings have the ability to have the necessary conversations to ensure the development of each member. Please be aware that all EYK events will be photographed, recorded & posted. If this is prohibited for your child, please make the founder,Phyllis Jackson, aware prior to all.sessions & events. This serves as a media release for all EYK advertising & media uses. By submitting this form, you are agreeing to the rules and expectations of our program. Please sign & Initial below.

Signature & Initials

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Please join social Media groups for updates, events & EYK news Facebook - @Elevating Young Kings Instagram- @Elevatingyoungkings

$25 membership fee can be paid via Cash App @Eykings or Paypal elevatingyoungkingsinc@gmail.com

EYK Meets every 2nd & 4th Saturday from noon until 2. To ensure that your child gets the most of the organization, regular attendance is needed.