It's Cool To Be In School Programs and Events Registration Form
How did you hear about us? (Check all that apply)
A School
A Community-Based Organization
A Church / Faith-Based Organization
Court Referal
Department of Probation
DCFS - Department of Children and Family Services.
Email
Other
Who Referred You? ( Type the persons name below or type N/A if not referred ).
Name
First Name
Last Name
Email (Note: Please be sure you have your correct/valid email address).
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age
Date of Birth
-
Month
-
Day
Year
Date
Race / Ethnicity
Gender (Male or Female) Select one.
Address: (If you are homeless Or want to keep private please type: N/A below>
City
State
Zip Code
Are you a US Veteran? (Answer Yes or No)
Yes
No
Name of School (If none type N/A)
Grade (If none type N/A)
Instagram Username
Tik-Tok Username
What Size Steel-Toed Boots Do You Wear ? (If none type N/A).
What Size Safety Vest Do You Wear ? (if None Type N/A).
T-Shirt Size
Hoodie Size
What services, programs and events are you interested in? (choose all that apply)
Housing Assistance
Financial Literacy
Entrepreneurship Training
Vocational Training
Career/Mentorship Training
College Preparation
Tutoring in English
Tutoring in Reading
Tutoring in Math
Tutorning in Science
What training, competitions or events are you interested in? (Choose all that apply).
Hip-Hop/Rap
Singing
Dancing
Comedy
Spoken Word
Modeling
Fashion Design
None of The Above
Photo/Media Waiver: Do you grant permission for the Saving All Kids organization and It's Cool To Be In School to use your photographs in any and all of its publications, including website entries, social media, and promotional materials without payment or other considerations? (Note: This does not include payment for employment opportunities, stipends, cash prizes, scholarships or other benefits).
Yes
No
Who Referred You? ( Type the persons name below or type N/A if not referred ).
Please verify that you are human
*
Submit
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